Bumber Z, Svoren E
Hals-Nasen-Ohren-Klinik, Universität Zagreb.
Laryngorhinootologie. 1990 Apr;69(4):217-20. doi: 10.1055/s-2007-998178.
Videofluoroscopy of swallowing was performed in 21 patients who had undergone partial horizontal laryngectomy. Food residues were present in most of these patients. Residues of liquid contrast were observed in 85.7% of the patients and residues of consistent contrast in 61.5% of the patients. In most cases, food remnants were to be found in the glossolaryngeal recess. The mechanisms of compensation, additional swallowing, and expiration after swallowing are an important factor in clearing the throat of any residual food. Impaired clearing of food residues results in aspiration. Aspiration of liquid contrast was observed in 76.2% of the patients and aspiration of consistent contrast in 19.1% of the patients (p less than 0.001). Aspiration after swallowing was observed in most of the patients.
对21例接受部分水平喉切除术的患者进行了吞咽电视透视检查。这些患者大多存在食物残留。85.7%的患者观察到液体造影剂残留,61.5%的患者观察到稠造影剂残留。在大多数情况下,食物残渣见于舌喉隐窝。吞咽后的代偿、额外吞咽和呼气机制是清除喉部任何残留食物的重要因素。食物残渣清除受损会导致误吸。76.2%的患者观察到液体造影剂误吸,19.1%的患者观察到稠造影剂误吸(p<0.001)。大多数患者观察到吞咽后误吸。