Kim Yong Kyun, Kim Min Tae, Kim Seong Kyun
Department of Physical Medicine and Rehabilitation, Myongji Hospital, Kwandong University College of Medicine, Goyang, Korea.
Ann Rehabil Med. 2013 Jun;37(3):426-9. doi: 10.5535/arm.2013.37.3.426. Epub 2013 Jun 30.
Authors have previously experienced the effect of balloon dilation at the vallecular by utilizing the video-fluoroscopic swallowing study (VFSS) and the urethral catheter to physically stretch and spread in the direction of the posterior inferior towards the patients who have claimed for dysphagia symptoms due to epiglottic dysfunction. A 72-year-old male patient has been diagnosed with rectal cancer and have been treated with an ileocolostomy after the intubation. After the removal of tracheal intubation, the patient complained of dysphagia. Foods and drinks could not be transmigrated into the esophagus due to the inability of the epiglottis to bend backward in the direction of posterior inferior on VFSS. The epiglottis was physically stretched and spread in the direction of posterior inferior by utilizing the balloon attached to a urethral catheter. After stretching and spreading the epiglottis in the direction of posterior inferior, the bolus remaining in the epiglottic vallecula was decreased. For a patient who is experiencing dysphagia due to an epiglottis disorder, it seems that an epiglottis balloon dilation supported by VFSS and a urethral catheter may be appropriate for the treatment of dysphagia symptoms.
作者之前通过视频荧光吞咽造影检查（VFSS）和尿道导管，对声门后联合进行球囊扩张，以物理方式拉伸并向后下方向展开，治疗因会厌功能障碍而出现吞咽困难症状的患者。一名72岁男性患者被诊断为直肠癌，插管后接受了回肠结肠造口术。拔除气管插管后，患者出现吞咽困难。由于在VFSS检查中会厌无法向后下方向弯曲，食物和饮料无法进入食管。利用连接在尿道导管上的球囊，将会厌物理性地向后下方向拉伸并展开。将会厌向后下方向拉伸并展开后，会厌谷中残留的食团减少。对于因会厌疾病而出现吞咽困难的患者，由VFSS和尿道导管辅助的会厌球囊扩张似乎适合用于治疗吞咽困难症状。
