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Medically Unexplained Oropharyngeal Dysphagia at the University Hospital ENT Outpatient Clinic for Dysphagia: A Cross-Sectional Cohort Study

Medically unexplained oropharyngeal dysphagia (MUNOD) is a rare condition. It presents without demonstrable abnormalities in the anatomy of the upper aero-digestive tract and/or swallowing physiology. This study investigates whether MUNOD is related to affective or other psychiatric conditions. The...

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Autores principales: Verdonschot, Rob J.C.G., Baijens, Laura W.J., Vanbelle, Sophie, Florie, Michelle, Dijkman, Remco, Leeters, Irene P.M., Kremer, Bernd, Leue, Carsten
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6349964/
https://www.ncbi.nlm.nih.gov/pubmed/29872993
http://dx.doi.org/10.1007/s00455-018-9912-9
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author Verdonschot, Rob J.C.G.
Baijens, Laura W.J.
Vanbelle, Sophie
Florie, Michelle
Dijkman, Remco
Leeters, Irene P.M.
Kremer, Bernd
Leue, Carsten
author_facet Verdonschot, Rob J.C.G.
Baijens, Laura W.J.
Vanbelle, Sophie
Florie, Michelle
Dijkman, Remco
Leeters, Irene P.M.
Kremer, Bernd
Leue, Carsten
author_sort Verdonschot, Rob J.C.G.
collection PubMed
description Medically unexplained oropharyngeal dysphagia (MUNOD) is a rare condition. It presents without demonstrable abnormalities in the anatomy of the upper aero-digestive tract and/or swallowing physiology. This study investigates whether MUNOD is related to affective or other psychiatric conditions. The study included patients with dysphagic complaints who had no detectible structural or physiological abnormalities upon swallowing examination. Patients with any underlying disease or disorder that could explain the oropharyngeal dysphagia were excluded. All patients underwent a standardized examination protocol, with FEES examination, the Hospital Anxiety and Depression Scale (HADS), and the Dysphagia Severity Scale (DSS). Two blinded judges scored five different FEES variables. None of the 14 patients included in this study showed any structural or physiological abnormalities during FEES examination. However, the majority did show abnormal piecemeal deglutition, which could be a symptom of MUNOD. Six patients (42.8%) had clinically relevant symptoms of anxiety and/or depression. The DSS scores did not differ significantly between patients with and without affective symptoms. Affective symptoms are common in patients with MUNOD, and their psychiatric conditions could possibly be related to their swallowing problems.
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spelling pubmed-63499642019-02-15 Medically Unexplained Oropharyngeal Dysphagia at the University Hospital ENT Outpatient Clinic for Dysphagia: A Cross-Sectional Cohort Study Verdonschot, Rob J.C.G. Baijens, Laura W.J. Vanbelle, Sophie Florie, Michelle Dijkman, Remco Leeters, Irene P.M. Kremer, Bernd Leue, Carsten Dysphagia Original Article Medically unexplained oropharyngeal dysphagia (MUNOD) is a rare condition. It presents without demonstrable abnormalities in the anatomy of the upper aero-digestive tract and/or swallowing physiology. This study investigates whether MUNOD is related to affective or other psychiatric conditions. The study included patients with dysphagic complaints who had no detectible structural or physiological abnormalities upon swallowing examination. Patients with any underlying disease or disorder that could explain the oropharyngeal dysphagia were excluded. All patients underwent a standardized examination protocol, with FEES examination, the Hospital Anxiety and Depression Scale (HADS), and the Dysphagia Severity Scale (DSS). Two blinded judges scored five different FEES variables. None of the 14 patients included in this study showed any structural or physiological abnormalities during FEES examination. However, the majority did show abnormal piecemeal deglutition, which could be a symptom of MUNOD. Six patients (42.8%) had clinically relevant symptoms of anxiety and/or depression. The DSS scores did not differ significantly between patients with and without affective symptoms. Affective symptoms are common in patients with MUNOD, and their psychiatric conditions could possibly be related to their swallowing problems. Springer US 2018-06-05 2019 /pmc/articles/PMC6349964/ /pubmed/29872993 http://dx.doi.org/10.1007/s00455-018-9912-9 Text en © The Author(s) 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Original Article
Verdonschot, Rob J.C.G.
Baijens, Laura W.J.
Vanbelle, Sophie
Florie, Michelle
Dijkman, Remco
Leeters, Irene P.M.
Kremer, Bernd
Leue, Carsten
Medically Unexplained Oropharyngeal Dysphagia at the University Hospital ENT Outpatient Clinic for Dysphagia: A Cross-Sectional Cohort Study
title Medically Unexplained Oropharyngeal Dysphagia at the University Hospital ENT Outpatient Clinic for Dysphagia: A Cross-Sectional Cohort Study
title_full Medically Unexplained Oropharyngeal Dysphagia at the University Hospital ENT Outpatient Clinic for Dysphagia: A Cross-Sectional Cohort Study
title_fullStr Medically Unexplained Oropharyngeal Dysphagia at the University Hospital ENT Outpatient Clinic for Dysphagia: A Cross-Sectional Cohort Study
title_full_unstemmed Medically Unexplained Oropharyngeal Dysphagia at the University Hospital ENT Outpatient Clinic for Dysphagia: A Cross-Sectional Cohort Study
title_short Medically Unexplained Oropharyngeal Dysphagia at the University Hospital ENT Outpatient Clinic for Dysphagia: A Cross-Sectional Cohort Study
title_sort medically unexplained oropharyngeal dysphagia at the university hospital ent outpatient clinic for dysphagia: a cross-sectional cohort study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6349964/
https://www.ncbi.nlm.nih.gov/pubmed/29872993
http://dx.doi.org/10.1007/s00455-018-9912-9
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