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.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2024.1
- 수록면
- 59 - 65 (7page)
- DOI
- 10.34160/jkds.23.015
이용수
초록· 키워드
오류제보하기
The cricopharyngeus muscle (CPM), an important anatomical component of the upper esophageal sphincter (UES), is controlled by reflexive contraction and relaxation movements that are coordinated with swallowing and breathing.
In cricopharyngeal dysfunction (CPD) the CPM does not relax to allow food to enter the esophagus or it relaxes in an uncoordinated manner, causing dysphagia. Prolonged CPD may lead to malnutrition, dehydration, weight loss, or aspiration, and therefore, prompt treatment is essential. A 41-year-old female diagnosed with left lateral medullary infarction demonstrated relative improvement in cognitive, language, and motor dysfunctions following acute treatment.
However, her swallowing disorder continued from time of onset of symptoms. Balloon dilatation was performed at various frequencies, and gradually the patient was trained to perform the procedure on her own. The effects of balloon dilatation were evaluated continuously through repetitive videofluoroscopic swallowing studies. While balloon dilatation is a widely used method for treating CPD, its use has not yet been standardized. The diameter, pressure, and extension time of the balloon depend greatly on the operator’s personal experience. This case is valuable because we determined the optimal frequency of balloon dilatation for the patient through a series of attempts at various frequencies. Furthermore, performing balloon dilatation on her own helped with her early recovery and discharge. Due to this individualized treatment, the patient could safely progress to a regular diet from being fed through a tube.
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등록된 정보가 없습니다.
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