Àá½Ã¸¸ ±â´Ù·Á ÁÖ¼¼¿ä. ·ÎµùÁßÀÔ´Ï´Ù.
KMID : 1140920180420020358
Annals of Rehabilitation Medicine
2018 Volume.42 No. 2 p.358 ~ p.362
Botulinum Toxin Injection in the Treatment ofPostextubation Dysphagia: A Case Report
Kim Byung-Wook

Kim Hee-Ju
Hyun Jung-Keun
Kim Seo-Young
Kim Tae-Uk
Abstract
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.
KEYWORD
Deglutition disorders, Endotracheal intubation, Botulinum toxin
FullTexts / Linksout information
 
Listed journal information
ÇмúÁøÈïÀç´Ü(KCI) KoreaMed ´ëÇÑÀÇÇÐȸ ȸ¿ø