Tracheo-bronchial aspiration is the most invalidating condition which can happen to patients affected by dysphagia, especially when caused by central neurologic disorders; the associated pneumonia episodes represent the most frequent cause of death in these patients. Oro-pharyngo-esophageal scintigraphy (OPES) allows both functional imaging and semiquantitative evaluation of the subsequent phases of swallowing. CASE REPORT: We evaluated by means of OPES a woman who had previously undergone high-dose external beam radiation therapy for a nasopharyngeal carcinoma, which determined tissue fibrosis and progressive dysphagia. CONCLUSION: In this patient with dysphagia, OPES was a simple, inexpensive, noninvasive, and reliable technique that allowed to show the presence of bolus aspiration and quantified tracheobronchial aspirate.

The value of oro-pharyngo-esophageal scintigraphy in the management of patients with aspiration into the tracheo-bronchial tree and consequent dysphagia

DUCE, VALERIO;FATTORI, BRUNO;BRUSCHINI, LUCA;LOCANTORE, LUISA;GUIDOCCIO, FEDERICA;ORSINI, FEDERICA;MASSRI, KATRIN;VOLTERRANI, DUCCIO;
2015

Abstract

Tracheo-bronchial aspiration is the most invalidating condition which can happen to patients affected by dysphagia, especially when caused by central neurologic disorders; the associated pneumonia episodes represent the most frequent cause of death in these patients. Oro-pharyngo-esophageal scintigraphy (OPES) allows both functional imaging and semiquantitative evaluation of the subsequent phases of swallowing. CASE REPORT: We evaluated by means of OPES a woman who had previously undergone high-dose external beam radiation therapy for a nasopharyngeal carcinoma, which determined tissue fibrosis and progressive dysphagia. CONCLUSION: In this patient with dysphagia, OPES was a simple, inexpensive, noninvasive, and reliable technique that allowed to show the presence of bolus aspiration and quantified tracheobronchial aspirate.
Grosso, M; Duce, Valerio; Fattori, Bruno; Bruschini, Luca; Meniconi, M; Raschillà, R; Cocco, F; Locantore, Luisa; Guidoccio, Federica; Orsini, Federica; Massri, Katrin; Volterrani, Duccio; Rubello, D.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11568/767451
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