지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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This paper reports a case of a female patient aged 48 years diagnosed with a right lateral medullary infarction anddysphagia after the onset period. In a video fluoroscopic swallowing study (VFSS), significant manifestations werenot observed in the oral phase, but during swallowing aspiration, a larger amount of post-swallowing residue wereobserved on the test of swallowing of semisolid and liquid. After the VFSS, a laryngoscopy was performed, whichindicated paralysis and para-median fixation in the right vocal fold. In this case, swallowing with rightward headrotation was adopted as a compensation technique to reduce the aspiration caused by the para-median fixation ofthe right vocal fold, but it was not enough to improve the dysphagia in this case. To medialize the right vocalfold, hyaluronic acid was injected with laryngoscopic guidance. In a VFSS conducted after the injection, aspirationwas not observed on the test of swallowing a semisolid and liquid. The injection of hyaluronic acid is less invasivethan surgical operations, does not require general anesthesia, and makes the recovery time shorter. Therefore, it isexpected to be an alternative to the treatment of unilateral vocal fold paralysis (UVFP) accompanied withdysphagia.
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참고문헌 (14)
참고문헌 신청
김현정 / 2006 / 윤상인두근 과다긴장성으로 인한 연하곤란 환자의 보툴리눔 독소 치료 -증례보고- / Annals of Rehabilitation Medicine 30(4):398~401
Leder SB / 2005 / Incidence of vocal cord immobility in patients with dysphagia / Dysphagia (Spring):163~167
Sasaki CT / 1988 / Functional anatomy of the larynx / Otolaryngologic Clinics of North America 21:595~612
Jong Chan Kim / 2011 / The Effect of Balloon Dilatation through Video-Fluoroscopic Swallowing Study (VFSS) in Stroke Patients with Cricopharyngeal Dysfunction / Annals of Rehabilitation Medicine 35(1):23~26
Ahsan SF / 2000 / Botulinum toxin injection of the cricopharyngeus muscle for the treatment of dysphagia / Otolaryngol Head Neck Surg 122:691~695
Leder SB / 2005 / Incidence of vocal cord immobility in patients with dysphagia / Dysphagia (Spring):163~167
Sasaki CT / 1988 / Functional anatomy of the larynx / Otolaryngologic Clinics of North America 21:595~612
Jong Chan Kim / 2011 / The Effect of Balloon Dilatation through Video-Fluoroscopic Swallowing Study (VFSS) in Stroke Patients with Cricopharyngeal Dysfunction / Annals of Rehabilitation Medicine 35(1):23~26
Ahsan SF / 2000 / Botulinum toxin injection of the cricopharyngeus muscle for the treatment of dysphagia / Otolaryngol Head Neck Surg 122:691~695
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