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However, no previous studies have evaluated the accumulation of saliva and swallowing dynamics. \nObjective: The objective of this study was to examine the factors related to decreased function that result in saliva accumulation based on images from videofluoroscopic examination of swallowing (VF) performed on the same day as videoendoscopic examination of swallowing (VE). \nMethods: This retrospective study investigated 47 patients with dysphagia who underwent VF and VE on the same day. Saliva accumulation in the pharynx was assessed on VE and classified by the Murray secretion scale. Pharyngeal residue was assessed on VF. In addition, displacement of the hyoid bone and larynx on swallowing and the opening size of the esophageal orifice were measured, and contact between the base of the tongue and the posterior pharyngeal wall was examined on VF. \nResults: Moderate correlations were found between saliva accumulation and perpendicular displacement of the larynx and upper esophageal sphincter opening. 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Evaluation of swallowing function in patients with oropharyngeal secretions
http://hdl.handle.net/10069/39594
http://hdl.handle.net/10069/39594baff99b3-effd-4dcf-882f-0bd42f709477
名前 / ファイル | ライセンス | アクション |
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ISYK1193_Yamaguchi.pdf (3.2 MB)
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Item type | 学位論文 / Thesis or Dissertation(1) | |||||
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公開日 | 2019-12-18 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | Evaluation of swallowing function in patients with oropharyngeal secretions | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | microaspiration | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | oropharyngeal secretion | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | saliva | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | swallowing function | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | videoendoscopy | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | videofluorography | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_db06 | |||||
資源タイプ | doctoral thesis | |||||
アクセス権 | ||||||
アクセス権 | open access | |||||
アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||
著者 |
山口, 大樹
× 山口, 大樹 |
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著者別名 | ||||||
姓名 | Yamaguchi, Taiki | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Background: Several studies have reported a strong association between the presence of oropharyngeal secretions in the laryngeal vestibule and the likelihood of aspiration of food or liquid. However, no previous studies have evaluated the accumulation of saliva and swallowing dynamics. Objective: The objective of this study was to examine the factors related to decreased function that result in saliva accumulation based on images from videofluoroscopic examination of swallowing (VF) performed on the same day as videoendoscopic examination of swallowing (VE). Methods: This retrospective study investigated 47 patients with dysphagia who underwent VF and VE on the same day. Saliva accumulation in the pharynx was assessed on VE and classified by the Murray secretion scale. Pharyngeal residue was assessed on VF. In addition, displacement of the hyoid bone and larynx on swallowing and the opening size of the esophageal orifice were measured, and contact between the base of the tongue and the posterior pharyngeal wall was examined on VF. Results: Moderate correlations were found between saliva accumulation and perpendicular displacement of the larynx and upper esophageal sphincter opening. The percentage of patients showing contact between the base of the tongue and the posterior pharyngeal wall was significantly greater in those with a saliva accumulation score of 0 or 1. Conclusion: Less laryngeal elevation and upper esophageal sphincter opening and absence of contact between the base of the tongue and the posterior pharyngeal wall when swallowing tended to result in accumulation of saliva in the pharynx. |
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内容記述 | ||||||
内容記述タイプ | Other | |||||
内容記述 | 長崎大学学位論文 学位記番号:博(医歯薬)甲第1193号 学位授与年月日:令和元年12月4日 | |||||
内容記述 | ||||||
内容記述タイプ | Other | |||||
内容記述 | Author: Taiki Yamaguchi, Shinya Mikushi, Takao Ayuse | |||||
内容記述 | ||||||
内容記述タイプ | Other | |||||
内容記述 | Citation: Clinical and Experimental Dental Research, 5(5), pp.557-565; 2019 | |||||
書誌情報 |
Clinical and Experimental Dental Research 巻 5, 号 5, p. 557-565, 発行日 2019-12-04 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 20574347 | |||||
DOI | ||||||
識別子タイプ | DOI | |||||
関連識別子 | 10.1002/cre2.223 | |||||
権利 | ||||||
権利情報 | c 2019 The Authors. Clinical and Experimental Dental Research published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
その他のタイトル | ||||||
その他のタイトル | 唾液の咽頭貯留を認める患者の嚥下機能評価 | |||||
出版者 | ||||||
出版者 | John Wiley & Sons Ltd. | |||||
関係URI | ||||||
識別子タイプ | HDL | |||||
関連識別子 | http://hdl.handle.net/10069/39583 | |||||
学位名 | ||||||
学位名 | 博士(歯学) | |||||
学位授与機関 | ||||||
学位授与機関識別子Scheme | kakenhi | |||||
学位授与機関識別子 | 17301 | |||||
学位授与機関名 | Nagasaki University (長崎大学) | |||||
学位授与年月日 | ||||||
学位授与年月日 | 2019-12-04 | |||||
学位授与番号 | ||||||
学位授与番号 | 甲医歯薬第1193号 | |||||
学位の種類 | ||||||
課程博士 | ||||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | Nagasaki University (長崎大学), 博士(歯学) (2019-12-04) |