R13.0
Conditions
Interventions
Group 1: 20 tracheotomized patients suffering from dysphagia after a single monohemispheric lesion. 1st phase: respiration via nose/ mouth
2nd phase: respiration via tracheostomy tube
Group 2: 20 tracheotomized patients suffering from dysphagia after a single monohemispheric lesion. 1st phase: respiration via tracheostomy tube
2nd phase: respiration via nose/ mouth
Sponsors
Schoen Klinik Bad Ailbing
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: - neurogenic dysphagia [clinical signs: modified Evan´s Blue Dye test (Belafsky et al., 2003); De-Pippo-water test (Suiter & Leder, 2008)] - monohemispheric lesions - patients will be included consecutively - no previous neurologic or relevant anatomic morphologic lesions - no peripheral (2nm MN) vocal cord paralysis - effective reflectory cough - trach tube can be uncuffed for 10 minutes without relevant SPO2 decrease - no oropharyngeal tumors -no previous surgery (aero-digestive tract)
Exclusion criteria
Exclusion criteria: - no written consent - severe not substitutable coagulation deficits - esophageal diverticulum - respiratory insufficiency (SaO2<90%) - bradycardia (<50/min)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Manometric pressure differences (between base of tongue and pharyngeal wall) during swallowing method: pharyngeal manometry measurement points: oropharynx, hypopharynx, upper esophageal sphincter data points: maximal pressure, duration of pressure | — |
Secondary
| Measure | Time frame |
|---|---|
| degrees of aspiration (Penetration-Aspiration Scale, Rosenbek et al., 1996); data extraction: simultaneous manometric and endoscopic measurement during swallowing (puree) | — |
Countries
Germany
Contacts
Public ContactChristian Ledl
Schoen Klinik Bad Aibling
Outcome results
None listed