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Improved Dysphagia After Decannulation of Tracheostomy in Patients With Brain Injuries

OBJECTIVE: To investigate improved dysphagia after the decannulation of a tracheostomy in patients with brain injuries. METHODS: The subjects of this study are patients with brain injuries who were admitted to the Department of Rehabilitation Medicine in Myongji Hospital and who underwent a decannul...

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Autores principales: Kim, Yong Kyun, Choi, Jung-Hwa, Yoon, Jeong-Gyu, Lee, Jang-Won, Cho, Sung Sik
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Academy of Rehabilitation Medicine 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4654085/
https://www.ncbi.nlm.nih.gov/pubmed/26605176
http://dx.doi.org/10.5535/arm.2015.39.5.778
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author Kim, Yong Kyun
Choi, Jung-Hwa
Yoon, Jeong-Gyu
Lee, Jang-Won
Cho, Sung Sik
author_facet Kim, Yong Kyun
Choi, Jung-Hwa
Yoon, Jeong-Gyu
Lee, Jang-Won
Cho, Sung Sik
author_sort Kim, Yong Kyun
collection PubMed
description OBJECTIVE: To investigate improved dysphagia after the decannulation of a tracheostomy in patients with brain injuries. METHODS: The subjects of this study are patients with brain injuries who were admitted to the Department of Rehabilitation Medicine in Myongji Hospital and who underwent a decannulation between 2012 and 2014. A video fluoroscopic swallowing study (VFSS) was performed in order to investigate whether the patients' dysphagia had improved. We measured the following 5 parameters: laryngeal elevation, pharyngeal transit time, post-swallow pharyngeal remnant, upper esophageal width, and semisolid aspiration. We analyzed the patients' results from VFSS performed one month before and one month after decannulation. All VFSS images were recorded using a camcorder running at 30 frames per second. An AutoCAD 2D screen was used to measure laryngeal elevation, post-swallow pharyngeal remnant, and upper esophageal width. RESULTS: In this study, a number of dysphagia symptoms improved after decannulation. Laryngeal elevation, pharyngeal transit time, and semisolid aspiration showed no statistically significant differences (p>0.05), however after decannulation, the post-swallow pharyngeal remnant (pre 37.41%±24.80%, post 21.02%±11.75%; p<0.001) and upper esophageal width (pre 3.57±1.93 mm, post 4.53±2.05 mm; p<0.001) showed statistically significant differences. CONCLUSION: When decannulation is performed on patients with brain injuries who do not require a ventilator and who are able to independently excrete sputum, improved esophageal dysphagia can be expected.
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spelling pubmed-46540852015-11-24 Improved Dysphagia After Decannulation of Tracheostomy in Patients With Brain Injuries Kim, Yong Kyun Choi, Jung-Hwa Yoon, Jeong-Gyu Lee, Jang-Won Cho, Sung Sik Ann Rehabil Med Original Article OBJECTIVE: To investigate improved dysphagia after the decannulation of a tracheostomy in patients with brain injuries. METHODS: The subjects of this study are patients with brain injuries who were admitted to the Department of Rehabilitation Medicine in Myongji Hospital and who underwent a decannulation between 2012 and 2014. A video fluoroscopic swallowing study (VFSS) was performed in order to investigate whether the patients' dysphagia had improved. We measured the following 5 parameters: laryngeal elevation, pharyngeal transit time, post-swallow pharyngeal remnant, upper esophageal width, and semisolid aspiration. We analyzed the patients' results from VFSS performed one month before and one month after decannulation. All VFSS images were recorded using a camcorder running at 30 frames per second. An AutoCAD 2D screen was used to measure laryngeal elevation, post-swallow pharyngeal remnant, and upper esophageal width. RESULTS: In this study, a number of dysphagia symptoms improved after decannulation. Laryngeal elevation, pharyngeal transit time, and semisolid aspiration showed no statistically significant differences (p>0.05), however after decannulation, the post-swallow pharyngeal remnant (pre 37.41%±24.80%, post 21.02%±11.75%; p<0.001) and upper esophageal width (pre 3.57±1.93 mm, post 4.53±2.05 mm; p<0.001) showed statistically significant differences. CONCLUSION: When decannulation is performed on patients with brain injuries who do not require a ventilator and who are able to independently excrete sputum, improved esophageal dysphagia can be expected. Korean Academy of Rehabilitation Medicine 2015-10 2015-10-26 /pmc/articles/PMC4654085/ /pubmed/26605176 http://dx.doi.org/10.5535/arm.2015.39.5.778 Text en Copyright © 2015 by Korean Academy of Rehabilitation Medicine http://creativecommons.org/licenses/by-nc/4.0 This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Kim, Yong Kyun
Choi, Jung-Hwa
Yoon, Jeong-Gyu
Lee, Jang-Won
Cho, Sung Sik
Improved Dysphagia After Decannulation of Tracheostomy in Patients With Brain Injuries
title Improved Dysphagia After Decannulation of Tracheostomy in Patients With Brain Injuries
title_full Improved Dysphagia After Decannulation of Tracheostomy in Patients With Brain Injuries
title_fullStr Improved Dysphagia After Decannulation of Tracheostomy in Patients With Brain Injuries
title_full_unstemmed Improved Dysphagia After Decannulation of Tracheostomy in Patients With Brain Injuries
title_short Improved Dysphagia After Decannulation of Tracheostomy in Patients With Brain Injuries
title_sort improved dysphagia after decannulation of tracheostomy in patients with brain injuries
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4654085/
https://www.ncbi.nlm.nih.gov/pubmed/26605176
http://dx.doi.org/10.5535/arm.2015.39.5.778
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