Botulinum Toxin Injection in the Treatment of Postextubation Dysphagia: A Case Report

Prolonged intubation is known to bring on postextubation dysphagia (PED) in some patients. We have noted that there were some studies to investigate specific type and pattern of PED, which showed large variety of different swallowing abnormalities as mechanisms of PED that are multifactorial. There...

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Bibliographic Details
Published inAnnals of rehabilitation medicine Vol. 42; no. 2; pp. 358 - 362
Main Authors Kim, Byung Wook, Kim, Hee-Ju, Hyun, Jung Keun, Kim, Seo Young, Kim, Tae Uk
Format Journal Article
LanguageEnglish
Published Korea (South) Korean Academy of Rehabilitation Medicine 01.04.2018
대한재활의학회
Subjects
Botulinum toxin
Case Report
Deglutition disorders
Endotracheal intubation
재활의학
Botulinum toxin
Deglutition disorders
Endotracheal intubation
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Summary:Prolonged intubation is known to bring on postextubation dysphagia (PED) in some patients. We have noted that there were some studies to investigate specific type and pattern of PED, which showed large variety of different swallowing abnormalities as mechanisms of PED that are multifactorial. There are several options of treatment in accordance with the management of these abnormalities. A botulinum toxin (BoT) injection into the upper esophageal sphincter (UES) can improve swallowing functions for patients with this disorder, by working to help the muscle relax. In this case, the conventional treatment was not effective in patients with PED, whereas the BoT injection made a great improvement for these patients. This study suggests that the UES pathology could be the main cause of PED.
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ISSN:2234-0645
2234-0653
DOI:10.5535/arm.2018.42.2.358