지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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초록· 키워드
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Objective: To investigate changes of swallowing function after ballooning dilatation (BD) and the Botox injection (BI) into the cricopharyngeus muscle in patients with severe dysphagia. Method: Nine severe dysphagic patients with cricopharyngeal dysfunction (CPD) who underwent BD and/or BI into the cricopharyngeal muscle were retrospectively reviewd. Patients who had severe dysphagia (Functional Oral Intake Scale (FOIS)≤2) after at least 3 months of the conventional swallowing therapy were included by a thorough review of medical records with videofluoroscopic swallowing study (VFSS). Before and after several interventions (BD and/or BI), swallowing function was evaluated using VFSS. Result: Among 9 patients, 5 underwent both BD and BI, and the other 4 patients underwent only BD. Four among 9 cases showed that interventions were effective. Of the 5 cases with both BD and BI, 2 cases were effective for treatment of CPD. In all the effective 4 cases, pyriform sinus residue seemed to be related with FOIS. Of those cases, one case had long-term effect (more than 4 months) and the other 3 case had short term effect (less than 4 months). Conclusion: Interventions were effective in 4 among 9 cases with severe CPD and the therapeutic effect was sustained for more than 4 months. The results suggest that in CPD patients, the BD or BI into UES could be considered in selected patients.
목차
등록된 정보가 없습니다.
참고문헌 (18)
참고문헌 신청
Kuhn MA / 2013 / Management of cricopharyngeus muscle dysfunction / Otolaryngol Clin North Am 46:1087~1099
Blitzer A / 1997 / Use of botulinum toxin for diagnosis and management of cricopharyngeal achalasia / Otolaryngol Head Neck Surg 116:328~330
Verhulst J / 2003 / A retrospective study of 91 injections of botulinus toxin into the upper sphincter of the oesophagus / Rev Laryngol Otol Rhinol(Bord) 124:315~320
Kocdor P / 2016 / Cricopharyngeal dysfunction: A systematic review comparing outcomes of dilatation, botulinum toxin injection, and myotomy / Laryngoscope 126:135~141
Clary MS / 2011 / Efficacy of large-diameter dilatation in cricopharyngeal dysfunction / Laryngoscope 121:2521~2525
Blitzer A / 1997 / Use of botulinum toxin for diagnosis and management of cricopharyngeal achalasia / Otolaryngol Head Neck Surg 116:328~330
Verhulst J / 2003 / A retrospective study of 91 injections of botulinus toxin into the upper sphincter of the oesophagus / Rev Laryngol Otol Rhinol(Bord) 124:315~320
Kocdor P / 2016 / Cricopharyngeal dysfunction: A systematic review comparing outcomes of dilatation, botulinum toxin injection, and myotomy / Laryngoscope 126:135~141
Clary MS / 2011 / Efficacy of large-diameter dilatation in cricopharyngeal dysfunction / Laryngoscope 121:2521~2525
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