首页> 外文期刊>HNO >Endoscopic video imaging of configuration changes in the larynx and pharynx during selected swallowing techniques [Videoendoskopische Darstellung der Konfigurations?nderungen im Larynx und Pharynx bei definierten Schluckman?vern]
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Endoscopic video imaging of configuration changes in the larynx and pharynx during selected swallowing techniques [Videoendoskopische Darstellung der Konfigurations?nderungen im Larynx und Pharynx bei definierten Schluckman?vern]

机译:内窥镜视频成像在选定的吞咽技术过程中喉和咽的构型变化

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摘要

Background: Traditional dysphagia therapy (TDT) aims to improve swallowing by means of compensatory strategies including postural changes or swallowing maneuvers. These techniques are mainly applied in order to modify swallowing by affecting bolus transport to facilitate safe swallowing. Videos demonstrating actual, laryngoscopically verified effects on the pharyngeal and laryngeal structures involved are rare in the current literature. This paper aims to assess various maneuvers used in TDT endoscopically. Method: A selective literature search for endoscopic imaging of swallowing maneuvers and postural changes applied in TDT was performed in PubMed. Results: Each of the techniques commonly used in TDT influenced the pharyngeal or laryngeal structures distinctly. Discussion: All of the techniques examined for this paper represent techniques commonly applied in traditional dysphagia therapy. The specific changes observed endoscopically of the anatomic structures involved are distinct, but sometimes seem only marginal in comparison to the initial configurations. It should hence not be surprising that these swallowing techniques occasionally only slightly improve swallowing. The videos included in this article demonstrate the actual impact of the swallowing techniques and may therefore be of use to physicians prescribing and implementing TDT.
机译:背景:传统的吞咽困难疗法(TDT)旨在通过包括姿势改变或吞咽动作在内的补偿策略来改善吞咽。这些技术主要用于通过影响推注运输来改善吞咽以促进安全吞咽。在目前的文献中,很少有视频能证明经喉镜检查对咽和喉结构的实际效果。本文旨在评估内窥镜在TDT中使用的各种操作。方法:在PubMed中进行选择性文献检索,以对吞咽动作和姿势改变进行内镜成像。结果:TDT中常用的每种技术均明显影响咽或喉结构。讨论:本文研究的所有技术代表了传统的吞咽困难疗法中常用的技术。在内窥镜下观察到的所涉及的解剖结构的特定变化是明显的,但是有时与初始构型相比似乎只是边缘。因此,这些吞咽技术偶尔仅会稍微改善吞咽也就不足为奇了。本文中包含的视频演示了吞咽技术的实际影响,因此可能对处方和实施TDT的医生有用。

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