KMID : 1140920180420020358
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Annals of Rehabilitation Medicine 2018 Volume.42 No. 2 p.358 ~ p.362
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Botulinum Toxin Injection in the Treatment ofPostextubation Dysphagia: A Case Report
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Kim Byung-Wook
Kim Hee-Ju Hyun Jung-Keun Kim Seo-Young Kim Tae-Uk
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Abstract
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Prolonged intubation is known to bring on postextubation dysphagia (PED) in some patients. We have noted thatthere were some studies to investigate specific type and pattern of PED, which showed large variety of differentswallowing abnormalities as mechanisms of PED that are multifactorial. There are several options of treatmentin accordance with the management of these abnormalities. A botulinum toxin (BoT) injection into the upperesophageal sphincter (UES) can improve swallowing functions for patients with this disorder, by working to helpthe muscle relax. In this case, the conventional treatment was not effective in patients with PED, whereas the BoTinjection made a great improvement for these patients. This study suggests that the UES pathology could be themain cause of PED.
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KEYWORD
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Deglutition disorders, Endotracheal intubation, Botulinum toxin
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