Treatment of dysphagia in a laryngectomy patient: a case study
Keywords:
Laryngectomy, Dysphagia, Evaluation, Treatment, Oesophageal voice, SwallowingAbstract
The purpose of this study is to describe the application of the swallowing manoeuvres and the air injection technique used in the training of the oesophageal voice in the treatment of the dysphagia after a total laryngectomy. A case study is presented on a patient with total laryngectomy, pharyngectomy and oesophageal reconstruction with radial flap. The patient presented with oropharyngeal dysphagia. Phono-audiological therapy with swallowing manoeuvres and an air injection technique was performed, with satisfactory results for swallowing of all textures. In conclusion, swallowing manoeuvres in dysphagia after total laryngectomy help to improve the coordination in swallowing apnoea, the contraction of the base of tongue, and the peristaltic movement of the pharynx. The air injection technique, in combination with swallowing manoeuvres, improves the function of the upper oesophageal sphincter.
Author Biography
Andrea Marcela Suárez, Instituto Nacional de Cancerología
Grupo de fonoaudiología, Instituto Nacional de Cancerología, Bogotá D. C., Colombia
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