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Swallowing function after severe COVID-19: early videofluoroscopic findings

INTRODUCTION: The aim of this paper is to describe the early findings of swallowing analysis with videofluoroscopy of swallowing (VFS). METHODS: The 21 first patients (14 men and 7 women) who recovered from ARDS in context of COVID-19 were referred to VFS just before to maximum 14 days after their d...

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Autores principales: Lagier, Aude, Melotte, Evelyne, Poncelet, Mélanie, Remacle, Sarah, Meunier, Paul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7778703/
https://www.ncbi.nlm.nih.gov/pubmed/33388981
http://dx.doi.org/10.1007/s00405-020-06522-6
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author Lagier, Aude
Melotte, Evelyne
Poncelet, Mélanie
Remacle, Sarah
Meunier, Paul
author_facet Lagier, Aude
Melotte, Evelyne
Poncelet, Mélanie
Remacle, Sarah
Meunier, Paul
author_sort Lagier, Aude
collection PubMed
description INTRODUCTION: The aim of this paper is to describe the early findings of swallowing analysis with videofluoroscopy of swallowing (VFS). METHODS: The 21 first patients (14 men and 7 women) who recovered from ARDS in context of COVID-19 were referred to VFS just before to maximum 14 days after their discharge from ICU. The swallowing impairments and the physiopathologic mechanism of them were prospectively analyzed by two swallowing experts: one radiologist, and one phoniatrician using penetration-aspiration scale (PAS) score. RESULTS: Nineteen out of 21 presented impairment in their swallowing function. Sixteen patients presented direct penetration or inhalation. All but one were silent. Some stases were also observed in 13 patients. Five patients presented secondary penetration/aspiration, among these inhalations, and all were silent. The most frequent findings are the delayed pharyngeal phase, the reduced propulsion of the tongue root, the posterior oral leaks, the default of laryngeal closure, and the impaired pharyngeal peristaltism. DISCUSSION: The very high prevalence of swallowing disorders with inhalation and the lack of protective reflexes are the main findings. This emphasizes the need of high caution with bedside screening in these patients with severely injured lungs.
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spelling pubmed-77787032021-01-04 Swallowing function after severe COVID-19: early videofluoroscopic findings Lagier, Aude Melotte, Evelyne Poncelet, Mélanie Remacle, Sarah Meunier, Paul Eur Arch Otorhinolaryngol Short Communication INTRODUCTION: The aim of this paper is to describe the early findings of swallowing analysis with videofluoroscopy of swallowing (VFS). METHODS: The 21 first patients (14 men and 7 women) who recovered from ARDS in context of COVID-19 were referred to VFS just before to maximum 14 days after their discharge from ICU. The swallowing impairments and the physiopathologic mechanism of them were prospectively analyzed by two swallowing experts: one radiologist, and one phoniatrician using penetration-aspiration scale (PAS) score. RESULTS: Nineteen out of 21 presented impairment in their swallowing function. Sixteen patients presented direct penetration or inhalation. All but one were silent. Some stases were also observed in 13 patients. Five patients presented secondary penetration/aspiration, among these inhalations, and all were silent. The most frequent findings are the delayed pharyngeal phase, the reduced propulsion of the tongue root, the posterior oral leaks, the default of laryngeal closure, and the impaired pharyngeal peristaltism. DISCUSSION: The very high prevalence of swallowing disorders with inhalation and the lack of protective reflexes are the main findings. This emphasizes the need of high caution with bedside screening in these patients with severely injured lungs. Springer Berlin Heidelberg 2021-01-03 2021 /pmc/articles/PMC7778703/ /pubmed/33388981 http://dx.doi.org/10.1007/s00405-020-06522-6 Text en © The Author(s), under exclusive licence to Springer-Verlag GmbH, DE part of Springer Nature 2021 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Short Communication
Lagier, Aude
Melotte, Evelyne
Poncelet, Mélanie
Remacle, Sarah
Meunier, Paul
Swallowing function after severe COVID-19: early videofluoroscopic findings
title Swallowing function after severe COVID-19: early videofluoroscopic findings
title_full Swallowing function after severe COVID-19: early videofluoroscopic findings
title_fullStr Swallowing function after severe COVID-19: early videofluoroscopic findings
title_full_unstemmed Swallowing function after severe COVID-19: early videofluoroscopic findings
title_short Swallowing function after severe COVID-19: early videofluoroscopic findings
title_sort swallowing function after severe covid-19: early videofluoroscopic findings
topic Short Communication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7778703/
https://www.ncbi.nlm.nih.gov/pubmed/33388981
http://dx.doi.org/10.1007/s00405-020-06522-6
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