FUNCTIONAL ENDOSCOPIC EVALUATION OF DYSPHAGIA IN STROKE PATIENTS.

Dr. J. Balasubramani, Dr. M. Yoganandh

Abstract


The dysphagia manifests as chest infections coughing, chocking painful swallowing or slow effortful swallow. The patients finally become malnourished, dehydrated, and develop aspiration pneumonia.  The dysphagia in stroke patients causes alteration in quality of life. They may depend on eternal feeding.  The functional endoscopic evaluation of swallowing function will provide the anatomy and physiology of system and will tell the food residue, laryngeal penetration, chances of aspiration. Total number of patients involved in this study is thirty. The patients with history of aspiration, cough during swallowing, chocking, painful or effortful swallowing are taken for the study.In our study stroke is common with age group 60-70 years in both men and women followed by 70-80 years of age group in both sexes In our study, in males hypertension is the most common cause of stroke while in females both diabetes and hypertension are the two combining factors leading to stroke. The level three and two have more secretions. These patients are more prone for aspiration. The patients are administered a lower level of diet or nil per oral. Fiberoptic endoscopic evaluation of swallowing is the gold standard technique used for the evaluation of swallowing disorders. FEES, is carried out in out patient clinic and cost effective without radiation hazards avoiding cine radiography and fluoroscopy and avoidance of aspiration of contrast material. FEES directly visualise the pharynx function.

Keywords


Dysphagia, Storke , fiberoptic endoscopic evaluation, swallowing.

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References


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