[Dysphagia due to tracheotomy].
OBJECTIVE
Dysphagia is a common appearance after tracheostomy especially in patients with neurologic diseases of the following reasons: 1. fixation of trachea and larynx to the scin leads to lack of laryngeal elevation in a forward and upward direction, 2. pressure in the upper esophagus may be increased following high cuff pressure, 3. reduction of hypopharyngeal and laryngeal sensitivity and alteration of the coughing mechanism, 4. loss of olfactorial and gustatorial stimulation of the swallowing process.


CONCLUSIONS
Consequently noninvasive ventilation modes are recommended alternatively in patients with respiratory insufficiency.
Martin
F
F
HNO, Phoniatrie und Pädaudiologie, München.
D003680:Deglutition Disorders / Q000209:etiology*; D006801:Humans; D014140:Tracheotomy / Q000009:adverse effects*
Schluckstörungen als Folge der Tracheotomie.