The Effect of Balloon Dilatation through Video-Fluoroscopic Swallowing Study (VFSS) in Stroke Patients with Cricopharyngeal Dysfunction
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초록
Objective To evaluate an effect of balloon catheter dilatation on post-swallow laryngeal elevation, total pharyngeal transit time and pharyngeal remnant in stroke patients with cricopharyngeal dysfunction. Method The 20 stroke patients with cricopharyngeal dysfunction in videofluoroscopic swallow study were recruited for the study. Using 16 Fr foley catheter, balloon was positioned across the upper esophageal sphincter under videofluoroscopy. Balloon catheter dilatation was done for 3 minutes and each ballooning was repeated 6 times for a minute. We compared pre-balloon dilatation and post-balloon dilatation values. 3 factors were evaluated, which were laryngeal elevation, total pharyngeal transit time, and post-swallow pharyngeal remnant. Results There was no significant difference in laryngeal elevation after balloon dilatation. However, total pharyngeal transit time (p＜0.01) and pharyngeal remnant (p＜0.001) were significantly reduced after balloon dilatation. Conclusion There were significant decrements of post-swallow total pharyngeal transit time and pharyngeal remnant after balloon dilation procedure. Balloon dilation of upper esophageal sphincter can produce relief of dysphagia in stroke patients with cricopharyngeal dysfunction.
Abstract
Objective To evaluate an effect of balloon catheter dilatation on post-swallow laryngeal elevation, total pharyngeal transit time and pharyngeal remnant in stroke patients with cricopharyngeal dysfunction. Method The 20 stroke patients with cricopharyngeal dysfunction in videofluoroscopic swallow study were recruited for the study. Using 16 Fr foley catheter, balloon was positioned across the upper esophageal sphincter under videofluoroscopy. Balloon catheter dilatation was done for 3 minutes and each ballooning was repeated 6 times for a minute. We compared pre-balloon dilatation and post-balloon dilatation values. 3 factors were evaluated, which were laryngeal elevation, total pharyngeal transit time, and post-swallow pharyngeal remnant. Results There was no significant difference in laryngeal elevation after balloon dilatation. However, total pharyngeal transit time (p＜0.01) and pharyngeal remnant (p＜0.001) were significantly reduced after balloon dilatation. Conclusion There were significant decrements of post-swallow total pharyngeal transit time and pharyngeal remnant after balloon dilation procedure. Balloon dilation of upper esophageal sphincter can produce relief of dysphagia in stroke patients with cricopharyngeal dysfunction.
참고문헌 (17)
- Chon JS, "Clinical evaluation of dysphagia in stroke patients(I)", J Korean Acad Rehab Med, 20, pp.305~311 (1996)
- Shaw GY, "Botulinum toxin treatment for cricopharyngeal dysfunction", Dysphagia, 16, pp.161~167 (2001)
- Sivarao DV, "Functional anatomy and physiology of the upper esophageal sphincter", Am J Med, 108(Suppl4), pp.S27~S37 (2000)
- 박영학, "Shaker씨 두부거상운동에 의한 윤상인두 연하장애 환자의 치료", 대한이비인후과학회지 두경부외과학, 48(7), pp.907~912 (2005), 대한이비인후과학회
- Lee SY, "Botulinum Toxin Injection for Dysphagia A Blinded Retrospective Videofluoroscopic Swallowing Study Analysis", AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION, 88, pp.491~494 (2009), Lippincott Williams & Wilkins
- Rebecca L, "Dysphagia assessment and treatment planning: a team approach", pp.250~267 (2008), Plural publishing
- 이청기, "뇌졸증 환자에서 뇌 병변 위치에 따른 연하곤란의 양상", Annals of Rehabilitation Medicine, 25(2), pp.193~201 (2001), 대한재활의학회
- Castell DO, "Approach to the patent with dysphagia In Textbook of gastroenterology", pp.562~572 (1992), Lippincott
- Campbell BH, "The risk and complications of aspiration following cricopharyngeal myotomy", Am J Med, 103, pp.S61~S63 (1997)
- Brouillette D, "Pitfalls and complications of cricopharyngeal myotomy", Chest Surg Clin N Am, 7, pp.457~475 (1997)
- 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)
- Parameswaran MS, "Endoscopic botulinum toxin injection for cricopharyngeal dysphagia", Ann Otol Laryngol, 111, pp.871~874 (2002)
- Shaw GY, "Botulinum toxin treatment for cricopharyngeal dysfunction", Dysphagia, 16, pp.161~167 (2001)
- Haapaniemi JJ, "Botulinum toxin in the treatment of cricopharyngeal dysphagia", Dysphagia, 16, pp.171~175 (2001)
- Ravich WJ, "Botulinum toxin UES dysfunction: therapy or poison?", Dysphagia, 16, pp.168~170 (2001)
- Murry T, "Injection of botulinum toxin A for the treatment of dysfunction of the upper esophageal sphincter", Am J Otolaryngol, 26, pp.157~162 (2005)
- Solt J, "Primary cricopharyngeal dysfunction: treatment with balloon catheter dilatation", Gastrointest Endosc, 54, pp.767~771 (2001)