[Oropharyngeal dysphagia in the myotonic dystrophy: phonoaudiological evaluation and nasofibrolaryngoscopical analysis].
We here in present twenty myotonic dystrophy of Steinert patients with the main objective to evaluate and classify the oropharyngeal swallowing by the phonoaudiological clinical and nasofibrolaryngoscopical analysis. The age of the patients varied from 12 to 53 years, being 13 male and 7 female. The mean data: (1) statistically significant relation between the phonoaudiological clinical evaluation and nasofibrolaryngoscopical one; (2) stomatognatical system disorders present in 100%; (3) swallowing disorders present in 95%, when clinically evaluated, and in 70% when evaluated by the nasofibrolaryngoscopy; (4) higher difficulty to swallow consistent feed; (5) stomatognatical muscles very altered, pharyngeal phase disorders, cough after swallowing, antecedents of pneumonia and complaints of chewing/swallowing presented statistically significant correlation with severity of the sickness. The analysis were able to evaluate statical and functionally the involved structures in the swallowing, having got to take part of the routine of attendance to the patients with myotonic dystrophy of Steinert.
Chiappetta
A L
AL
Setor de Investigação em Doenças Neuromusculares, Departamento de Neurologia e Neurocirurgia, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brasil.
Oda
A L
AL
Zanoteli
E
E
Guilherme
A
A
Oliveira
A S
AS
D000293:Adolescent; D000328:Adult; D002648:Child; D003679:Deglutition / Q000502:physiology; D003680:Deglutition Disorders / Q000145:classification / Q000503:physiopathology*; D005260:Female; D006801:Humans; D007828:Laryngoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009223:Myotonic Dystrophy / Q000175:diagnosis / Q000503:physiopathology*; D009960:Oropharynx / Q000503:physiopathology*; D010608:Pharyngeal Diseases / Q000145:classification / Q000503:physiopathology*; D011379:Prognosis; D013060:Speech / Q000502:physiology*; D013284:Stomatognathic System / Q000503:physiopathology