Severe organic dysphagia after long-term ventilation in a patient with sepsis and multiorgan failure
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Publication Details
Output type: Journal article
Author list: Bohne S., Schelhorn-Neise P., Brunkhorst F., Guntinas-Lichius O.
Publisher: Springer
Publication year: 2012
Volume number: 107
Issue number: 7
Start page: 564
End page: 566
Number of pages: 3
ISSN: 2193-6218
eISSN: 2193-6226
URL: http://api.elsevier.com/content/abstract/scopus_id:84879557822
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Open access status: closed
Abstract
A case of severe chronic dysphagia lasting more than 1 year after long-term ventilation due to sepsis is presented. Fiber optic endoscopic examination of swallowing (FEES) revealed retention of food on both sides of the base of the tongue and in both valleculae combined with severe penetration and postglutitive aspiration into the larynx. The reason was a broad-based scarred adhesion between the lingual side of the epiglottis and the tongue base. The adhesion was resected using a CO laser. The final examination 3 months later showed complete recovery of normal swallowing function. © 2012 Springer-Verlag.
Keywords
Endoscopy, Larynx, Multiorgan failure, Swallowing, Ventilation
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