Pharyngeal swallowing phase and chronic cough

Daniela Rejane Constantino Drozdz; Cintia Conceição Costa; Paulo Roberto de Oliveira Jesus; Mateus Silva Trindade; Guilherme Weiss; Abdias Baptista M. Neto; Ana Maria T. da Silva; Renata Mancopes

doi:10.7162/S1809-97772012000400012

International Archives of Otorhinolaryngology, Inhaltsverzeichnis

Int Arch Otorhinolaryngol 2012; 16(04): 502-508
DOI: 10.7162/S1809-97772012000400012

Original Article

Thieme Publicações Ltda Rio de Janeiro, Brazil

Pharyngeal swallowing phase and chronic cough

Daniela Rejane Constantino Drozdz

¹Speech Language Pathologist, Specialist in Oral Motricity approach with hospital. Master student of the Post-graduation Program in Human Communication Disorders, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul.

,

Cintia Conceição Costa

²Speech Language Pathologist post-graduation. Master student of the Post-graduation Program in Human Communication Disorders, Federal University of Santa Maria Santa Maria (UFSM), Santa Maria, Rio Grande do Sul, Brazil.

,

Paulo Roberto de Oliveira Jesus

³Radiologist Doctor. Chief of the Radiology service of the Academic Hospital of Santa Maria (HUSM), Santa Maria, Rio Grande do Sul, Brazil.

,

Mateus Silva Trindade

⁴Radiology Technician.

,

Guilherme Weiss

⁵Physical Specialist in Radiology Diagnostic by the ABFM. Physical specialist in radiology diagnostic by the ABFM.

,

Abdias Baptista M. Neto

⁶Pulmonologist Doctor.

,

Ana Maria T. da Silva

⁷Speech Language Pathologist (SLP); Associate Professor of the Phonoaudiology Department of the Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul, Brazil, PhD.

,

Renata Mancopes

⁸Speech Language Pathologist (SLP), Adjunct Professor of the Post-Graduation Program in Human Communication Disorders, Santa Maria (UFSM), Santa Maria, Rio Grande do Sul, Brazil, PhD.

› Institutsangaben

Abstract

Summary

Introduction: The act of swallowing depends on a complex and dynamic process which uses common structures to the act of breathing; respiratory problems can cause swallowing difficulties.

Aim: To assess the swallowing pharyngeal phase in patients with chronic cough.

Method: Retrospective study with 15 patients of both genders, patients with chronic cough and risk factors for aspiration defined by the pneumologic diagnosis. The patients were submitted to anamnesis on complaints related to swallowing, chewing and breathing, or related to food and to videofluoroscopic examination.

Results: It was observed that 33.3% had normal and functional swallowing, being the last one of most prevalence. The mild dysphagia was observed in 20% of the patients, the mild to moderate dysphagia in 6.7% of them. In relation to the Rosenbek scale, 73.3% of patients presented degree 1, 6.7% presented degrees 2 and 3, and 13.3% presented degree 8. The most found pathology was the chronic cough with 40%, followed by asthma with 20%; 69.2% of patients presented stasis and of these, five used protection maneuvers, of these, seven were effective and only three were used in the presence of stasis. The most used maneuver was the multiple swallowing, being effective in 100%.

Conclusion: There are peculiarities in the patients' swallowing with chronic cough that, although not presenting complaints relating to swallowing, it presents an important aspiration risk due to the presence of changes in breathing pattern that can intervene in the coordination between breathing and swallowing, which is essential to protect the lower airway.

Keywords

deglutition disorders - fluoroscopy - methods - cough

Volltext

Referenzen

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