Cargando…
Upper dysphagia in patients affected by systemic sclerosis: prevalence and features
Herein, we describe the prevalence and features of dysphagia in patients affected by systemic sclerosis (SS). We analysed the data of 19 patients obtained by administering the M.D. Anderson Dysphagia Inventory (MDADI) scale that measures dysphagia symptoms and by physical assessment consisting of ju...
Autores principales: | , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Pacini Editore Srl
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7416371/ https://www.ncbi.nlm.nih.gov/pubmed/32773782 http://dx.doi.org/10.14639/0392-100X-N0477 |
_version_ | 1783569312091471872 |
---|---|
author | Galli, Jacopo Marchese, Maria Raffaella De Canio, Claudia Mandiello, Mariachiara Mangone, Giuseppe Michele Padula, Angela Anna Abignano, Giuseppina Santandrea, Lorenzo Paludetti, Gaetano |
author_facet | Galli, Jacopo Marchese, Maria Raffaella De Canio, Claudia Mandiello, Mariachiara Mangone, Giuseppe Michele Padula, Angela Anna Abignano, Giuseppina Santandrea, Lorenzo Paludetti, Gaetano |
author_sort | Galli, Jacopo |
collection | PubMed |
description | Herein, we describe the prevalence and features of dysphagia in patients affected by systemic sclerosis (SS). We analysed the data of 19 patients obtained by administering the M.D. Anderson Dysphagia Inventory (MDADI) scale that measures dysphagia symptoms and by physical assessment consisting of judging specific lip, mandible and tongue performances (scale 0-3) and diadochokinesis, respiratory and phonatory functions (scale “poor”, “fair”, “good”, “normal”) according to Robertson’s method. Subjects also underwent flexible endoscopic examination of swallowing. MDADI showed that 74% of answers were included in “mild” class of disability, 21% as “moderate” and 5% as “severe”. The performance of lips, mandible and tongue that most frequently scored 1 were the opening (52.6% for the lips and 47.4% for the mandible) and the pop of the tongue (52.7%). The percentage of compromised respiratory, phonatory and diadochokinesis tests (“poor” or “fair”) was 81%, 70.1% and 74%, respectively. Flexible endoscopic examination of swallowing revealed pharyngolaryngeal sensory deficit and signs of oropharyngeal dysphagia in more than half of cases (58% and 53%, respectively). This study highlights the presence of dysphagia in SS patients and demonstrates the importance of a multidimensional approach that includes subjective and objective evaluation to characterise specific features of swallowing alterations that have a high-impact on upper dysphagia. |
format | Online Article Text |
id | pubmed-7416371 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Pacini Editore Srl |
record_format | MEDLINE/PubMed |
spelling | pubmed-74163712020-08-14 Upper dysphagia in patients affected by systemic sclerosis: prevalence and features Galli, Jacopo Marchese, Maria Raffaella De Canio, Claudia Mandiello, Mariachiara Mangone, Giuseppe Michele Padula, Angela Anna Abignano, Giuseppina Santandrea, Lorenzo Paludetti, Gaetano Acta Otorhinolaryngol Ital Laryngology Herein, we describe the prevalence and features of dysphagia in patients affected by systemic sclerosis (SS). We analysed the data of 19 patients obtained by administering the M.D. Anderson Dysphagia Inventory (MDADI) scale that measures dysphagia symptoms and by physical assessment consisting of judging specific lip, mandible and tongue performances (scale 0-3) and diadochokinesis, respiratory and phonatory functions (scale “poor”, “fair”, “good”, “normal”) according to Robertson’s method. Subjects also underwent flexible endoscopic examination of swallowing. MDADI showed that 74% of answers were included in “mild” class of disability, 21% as “moderate” and 5% as “severe”. The performance of lips, mandible and tongue that most frequently scored 1 were the opening (52.6% for the lips and 47.4% for the mandible) and the pop of the tongue (52.7%). The percentage of compromised respiratory, phonatory and diadochokinesis tests (“poor” or “fair”) was 81%, 70.1% and 74%, respectively. Flexible endoscopic examination of swallowing revealed pharyngolaryngeal sensory deficit and signs of oropharyngeal dysphagia in more than half of cases (58% and 53%, respectively). This study highlights the presence of dysphagia in SS patients and demonstrates the importance of a multidimensional approach that includes subjective and objective evaluation to characterise specific features of swallowing alterations that have a high-impact on upper dysphagia. Pacini Editore Srl 2020-06 /pmc/articles/PMC7416371/ /pubmed/32773782 http://dx.doi.org/10.14639/0392-100X-N0477 Text en Società Italiana di Otorinolaringoiatria e Chirurgia Cervico-Facciale, Rome, Italy https://creativecommons.org/licenses/by-nc-nd/4.0/deed.en This is an open access article distributed in accordance with the CC-BY-NC-ND (Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International) license. The article can be used by giving appropriate credit and mentioning the license, but only for non-commercial purposes and only in the original version. For further information: https://creativecommons.org/licenses/by-nc-nd/4.0/deed.en |
spellingShingle | Laryngology Galli, Jacopo Marchese, Maria Raffaella De Canio, Claudia Mandiello, Mariachiara Mangone, Giuseppe Michele Padula, Angela Anna Abignano, Giuseppina Santandrea, Lorenzo Paludetti, Gaetano Upper dysphagia in patients affected by systemic sclerosis: prevalence and features |
title | Upper dysphagia in patients affected by systemic sclerosis: prevalence and features |
title_full | Upper dysphagia in patients affected by systemic sclerosis: prevalence and features |
title_fullStr | Upper dysphagia in patients affected by systemic sclerosis: prevalence and features |
title_full_unstemmed | Upper dysphagia in patients affected by systemic sclerosis: prevalence and features |
title_short | Upper dysphagia in patients affected by systemic sclerosis: prevalence and features |
title_sort | upper dysphagia in patients affected by systemic sclerosis: prevalence and features |
topic | Laryngology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7416371/ https://www.ncbi.nlm.nih.gov/pubmed/32773782 http://dx.doi.org/10.14639/0392-100X-N0477 |
work_keys_str_mv | AT gallijacopo upperdysphagiainpatientsaffectedbysystemicsclerosisprevalenceandfeatures AT marchesemariaraffaella upperdysphagiainpatientsaffectedbysystemicsclerosisprevalenceandfeatures AT decanioclaudia upperdysphagiainpatientsaffectedbysystemicsclerosisprevalenceandfeatures AT mandiellomariachiara upperdysphagiainpatientsaffectedbysystemicsclerosisprevalenceandfeatures AT mangonegiuseppemichele upperdysphagiainpatientsaffectedbysystemicsclerosisprevalenceandfeatures AT padulaangelaanna upperdysphagiainpatientsaffectedbysystemicsclerosisprevalenceandfeatures AT abignanogiuseppina upperdysphagiainpatientsaffectedbysystemicsclerosisprevalenceandfeatures AT santandrealorenzo upperdysphagiainpatientsaffectedbysystemicsclerosisprevalenceandfeatures AT paludettigaetano upperdysphagiainpatientsaffectedbysystemicsclerosisprevalenceandfeatures |