[Videofiberscopic study of laryngeal abnormalities in patients with severe motor and intellectual disabilities].
A total of 43 patients with severe motor and intellectual disabilities were enrolled in videofiberscopic investigation of laryngeal abnormalities. Their ages ranged from 2 to 41 years (mean: 19.9 years) and all of them had severe quadriplegia due to cerebral palsy or other conditions. Thirty-two out of the 43 patients (74.4%) had laryngeal abnormalities;laryngeal stenosis including that of iatrogenic origin, hypersecretion and laryngomalacia. Direct visualization of the occurrence of aspiration could be achieved in some patients. Seven (87.5%) out of 8 patients with tracheostomy and 25 (71.4%) out of 35 patients without tracheostomy had laryngeal abnormalities, showing no significant difference. The prevalence of abnormalities was significantly higher in patients with parenteral nutrition (30/33 = 90.9%) than in those with oral feeding (2/10 = 20%). Endoscopic investigation of the larynx is important, and videofiberscopy is especially effective for evaluation of laryngeal abnormalities in severely handicapped patients.
Mizuno
Yuji
Y
Department of Pediatrics, Fukuoka-Higashi Medical Center, Koga, Fukuoka. mizunoy@fukuokae2.hosp.go.jp
Soebijanto
Keiji
K
Sasazuki
Momoko
M
Sakamoto
Kei
K
Aibe
Miyuki
M
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D006233:Persons with Disabilities; D005336:Fiber Optic Technology; D006801:Humans; D007818:Laryngeal Diseases / Q000175:diagnosis* / Q000473:pathology*; D007828:Laryngoscopy; D007830:Larynx / Q000473:pathology*; D014741:Video Recording; D055815:Young Adult