Department of Otolaryngology Head and Neck Surgery, Meir Medical Center, Kfar Saba, Israel.
Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Isr Med Assoc J. 2022 Jul;24(7):464-469.
Dysphagia is a common symptom with diverse etiologies and refers to disorders of the process of swallowing food or fluids. Many studies have reported the anatomical and functional differences between men and women in swallowing in healthy patients; however, sex discrepancies in symptomatic patients have not often been studied.
To compare the performance of men and women with dysphagia using videofluoroscopy.
To compare the performance of men and women with dysphagia using videofluoroscopy.
A total of 203 patients met the inclusion criteria, 106 men (52%) and 97 women (48%). Men complained significantly more about choking on liquids (P = 0.002) and in swallowing pills (P = 0.004) compared to women. Men had more abnormalities in the pharyngeal phase (P = 0.015) and at the upper esophageal sphincter (P = 0.056). The prevalence of aspiration, penetration, and barium residue in the hypopharynx and in the vallecula were significantly greater in men as well.
In patients with dysphagia, women had fewer subjective symptoms and performed better than men in videofluoroscopy especially in the pharyngeal phase. These differences are probably due to different anatomical and functional swallowing characteristics. A better understanding of these discrepancies can be useful in offering tailored treatment in clinical practice.
吞咽困难是一种常见的症状，具有多种病因，是指食物或液体吞咽过程中的障碍。许多研究报告了健康患者吞咽中男女之间的解剖和功能差异；然而，在有症状的患者中，性别差异并没有经常被研究。
使用视频透视法比较吞咽困难患者的男女表现。
使用视频透视法比较吞咽困难患者的男女表现。
共有 203 名符合纳入标准的患者，其中男性 106 名（52%），女性 97 名（48%）。与女性相比，男性明显更多地抱怨在吞咽液体时（P = 0.002）和吞咽药丸时（P = 0.004）呛到。男性在咽期（P = 0.015）和食管上括约肌（P = 0.056）的异常更多。在男性中，咽和会厌谷的吸入、穿透和钡残留的发生率也显著更高。
在吞咽困难患者中，女性的主观症状较少，在视频透视法检查中表现优于男性，尤其是在咽期。这些差异可能是由于男女在解剖和功能上的吞咽特点不同造成的。更好地理解这些差异可以在临床实践中为量身定制的治疗提供帮助。
