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o Issue N# 2 - 2008 o

PHONIATRICS

A clinical respiratory evaluation of dysphagic patients with chronic aspirations


Authors : Abbes S, Woisard V, Didier A. (Toulouse)

Ref. : Rev Laryngol Otol Rhinol. 2008;129,2:79-83.

Article published in french
Downloadable PDF document french



Summary : Introduction: The basical respiratory state of dysphagic patients with chronic aspirations is not well-known. Objective: to determine if chronic aspirations are associated with chronic clinical respiratory complications. Materials and methods: A prospective study was performed on 76 patients with swallowing disorders; The patients who aspirate are determined by swallowing videofluoroscopy. All patients answer to a questionnaire analysing their general and respiratory handicap. And a respiratory clinical examination was performed. The clinical symptoms between the group of aspirating patients and non aspirating patients were analysed. Results: The global handicap and the respiratory handicap, caused by swallowing dysfunction, are more important for the aspirating patients (p< 0.05). The aspirating patients are more often symptomatic (p< 0.05); They present more functional and physical respiratory signs (p< 0.05); it seems that they present more often respiratory infections. Conclusion: chronic aspirations are associated with a chronic handicapping respiratory disease, that is still to be described with para-clinical exams.

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