Treatment of dysphagia in a laryngectomy patient: a case study
Keywords:
Laryngectomy, Dysphagia, Evaluation, Treatment, Oesophageal voice, SwallowingAbstract
The purpose of this study is to describe the application of the swallowing manoeuvres and the air injection technique used in the training of the oesophageal voice in the treatment of the dysphagia after a total laryngectomy. A case study is presented on a patient with total laryngectomy, pharyngectomy and oesophageal reconstruction with radial flap. The patient presented with oropharyngeal dysphagia. Phono-audiological therapy with swallowing manoeuvres and an air injection technique was performed, with satisfactory results for swallowing of all textures. In conclusion, swallowing manoeuvres in dysphagia after total laryngectomy help to improve the coordination in swallowing apnoea, the contraction of the base of tongue, and the peristaltic movement of the pharynx. The air injection technique, in combination with swallowing manoeuvres, improves the function of the upper oesophageal sphincter.
Author Biography
Andrea Marcela Suárez, Instituto Nacional de Cancerología
Grupo de fonoaudiología, Instituto Nacional de Cancerología, Bogotá D. C., Colombia
References
Soares A, Pereira W, Castro G, Nerm K. Incidência de disfagia em unidade de terapia intensiva de adultos. Rev Cefac Brasil. 2006;8:171-7.
Fernández A, Pe˜nas L, Yuste E, Díaz A. Exploración y abordaje de disfagia secundaria a vía aérea difícil. Med Intensiva España. 2012;36:423-33.
https://doi.org/10.1016/j.medin.2011.09.006
Bascu˜nana H, Gálvez S. Tratamiento de la disfagia orofaríngea. Rehabilitación. 2003;37:40-54.
https://doi.org/10.1016/S0048-7120(03)73331-3
Raber-Durlacher JE, Brennan MT, Verdonck-de Leeuw IM, Gibson RJ, Eilers JG, Waltimo T, et al. Swallowing dysfunction in cancer patients. Support Care Cancer. 2012;20:433-43.
https://doi.org/10.1007/s00520-011-1342-2
Murphy B Gilbert J. Dysphagia in head and neck cancer patients treated with radiation: Assessment, sequelae and rehabilitacion.2009;19:35-42.
https://doi.org/10.1016/j.semradonc.2008.09.007
Cannataro de Figueiredo Silva D, Takimoto Massao R, Gielow I, Cervantes O. Avaliac¸ão da deglutic¸ão e da qualidade de vida relacionada a deglutic¸ão de indivíduos submetidos a laringotomía total: comparac¸ão entre as técnicas manual e mecânica de reconstruc¸ão faríngea. Rev Bras Cir Cabec¸a Pescoc¸o. 2011;40:178-85.
Groher M. Mechanical disorders of swallowing. En: Groher M, editor. Dysphagia diagnosis and management. 3◦ edición Estados Unidos: Butterworth-Heinemann; 1997. p. 92-4.
Tong MC, Lee KY, Yuen MT, Lo PS. Perceptions and experiences of post-irradiation swallowing difficulties in nasopharyngeal cancer survivors. Eur J Cancer Care. 2010;20:170-8.
https://doi.org/10.1111/j.1365-2354.2010.01183.x
Manikantan K, Khode S, Sayed S, Roe J, Nutting C, Rhys-Evans P, et al. Dysphagia in head and neck cancer. Cancer Treat Rev. 2009;35:724-32.
https://doi.org/10.1016/j.ctrv.2009.08.008
Ward E, Corina J. Swallowing rehabilitation following total laringectomy. En: Head and neck cancer, treatment, rehabilitation and outcomes. Reino Unido: Plural publishing;; 2007. p.267-88.
Carrasco C, López A, Serra J, Palacin J, Vi˜nals J. Reconstrucción microquirúrgica tras faringolaringectomía: 10 a˜nos de experiencia. Cri Plast Iberolarinoam. 2015;41:67-72.
https://doi.org/10.4321/S0376-78922015000100008
Granados M, Arriera O, Hinojosa J. Reconstrucción microvascular de cabeza y cuello. En: Tratamiento del cáncer: oncología médica, quirúrgica y radioterapia. México: Manual moderno; 2016. p. 357-65.
Logemann JA. Rehabilitation of oropharyngeal swallowing disorders. Act Otorhinolaryngol Belg. 1994;48:207-15.
Lazarus C, Logemann JA, Song Ch, Rademaker A, Kahrilas P. Effects of voluntary maneuvers on tongue base function for swallowing. Folia Phoniact Logop. 2000;54:171-6.
https://doi.org/10.1159/000063192
Douglas C. Fisiologia da fala e da fono-articulac¸ão. En: Tratado de fisiología aplicado a la fonoaudiología. Brasil: Robe; 2002. p. 471-83.
Dinvelle C. Voz erigmofónica. En: Los trastornos de la voz y su rehabilitación. 2◦edición Espa˜na: Masson; 1996. p.141-4.
Casado J, Torres J. Rehabilitación logopédica del laringectomizado. En: Manual del laringectomizado. Espa˜na: Ediciones Aljibe; 2004. p. 115-33.
Vasquez F, Fernandez S, Rey J, Urra A. Voz esofágica. Rev Med Univ Navarra. 2006;50:56-64.
Wheeler Hegland K, Ashford J, Frymark T, McCabe D, Mullen R, Musson N, et al. Evidence-based systematic review: Oropharyngeal dysphagia behavioral treatments. Part II-impact of dysphagia treatment on normal swallow function. J Rehabil Res Dev. 2009;46:185-94.
https://doi.org/10.1682/JRRD.2008.08.0094
Fernández R. Revisión de los modelos de producción de voz después de una laringectomía total: opciones de calidad de voz. Revista de investigación en Logopedia. 2011;1: 130-45.
Crary MA, Mann GD, Groher ME. Initial psychometric assessment of a functional oral intake scale for dysphagia in stroke patients. Arch Phys Med Rehabil. 2005;86:1516-20.
https://doi.org/10.1016/j.apmr.2004.11.049
Carvalho J, Corpobianco D, Arakawa L, Rosseti A, Cernea C, Furquim C, et al. Análise videofluoroscópico da deglutic¸ão após laringectomía total. Rev Bras Cir Cabec¸a Pescoc¸o. 2014;43:116-9.
Sumera M, Muhammad G, Fazaila E, Tul- Ain Q. Effectiveness of swallow maneuvers, thermal stimulation and combination both in treatment of patients with dysphagia using functional outcome swallowing scale. Biomedical Research. 2017;28:1479-82. En: https://eds.b.ebscohost.com.ezproxy.unal.edu.co/eds/pdfviewer/pdfviewervid=2&sid=8b66c066-3eeb-47d7-8824-fb1fcdb6179b%40sessionmgr102
Vásquez F, Fernández S, De la Cámara M. Estudio aerodinámico de la voz esofágico. AN ORL MEX. 2006;51:76-81.
Dantos R, Aguiar L, Oliveira E, Mello F, Mamede R. Pressão intra- esofágica durante a produc¸ão da voz esofagica em pacientes laringectomizados com e sem recuperac¸ão da capacidade de comunicac¸ão oral. Arquos de gastroenterología. 2001;38:158-61.
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