Furkim Ana Maria, Behlau Mara Suzana, Weckx Luc Louis Maurice
Programa de Distúrbios da Comunicação Humana, UNIFESP, Brasil.
Arq Neuropsiquiatr. 2003 Sep;61(3A):611-6. doi: 10.1590/s0004-282x2003000400016. Epub 2003 Sep 16.
Cerebral palsy is a condition that may be associated with swallowing disorders, that is, oropharingeal dysphagia. The aim of this study was to characterize and compare the swallowing processes of 32 children with this condition, by clinical and videofluoroscopic evaluation, with special focus on tracheal aspiration detectability. Results show an important compromise of oral phase. The most important findings during the pharyngeal phase were velopharingeal incompetence and residuals on the pharyngeal recesses. Aspiration was more common with liquids, before and after deglutition. On clinical and videofluoroscopic evaluation, cervical hyperextension was the commonest postural abnormality. Videofluoroscopy confirmed the occurrence of aspiration on most of the cases that presented suggestive signs of aspiration during clinical evaluation. We conclude that clinical and videofluoroscopic evaluations are complementary on deglutition evaluation and together may point to the most specific rehabilitation procedure.
脑瘫是一种可能与吞咽障碍即口咽性吞咽困难相关的病症。本研究的目的是通过临床和视频荧光透视评估，对32名患有这种病症的儿童的吞咽过程进行特征描述和比较，特别关注气管误吸的可检测性。结果显示口腔期存在重要缺陷。咽期最重要的发现是腭咽功能不全和咽隐窝残留。误吸在吞咽前后的液体吞咽时更为常见。在临床和视频荧光透视评估中，颈椎过度伸展是最常见的姿势异常。视频荧光透视证实，在临床评估中出现误吸提示征象的大多数病例中均发生了误吸。我们得出结论，临床和视频荧光透视评估在吞咽评估中具有互补性，二者共同作用可指向最具针对性的康复程序。
