File
language
eng
Attribute
case report
Author
Namba, Takeshi
Ishida, Akiko
Yonehara, Kimi
Description
A seventy-year-old man was admitted to our hospital for treatment of dermatomyositis. The patient complained of progressive dysphagia symptom after admission and prednisolone therapy was administered. Videofluoroscopic examination of the patient swallowing showed poor laryngeal excursion, delayed swallow reflex, decreased pharyngeal peristalsis and impaired laryngeal closure. Thus, swallowing therapy, including muscle exercises around the neck and the tongue, were started immediately. In addition, intermittent oroesophageal tubing technique (IOE) was introduced for improved swallowing function, since IOE is easily performed in patients without gag reflex induced by pharyngeal stimulation. The patient mastered the selftubing technique within a few days and continued IOE. The patient's swallowing function gradually improved and he could intake food at 13 weeks after the introduction of IOE therapy. IOE is effective to improve nutrition status and swallowing function for patients with swallowing dysfunction caused by the abnormalities of pharyngeal stage in deglutition.
Journal Title
Shimane journal of medical science
Volume
26
Start Page
33
End Page
36
ISSN
03865959
ISSN(Online)
24332410
Published Date
2009-12-01
NCID
AA00841586
Publisher Aalternative
Shimane University Faculty of Medicine
NII Type
Departmental Bulletin Paper
Format
PDF
Text Version
出版社版
OAI-PMH Set
Faculty of Medicine
Remark
http://ci.nii.ac.jp/vol_issue/nels/AA00841586_jp.html