LARYNGEAL FUNCTION IN POSTPOLIO PATIENTS

被引:22
作者
DRISCOLL, BP
GRACCO, C
COELHO, C
GOLDSTEIN, J
OSHIMA, K
TIERNEY, E
SASAKI, CT
机构
[1] YALE UNIV,SCH MED,OTOLARYNGOL SECT,NEW HAVEN,CT 06510
[2] YALE UNIV,SCH MED,DEPT NEUROL,NEW HAVEN,CT 06510
[3] HASKINS LABS INC,NEW HAVEN,CT 06511
[4] GAYLORD HOSP,DEPT COMMUN DISORDERS,WALLINGFORD,CT
关键词
D O I
10.1288/00005537-199501000-00010
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Of the 250,000 survivors of the polio epidemics, approximately 25% experience progressive muscle weakness known as postpolio syndrome (PPS). Laryngeal function in postpolio patients previously has not been studied. This paper presents data detailing laryngeal function in a group of postpolio patients who had been evaluated for swallowing complaints. Nine patients underwent comprehensive history and physical exam, acoustical voice analysis, and laryngeal videostroboscopic endoscopy. Three patients underwent laryngeal electromyography (EMG) evaluation. Results indicated some degree of phonatory or laryngeal deficit in all subjects. Subjects with dysphagia also demonstrated vocal fold paralysis. EMG revealed decreased recruitment and increased amplitude, findings consistent with EMG studies in skeletal muscle in postpolio patients. Results suggest that postpolio patients who complain of swallowing difficulties are at risk for laryngeal pathology.
引用
收藏
页码:35 / 41
页数:7
相关论文
共 20 条
[1]   LATE EFFECTS OF POLIO - CRITICAL-REVIEW OF THE LITERATURE ON NEUROMUSCULAR FUNCTION [J].
AGRE, JC ;
RODRIQUEZ, AA ;
TAFEL, JA .
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 1991, 72 (11) :923-931
[2]  
Bless D M, 1987, Ear Nose Throat J, V66, P289
[3]  
CANNON S, 1987, LARYNGOSCOPE, V97, P981
[4]   LATE DENERVATION IN PATIENTS WITH ANTECEDENT PARALYTIC POLIOMYELITIS [J].
CASHMAN, NR ;
MASELLI, R ;
WOLLMANN, RL ;
ROOS, R ;
SIMON, R ;
ANTEL, JP .
NEW ENGLAND JOURNAL OF MEDICINE, 1987, 317 (01) :7-12
[5]  
COELHO CA, 1991, ARCH PHYS MED REHAB, V72, P1071
[6]   A LONG-TERM FOLLOW-UP-STUDY OF PATIENTS WITH POSTPOLIOMYELITIS NEUROMUSCULAR SYMPTOMS [J].
DALAKAS, MC ;
ELDER, G ;
HALLETT, M ;
RAVITS, J ;
BAKER, M ;
PAPADOPOULOS, N ;
ALBRECHT, P ;
SEVER, J .
NEW ENGLAND JOURNAL OF MEDICINE, 1986, 314 (15) :959-963
[7]   ELECTROPHYSIOLOGIC STUDIES IN THE DIAGNOSIS AND PROGNOSIS OF MOTOR NEURON DISEASES [J].
DAUBE, JR .
NEUROLOGIC CLINICS, 1985, 3 (03) :473-493
[8]  
Hirano M., 1983, VOCAL FOLD PHYSL CON, P22
[9]  
HIRANO M, 1981, DISORDERS HUMAN COMM, P122
[10]   SWALLOWING DYSFUNCTION IN THE POSTPOLIO SYNDROME - A CINEFLUOROGRAPHIC STUDY [J].
JONES, B ;
BUCHHOLZ, DW ;
RAVICH, WJ ;
DONNER, MW .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1992, 158 (02) :283-286