본문 바로가기
KERD
논문KCI 등재

뇌졸중 후 연하장애의 중재적 치료

Interventional Management of Post-stroke Dysphagia

하정훈|장 현
대한연하장애학회 (The Korean Dysphagia Society)|2014.01|대한연하장애학회지 (Journal of the Korean Dysphagia Society)|제4권 제1호|pp. 11-17

0

조회

0

다운로드

2

인용

0

참고문헌

키워드

Post-stroke dysphagiaSurgical interventionVocal fold medializationCricopharyngeal dysphagia
주제분류재활의학

초록

The main target of surgical interventions for post-stroke dysphagia is the pharyngeal phase of deglutition. They consist of especially laryngeal closure and relaxation of the upper esophageal sphincter. In this article, we reviewed the surgical interventions including tracheostomy, vocal fold medialization, separation from the upper airway from the digestive tract and correction of hypertonic cricopharyngeal muscles.

Abstract

The main target of surgical interventions for post-stroke dysphagia is the pharyngeal phase of deglutition. They consist of especially laryngeal closure and relaxation of the upper esophageal sphincter. In this article, we reviewed the surgical interventions including tracheostomy, vocal fold medialization, separation from the upper airway from the digestive tract and correction of hypertonic cricopharyngeal muscles.

참고문헌 (30)

  1. Horner J, "Dysphagia following brain-stem stroke. Clinical correlates and outcome", Arch Neurol, 48, pp.1170~1173 (1991)
  2. Martino R, "Dysphagia after stroke : incidence, diagnosis, and pulmonary complications", Stroke, 36, pp.2756~2763 (2005)
  3. Rofes L, "Post-stroke dysphagia : progress at last", Neurogastroenterol Motil, 25, pp.278~282 (2013)
  4. Tolep K, "Swallowing dysfunction in patients receiving prolonged mechanical ventilation", Chest, 109, pp.167~172 (1996)
  5. Goldsmith T, "Evaluation and treatment of swallowing disorders following endotracheal intubation and tracheostomy", Int Anesthesiol Clin, 38, pp.219~242 (2000)
  6. Kirsch JP, "Evaluation and management of chronic aspiration", J La State Med Soc, 75(6) (1993)
  7. Nash M, "Swallowing problems in the tracheotomized patient", Otolaryngol Clin North Am, 21, pp.701~709 (1988)
  8. Epstein SK, "Late complications of tracheostomy", Respir Care, 50, pp.542~549 (2005)
  9. Sue RD, "Long-term complications of artificial airways", Clin Chest Med, 24, pp.457~471 (2003)
  10. Carrau RL, "Comprehensive management of swallowing disorders" (2006), Plural Pub
  11. Kwon TK, "Injection laryngoplasty for management of unilateral vocal fold paralysis", Curr Opin Otolaryngol Head Neck Surg, 12, pp.538~542 (2004)
  12. Simpson CB, "Operative techniques in laryngology" (2008), Springer
  13. Flint PW, "Pathophysiology and indications for medialization thyroplasty in patients with dysphagia and aspiration", Otolaryngol Head Neck Surg, 116, pp.349~354 (1997)
  14. Merati AL, "Textbook of laryngology" (2007), Plural Pub
  15. Flint PW, "Cummings otolaryngology--head & neck surgery", pp.2010, Mosby
  16. Lindeman RC, "Diverting the paralyzed larynx : a reversible procedure for intractable aspiration", Laryngoscope, 85, pp.157~180 (1975)
  17. Eisele DW, "Indications for the tracheoesophageal diversion procedure and the laryngotracheal separation procedure", Ann Otol Rhinol Laryngol, 97, pp.471~475 (1988)
  18. Snyderman CH, "Laryngotracheal separation for intractable aspiration", Ann Otol Rhinol Laryngol, 97, pp.466~470 (1988)
  19. Eisele DW, "The tracheoesophageal diversion and laryngotracheal separation procedures for treatment of intractable aspiration", Am J Surg, 157, pp.230~236 (1989)
  20. Moerman MB, "Cricopharyngeal botox injection : indications and technique", Curr Opin Otolaryngol Head Neck Surg, 14, pp.431~436 (2006)
  21. Schneider I, "Treatment of dysfunction of the cricopharyngeal muscle with botulinum A toxin : introduction of a new, noninvasive method", Ann Otol Rhinol Laryngol, 103, pp.31~35 (1994)
  22. Atkinson SI, "Botulinum toxin for cricopharyngeal dysphagia : case reports of CT-guided injection", J Otolaryngol, 26, pp.273~276 (1997)
  23. Blitzer A, "Use of botulinum toxin for diagnosis and management of cricopharyngeal achalasia", Otolaryngol Head Neck Surg, 116, pp.328~330 (1997)
  24. Zaninotto G, "The role of botulinum toxin injection and upper esophageal sphincter myotomy in treating oropharyngeal dysphagia", J Gastrointest Surg, 8, pp.997~1006 (2004)
  25. Kelly EA, "Botulinum toxin injection for the treatment of upper esophageal sphincter dysfunction", Ann Otol Rhinol Laryngol, 122, pp.100~108 (2013)
  26. Lawson G, "Endoscopic cricopharyngeal myotomy : indications and technique", Curr Opin Otolaryngol Head Neck Surg, 14, pp.437~441 (2006)
  27. Ishioka S, "Endoscopic incision of Zenker's diverticula", Endoscopy, 27, pp.433~437 (1995)
  28. Kuhn FA, "Zenker's diverticulotomy using the KTP", 532 laser, 1992, pp.102, 946~950
  29. Mulder CJ, "Flexible endoscopic treatment of Zenker's diverticulum : a new approach", Endoscopy, 27, pp.438~442 (1995)
  30. Tieu BH, "Management of cricopharyngeal dysphagia with and without Zenker's diverticulum", Thorac Surg Clin, 21, pp.511~517 (2011)

관련 논문AI추천

연하장애 환자들의 다양한 수술적 치료 방법들에 대한 고찰박성준, 박영학대한연하장애학회 · 대한연하장애학회지2020 · 제10권 제1호일측성 성대 마비 환자에서 연하 장애의 수술적 치료주영훈대한연하장애학회 · 대한연하장애학회지2014 · 제4권 제2호연하장애의 수술적 치료최승호, 한명월대한연하장애학회 · 대한연하장애학회지2011 · 제1권 제1호뇌졸중 환자의 연하장애 치료 효과에 대한 체계적 고찰Areum Han, Hye-Sik Lee, Ki-Eun Kim, Sung-Kyu Ha대한연하장애학회 · 대한연하장애학회지2019 · 제9권 제1호기도절개술로 인한 매우 심한 삼킴장애: 증례 보고Bum-Seok Lee, Daham Kim, Doo Young Kim, Hyeon-Woo Jeon, Hyung-Wook Han, Namo Jeon, Si-Woon Park대한연하장애학회 · 대한연하장애학회지2023 · 제13권 제1호연하장애를 가진 뇌졸중 환자에서 비위관 삽입이 연하 기능에 미치는 영향양서연, 윤기정, 최경효대한연하장애학회 · 대한연하장애학회지2015 · 제5권 제2호

이 간행물의 다른 논문 (5건)

뇌졸중 후 삼킴장애의 역학, 자연경과, 장기예후이주강pp. 1-5뇌졸중 후 연하장애에서 장관영양법의 선택편성범pp. 6-10포크 테스트: 연하곤란 치료에 있어 새로운 점도 측정방법 및 기준박진우, 박예슬, 신소정, 김인정pp. 18-22뇌졸중 환자에서 호흡기능과 연하장애의 연관성김선미, 박윤길, 양혜은pp. 23-27뇌졸중 병변에 따른 삼킴장애의 양상임오경, 이주강, 박기덕, 이환태pp. 28-36
원문 보기