[Cinematographic study of the pathologic mechanisms of aspiration pneumonia].
6% of all patients suffering from a cerebrovascular injury die from aspiration pneumonia within the first year. The high temporal resolution of high-speed cineradiography (HFK) (50 frames/sec.) allows the recording of the 0.7 sec. process of pharyngeal swallow. Five case-examples are presented (total number of cases: 95) illustrating the possibility of differentiation between three types of aspiration by means of cineradiography. These types are the so-called pre-, intra- and postdeglutitive aspiration, that is aspiration before or after triggering of the swallowing reflex. This differentiation is of great therapeutic importance. The analysis of disturbances of pharyngo-laryngeal motility and the temporal coordination allows setting up individual surgical and/or conservative programme for rehabilitation.
Hannig
C
C
Institut für Röntgendiagnostik, Technische Universität München.
Wuttge-Hannig
A
A
Hörmann
M
M
Herrmann
I F
IF
D000328:Adult; D000368:Aged; D001932:Brain Neoplasms / Q000150:complications / Q000503:physiopathology; D002561:Cerebrovascular Disorders / Q000150:complications / Q000503:physiopathology; D002933:Cineradiography; D003679:Deglutition; D003882:Dermatomyositis / Q000150:complications / Q000503:physiopathology; D005260:Female; D006801:Humans; D001239:Inhalation; D008297:Male; D008875:Middle Aged; D011015:Pneumonia, Aspiration / Q000209:etiology* / Q000503:physiopathology; D012018:Reflex
Kinematographische Untersuchung des Pathomechanismus der Aspirationspneumonie.