| The influence of tracheotomy tubes on the swallowing frequency in neurogenic dysphagia. | |
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MedLine Citation:
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PMID: 15746866 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: To compare the swallowing frequency in patients with neurogenic dysphagia with or without tracheotomy tubes (TT) to assess the underlying mechanisms of dysphagia to improve rehabilitation strategies. STUDY DESIGN AND SETTING: Prospective study, 10 patients (64 +/- 7 years) with neurogenic dysphagia. Glasgow Coma Scale (GCS) less than 8 points, tracheotomy due to the dysphagia 2 weeks before the examination. The swallowing frequency (1 or less over 5 min) was assessed over 5 consecutive days with or without TT. RESULTS: The swallowing frequency increased after removal of the TT. These findings did not influence the GCS or the Coma Remission Scale. Over a 5-day period, the frequency of swallowing was increased. CONCLUSION: TTs decisively influence the swallowing behavior of vegetative patients. This phenomenon could be based on an improved sensitivity under re-established physiological expiration. We strongly favor removing the TT or deflating the cuff of the TT under therapeutic conditions in a rehabilitation therapy setting. |
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Authors:
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Rainer O Seidl; Ricki Nusser-Müller-Busch; Arne Ernst |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery Volume: 132 ISSN: 0194-5998 ISO Abbreviation: Otolaryngol Head Neck Surg Publication Date: 2005 Mar |
Date Detail:
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Created Date: 2005-03-04 Completed Date: 2005-04-14 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8508176 Medline TA: Otolaryngol Head Neck Surg Country: United States |
Other Details:
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Languages: eng Pagination: 484-6 Citation Subset: IM |
Affiliation:
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Department of Otolaryngology at UKB, Free University of Berlin, Berlin, Germany. ROSeidle@UKB.DE |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Deglutition* Deglutition Disorders / etiology, physiopathology* Female Humans Intubation, Intratracheal / instrumentation* Male Middle Aged Prospective Studies Time Factors Tracheotomy / instrumentation* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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