Evaluation of Patients with Swallowing Difficulties by Modified Barium Swallow
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 11
Abstract
Introduction: Swallowing disorders can occur at any age but it is more common in the elderly patients. Neurological causes and malignancy account for the main reason in most of the cases. The modified barium swallow provides information about the complex split second events underlying the swallowing process. We can evaluate the effectiveness of swallowing manouveres by which we can prevent aspiration in patients with pharyngeal retention. Current research was done to study the various phases of swallowing in patients with dysphagia by modified barium swallow with risk of aspiration during swallowing and to study the effectiveness of swallowing manouveres by the modified barium swallow technique Material and Methods: 200 patients who attended ear, nose, and throat out patient department with history of swallowing difficulties for more than 3 months were included in the study. Modified barium swallow was done in all these patients. Patients with risk of aspiration were detected by the amount of pharyngeal retention in the pyriform sinuses and vallecula after swallowing. The patients with grade 3 severe form of pharyngeal coating were given training for postural technique and swallowing manoeuvres to prevent aspiration. Results: Out of the 200 patients, 92 patients were found to have abnormal findings during the study. Other 108 patients had normal findings on videofluoroscopy. Out of the 92 patients with the abnormal video fluoroscopic findings, 28 patients have pharyngeal retention alone with no other structural abnormalities. We focused mainly on the patients with pharyngeal retention.16 of them were found to have grade 3 severe pharyngeal retention. These patients had history of stroke in the past. They were given training on swallowing manouveres to prevent aspiration. We found that these manouveres are effective in doing so. Another 12 patients had pharyngeal retention with no aspiration risk and they were in between the 61-80 yrs. Conclusion: Modified Barium Swallow plays a critical role in the evaluation of swallowing and it provides extensive information about the swallowing events. Mild and moderate pharyngeal retention should be considered as normal in older individuals provided other causes are ruled out.
Authors and Affiliations
Muthukumar B, Radhakrishnan K R, Heber Anandan
Keywords
Related Articles
- EP ID EP432919
- DOI -
- Views 114
- Downloads 0
Scleroderma or Systemic Sclerosis - Treatment by DexamethasoneCyclophosphamide Combination Pulse Therapy
Introduction: Systemic sclerosis is a multisystem, autoimmune disease of connective tissues involving skin, gut, lungs, kidneys and vessels. Present treatment is largely based on targeting specific components of pathogen...
Esthetic Correction: A Case Report
Introduction: “Quacks” is term for faulty prosthesis and its always a challenging task for a prosthodontist to rehabilitate it. The provision of fixed prosthodontic restorations that meets the patient's functional and ae...
Gingival Recession and Various Root Coverage Procedures: A Review
Esthetics is of prime concern in today’s sophisticated and modernised society. Esthetics is the science of beauty and encompasses almost every field of dentistry. Gingival recession is defined as the oral exposure of the...
Study on the Association between the Serum Thyroid Stimulating Hormone Levels and the Body Mass Index
Introduction: The prevalence of the obesity is increasing day by day globally. One of the most important factors causing obesity is thyroid dysfunction. The present study was aimed to assess the association between the s...
Clinical and Etiological Profile of Patients Presenting with Hyponatremia in a Tertiary Care Teaching Hospital of North Eastern India
Introduction: Hyponatremia is a common electrolyte abnormality in hospitalized patients. It is defined as serum sodium concentration less than 135mEq/L. It occurs due to disruption of sodium and water homeostasis. Clinic...