Early comprehensive rehabilitation of patient with postoperative dysphagia
https://doi.org/10.47183/mes.2022.017
Abstract
Postoperative paresis and paralysis of the larynx, associated with breathing, voice and swallowing disorders, are actual problem of surgical treatment of the thyroid and mediastinal diseases. Traditionally, more attention is paid to phonation disorders treatment. Swallowing recovery methods are not described sufficiently. The paper reports a clinical case of early speech therapy intervention aimed at alleviating postoperative dysphagia caused by the limited flexibility of the larynx. Detailed swallowing disorder diagnosis in patient was carried out before and after the logopaedic correction of dysphagia. The main directions and results of the correctional and pedagogical work with psychological support within comprehensive rehabilitation are described. The findings confirm the need for correctional impact during the early stages of rehabilitation in case of dysphagia in surgical patients with the paresis or paralysis of the larynx.
About the Authors
O. S. Orlova
Federal Center of Brain and Neurotechnologies of Federal Medical Biological Agency; National Medical Research Center for Otorlaryngology of Federal Medical Biological Agency; Moscow Pedagogical State University
Russian Federation
Russian Federation
Moscow
M. Sh. Magomed-Eminov
Lomonosov Moscow State University
Russian Federation
Russian Federation
Moscow
D. V. Uklonskaya
Central Clinical Hospital RZD-Medicine
Russian Federation
Russian Federation
Daria V. Uklonskaya
Budayskaya, 2, Moscow, 129128
Yu. M. Zborovskaya
Lomonosov Moscow State University
Russian Federation
Russian Federation
Moscow
References
1. Reshetov IV, Polunin GV, Ananichuk AV, Ippolitov LI, Kovalenko AA. Vozmozhnosti vosstanovleniya funkcii gortani: sovremennyj podhod. Vestnik otorinolaringologii. 2017; 82 (6): 18–23. Russian.
2. Klinicheskie rekomendacii. Differencirovannyj rak shchitovidnoj zhelezy. M.: Ministerstvo zdravoohraneniya RF, 2020; 47 s. Russian.
3. Lavrova EV. Logopediya. Osnovy fonopedii. M.: V. Sekachev, 2016; 182 s. Russian.
4. Orlova OS, Uklonskaya DV. Optimizatsiya metodov korrektsionno pedagogicheskogo vozdejstviya pri narusheniyah rechi i glotaniya u lits posle hirurgicheskogo lecheniya opuholej golovy i shei. Spetsialnoe obrazovanie. 2017; 3 (47): 122–30. Russian.
5. Ikenshtejn, Guntram V. i dr. Diagnostika i lechenie nejrogennoj disfagii. Bremen-London-Boston: UNI-MED Verlag AG; 96 s. Russian.
6. Balashova IN, Belkin AA, Zueva DN. Diagnostika i lechenie disfagii pri zabolevaniyah tsentralnoj nervnoj sistemy. Klinicheskie rekomendatsii. M., 2013; 38 s. Russian.
7. Orlova OS, Uklonskaya DV, Pokrovskaya YuA, Polyakova TA, Berdnikovich ES, Minaeva OD i dr. Disfagiya u detej i vzroslyh. Logopedicheskie tekhnologii. M.: LOGOMAG, 2020; 116 s. Russian.
8. Uklonskaya D, Agaeva V, Pokrovskaya Yu. Professionalism of speech pathologist as a member of multidisciplinary team: competence in dysphagia correction. SHS Web of Conferences. 2020; (87): Art.№00066.
9. Magomed Eminov MSh, Orlova OS, Uklonskaya DV, Zborovskaya YuM. Logopedicheskaya rabota kak znachimyj aspekt rannej kompleksnoj reabilitatsii patsientov posle hirurgicheskogo lecheniya opuholej golovy i shei. Sovremennyj uchyonyj. 2020; (4): 35–40. Russian.
10. Wing-Hei Viola Yu, Che-Wei Wu. Speech therapy after thyroidectomy. Gland Surg. 2017; 6 (5): 501–9.
11. Prikaz Ministerstva zdravoohraneniya RF ot 31 iyulya 2020 g. N788n «Ob utverzhdenii Poryadka organizacii medicinskoj reabilitacii vzroslyh». Russian.
12. Dajhes NA. Mezhdisciplinarnyj podhod i novye tekhnologii v nauchno-klinicheskom razvitii otorinolaringologii. Vestnik Rossijskoj Akademii Nauk. 2021; 91 (7): 58–65. Russian.
13. Magomed-Eminov MSh. Deyatel'nostno-smyslovoj podhod k psihologicheskoj transformacii lichnosti [dissertaciya]. M., 2009. Russian.
14. Lelyuk SA, Uklonskaya DV, Reshetov DN, Sokolova OB, Timchenko IV, Hohlov IA, Matveeva SP, avtory; Lelyuk SA, Uklonskaya DV, patentoobladateli. Sposob diagnostiki nejrogennoj perifericheskoj disfagii pri ogranicheniyah podvizhnosti gortani pod kontrolem transnazal'noj endoskopicheskoj laringoskopii. Patent RF № RU 2748545 C1. 26.05.2021. Russian.
15. Malagelada J, Bazzoli F, Boeckxstaens G, De Looze D, Fried M, Kahrilas P i dr. Disfagiya. Global'nye prakticheskie rekomendacii i Kaskady. Obnovlenie Sentyabr' 2014. Vsemirnaya gastroenterologicheskaya organizaciya, 2014; 25 s. Russian.
Review
For citations:
Orlova O.S., Magomed-Eminov M.Sh., Uklonskaya D.V., Zborovskaya Yu.M. Early comprehensive rehabilitation of patient with postoperative dysphagia. Extreme Medicine. 2022;24(2):101-105. https://doi.org/10.47183/mes.2022.017
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