ABSTRACT
Antecedentes: La disfagia orofaríngea es un trastorno prevalente, que produce graves complicaciones para la salud y la calidad de vida de los pacientes. Objetivo: El objetivo de este trabajo fue realizar una intervención logopédica combinando ejercicios motores, estimulación química y estimulación eléctrica neuromuscular para la rehabilitación de la disfagia orofaríngea en un caso de ictus isquémico bulbar. Pacientes y métodos: Se elaboró un protocolo de intervención combinando ejercicios motores, estimulación química y estimulación eléctrica neuromuscular y se aplicó a una única paciente valorando el resultado a través de un estudio retrospectivo. Resultados: Tras 2 meses de tratamiento y 45 sesiones la paciente mejoró la sensibilidad de la orofaringe, recuperó el olfato y el gusto, redujo el residuo faríngeo y progresó en la tolerancia oral a mayores volúmenes de consistencia néctar e inició la tolerancia oral de consistencia líquida. Conclusiones: Esta intervención podría ayudar a mejorar la sensibilidad orofaríngea y la tolerancia oral en pacientes con disfagia orofaríngea.(AU)
Background: Oropharyngeal dysphagia is a prevalent disorder that produces serious complications for the health and quality of life of patients. Objective: The objective of this work was to carry out a speech therapy intervention combining motor exercises, chemical stimulation and neuromuscular electrical stimulation for the rehabilitation of oropharyngeal dysphagia in a case of bulbar ischemic stroke. Patients and methods: An intervention protocol combining motor exercises, chemical stimulation and neuromuscular electrical stimulation was developed and applied to a single patient, evaluating the result through a retrospective study. Results: After 2 months of treatment and 45 sessions, the patient improved the sensitivity of the oropharynx, recovered smell and taste, reduced pharyngeal residue, progressed in oral tolerance to greater volumes of nectar consistency and began oral tolerance of liquid consistency. Conclusions: This intervention could help improve oropharyngeal sensitivity and oral tolerance in patients with oropharyngeal dysphagia.(AU)
Subject(s)
Humans , Female , Deglutition Disorders , Stroke , Audiology , Speech, Language and Hearing Sciences , Stimulation, Chemical , Electric Stimulation , 35170 , Neurological RehabilitationABSTRACT
Objetivo: Mostrar la experiencia con microcirugía láser CO2 como tratamiento de la papilomatosis laríngea. Analizamos parámetros diversos, entre ellos: edad media, género, tasa de recidiva, serotipo viral. Material y método: Se realiza un estudio descriptivo retrospectivo, recogiendo 29 casos diagnosticados y tratados de papiloma laríngeo mediante microcirugía asistida con láser CO2, entre 1995 y 2010. Resultados: Esta patología es más prevalente en el sexo masculino, 65,5%; con leve predominio de única localización laríngea frente a multilocalización de lesiones. Se detectó DNA vírico del Virus del Papiloma Humano (HPV) en el 75,8% de los casos, predominaron los subgrupos 6 y 11, entre otros. Presentaron recidiva el 44,8% de los casos, con una media de recidiva de 23 episodios por paciente. Se encuentran en remisión (sin recidiva en últimos 2 meses) el 20,7% de casos; en aclaramiento (sin recidiva aparente en últimos 3 años) el 34,5% y en curación (sin recidiva en últimos 5 años) el 41,3%. Presentó malignización un caso. Conclusión: La papilomatosis se caracteriza por ser una patología de curso impredecible, con probabilidad baja de malignizar y en la que la microcirugía láser carbónico ha supuesto una revolución con respecto a su tratamiento sintomático, porque aún no se ha descubierto el tratamiento curativo (AU)
Objectives: The study goal was to evaluate the efficacy of CO2 laser surgery in the treatment of laryngeal papillomatosis. We analysed several parameters such as gender, average age, relapse rate and viral serotype. Material and methods: A total of 26 diagnosed patients were included in this retrospective descriptive review. All of them were treated with CO2 laser for laryngeal papillomas between 1995 and 2010. Results: This pathology was more prevalent in males (65.5%), with a slight predominance of a single larynx localisation over multiple lesion locations. Human papillomavirus (HPV) DNA was detected in 75.8% of the cases; genotypes 6 and 11 prevailed. Of the patients in this review, 44.8% relapsed; the relapse average was 23 episodes per patient. A total of 20.7% of cases were in remission (no relapse in the last 2 months); 34.5%, clearing (no apparent relapse in the last 3 years); and 41.3% in the healing stage (without relapse in the last 5 years). There was only one case that showed malignancy. Conclusion: Papillomatosis is characterised as a pathology with an unpredictable course and with a low probability of malignancy. CO2 laser surgery has meant a revolution in symptomatic treatment, but there is presently no curative treatment (AU)
Subject(s)
Humans , Adult , Adolescent , Aged , Child , Female , Male , Middle Aged , Papilloma/surgery , Papillomaviridae/pathogenicity , Laser Therapy/methods , Lasers, Gas/therapeutic use , Laryngeal Neoplasms/surgery , Retrospective Studies , Papillomavirus Infections/surgeryABSTRACT
OBJECTIVES: The study goal was to evaluate the efficacy of CO2 laser surgery in the treatment of laryngeal papillomatosis. We analysed several parameters such as gender, average age, relapse rate and viral serotype. MATERIAL AND METHODS: A total of 26 diagnosed patients were included in this retrospective descriptive review. All of them were treated with CO2 laser for laryngeal papillomas between 1995 and 2010. RESULTS: This pathology was more prevalent in males (65.5%), with a slight predominance of a single larynx localisation over multiple lesion locations. Human papillomavirus (HPV) DNA was detected in 75.8% of the cases; genotypes 6 and 11 prevailed. Of the patients in this review, 44.8% relapsed; the relapse average was 2-3 episodes per patient. A total of 20.7% of cases were in remission (no relapse in the last 2 months); 34.5%, clearing (no apparent relapse in the last 3 years); and 41.3% in the healing stage (without relapse in the last 5 years). There was only one case that showed malignancy. CONCLUSION: Papillomatosis is characterised as a pathology with an unpredictable course and with a low probability of malignancy. CO2 laser surgery has meant a revolution in symptomatic treatment, but there is presently no curative treatment.
