Dysphagie: Aktuelle Aspekte in Diagnostik und Therapie View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2001-09

AUTHORS

Doris-Maria Denk, W. Bigenzahn

ABSTRACT

Grundlagen: Oropharyngeale Dysphagien mit Aspiration können neben einer Beeinträchtung der Lebensqualität zu potentiell lebensbedrohlichen Komplikationen wie Malnutrition, Dehydration oder Aspirationspneumonie führen. Voraussetzung für ein adäquates Management dysphagischer Patienten ist eine exakte Diagnostik sowie die Kenntnis der therapeutischen Möglichkeiten. Methodik: Wesentliche Richtlinien für Diagnostik und Therapie oropharyngealer Dysphagien werden auf der Basis eigener Erfahrungen und anhand der Literatur dargestellt. Ergebnisse: Die erforderliche Basisdiagnostik umfasst die komplementären dynamischen Untersuchungsmethoden der Videoendoskopie sowie der Röntgenvideokinematographie des Schluckaktes. Im Zentrum der Diagnostik steht der Nachweis oder Ausschluss einer Aspiration. Erst die Kenntnis des individuellen Störungsprofils ermöglicht den gezielten Einsatz funktioneller oder chirurgischer Schlucktherapien. Schlussfolgerungen: Das Symptom Dysphagie erfordert eine schluckzentrierte HNO-ärztlich/phoniatrische Diagnostik, die bei Bedarf andere Fachdisziplinen miteinbeziehen muss. Entscheidend für die Prognose einer Schluckstörung ist ein möglichst früher Therapiebeginn. Neben den Möglichkeiten einer funktionellen Schlucktherapie sollten auch deren Limitationen bei der Therapieplanung berücksichtigt werden. More... »

PAGES

241-246

Journal

TITLE

European Surgery

ISSUE

5

VOLUME

33

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/bf02950336

DOI

http://dx.doi.org/10.1007/bf02950336

DIMENSIONS

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