Oropharyngeal Dysphagia Patient Profile Based on Flexible Endoscopic Evaluation of Swallowing
Introduction: Oropharyngeal dysphagia is a swallowing disorder in the oral and/or pharyngeal phase. The prevalence of oropharyngeal dysphagia is higher when there is the presence of comorbid conditions such as head-and-neck cancer (19%–81%) and neurological diseases (Parkinson’s [80%–100%] and strok...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer – Medknow Publications
2024-12-01
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| Series: | Biomolecular and Health Science Journal |
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| Online Access: | https://journals.lww.com/10.4103/bhsj.bhsj_25_24 |
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| author | Chairul Anhar Rizka Fathoni Perdana Mohd Razif Mohamad Yunus |
| author_facet | Chairul Anhar Rizka Fathoni Perdana Mohd Razif Mohamad Yunus |
| author_sort | Chairul Anhar |
| collection | DOAJ |
| description | Introduction:
Oropharyngeal dysphagia is a swallowing disorder in the oral and/or pharyngeal phase. The prevalence of oropharyngeal dysphagia is higher when there is the presence of comorbid conditions such as head-and-neck cancer (19%–81%) and neurological diseases (Parkinson’s [80%–100%] and stroke [19%–81%]).
Methods:
This retrospective descriptive study used medical record data from the outpatient clinic of the Otorhinolaryngology-Head and Neck Surgery Unit in the Broncho Esophagology Division of Dr. Soetomo General Academic Hospital from January 2018 to December 2019.
Results:
In total, 112 patients met the inclusion and exclusion criteria. There were more male (61.60%) than female (38.4%) patients, at a ratio of 1.6:1. The most common age group was 50–90 years old (66.0%). The most common chief complaint was choking (37.5%). The highest risk factor was stroke (25.9%). Preswallowing: velopharyngeal movement (14.4%), vocal cord movement disorders (28.6%), standing secretion (83.9%), penetration (38.4%), aspiration (24.1%), silent aspiration (15.2%), and impaired hypopharyngeal sensitivity (33%). Swallowing solid bolus test: residual (78.9%), penetration (23.2%), aspiration (18.9%), and impaired cough reflex (82.1%). Swallowing liquid bolus test: residual (76%), penetration (24%), aspiration (12.7%), and impaired cough reflex (91.1%).
Conclusion:
Men more than women are affected by this disease. The most common age group was >50 years. The most common complaint is choking. Stroke is the most common etiology. Impaired vocal cord movement, standing secretion, penetration, and silent aspiration were found on the preswallowing test. Residues are more common in solid boluses than liquid. Liquid bolus penetration is more common than solid. The aspiration of solid boluses is more common than that of liquid. |
| format | Article |
| id | doaj-art-8133b3ab24144da9a0f6c52ef039839e |
| institution | Kabale University |
| issn | 2620-8636 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wolters Kluwer – Medknow Publications |
| record_format | Article |
| series | Biomolecular and Health Science Journal |
| spelling | doaj-art-8133b3ab24144da9a0f6c52ef039839e2025-01-07T05:16:20ZengWolters Kluwer – Medknow PublicationsBiomolecular and Health Science Journal2620-86362024-12-017211912410.4103/bhsj.bhsj_25_24Oropharyngeal Dysphagia Patient Profile Based on Flexible Endoscopic Evaluation of SwallowingChairul AnharRizka Fathoni PerdanaMohd Razif Mohamad YunusIntroduction: Oropharyngeal dysphagia is a swallowing disorder in the oral and/or pharyngeal phase. The prevalence of oropharyngeal dysphagia is higher when there is the presence of comorbid conditions such as head-and-neck cancer (19%–81%) and neurological diseases (Parkinson’s [80%–100%] and stroke [19%–81%]). Methods: This retrospective descriptive study used medical record data from the outpatient clinic of the Otorhinolaryngology-Head and Neck Surgery Unit in the Broncho Esophagology Division of Dr. Soetomo General Academic Hospital from January 2018 to December 2019. Results: In total, 112 patients met the inclusion and exclusion criteria. There were more male (61.60%) than female (38.4%) patients, at a ratio of 1.6:1. The most common age group was 50–90 years old (66.0%). The most common chief complaint was choking (37.5%). The highest risk factor was stroke (25.9%). Preswallowing: velopharyngeal movement (14.4%), vocal cord movement disorders (28.6%), standing secretion (83.9%), penetration (38.4%), aspiration (24.1%), silent aspiration (15.2%), and impaired hypopharyngeal sensitivity (33%). Swallowing solid bolus test: residual (78.9%), penetration (23.2%), aspiration (18.9%), and impaired cough reflex (82.1%). Swallowing liquid bolus test: residual (76%), penetration (24%), aspiration (12.7%), and impaired cough reflex (91.1%). Conclusion: Men more than women are affected by this disease. The most common age group was >50 years. The most common complaint is choking. Stroke is the most common etiology. Impaired vocal cord movement, standing secretion, penetration, and silent aspiration were found on the preswallowing test. Residues are more common in solid boluses than liquid. Liquid bolus penetration is more common than solid. The aspiration of solid boluses is more common than that of liquid.https://journals.lww.com/10.4103/bhsj.bhsj_25_24flexible endoscopic evaluation of swallowinghuman healthoropharyngeal dysphagiaquality education |
| spellingShingle | Chairul Anhar Rizka Fathoni Perdana Mohd Razif Mohamad Yunus Oropharyngeal Dysphagia Patient Profile Based on Flexible Endoscopic Evaluation of Swallowing Biomolecular and Health Science Journal flexible endoscopic evaluation of swallowing human health oropharyngeal dysphagia quality education |
| title | Oropharyngeal Dysphagia Patient Profile Based on Flexible Endoscopic Evaluation of Swallowing |
| title_full | Oropharyngeal Dysphagia Patient Profile Based on Flexible Endoscopic Evaluation of Swallowing |
| title_fullStr | Oropharyngeal Dysphagia Patient Profile Based on Flexible Endoscopic Evaluation of Swallowing |
| title_full_unstemmed | Oropharyngeal Dysphagia Patient Profile Based on Flexible Endoscopic Evaluation of Swallowing |
| title_short | Oropharyngeal Dysphagia Patient Profile Based on Flexible Endoscopic Evaluation of Swallowing |
| title_sort | oropharyngeal dysphagia patient profile based on flexible endoscopic evaluation of swallowing |
| topic | flexible endoscopic evaluation of swallowing human health oropharyngeal dysphagia quality education |
| url | https://journals.lww.com/10.4103/bhsj.bhsj_25_24 |
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