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Management oropharyngealer Dysphagien

Eine Standortbestimmmung

Management of oropharyngeal dysphagia

Current status

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Zusammenfassung

Diagnostik und Therapie oropharyngealer Schluckstörungen fallen in die fachliche Kompetenz von HNO-Heilkunde, Phoniatrie und Logopädie. Aufgrund der ätiologischen Vielfalt ist in vielen Fällen ein interdiszplinäres Management vonnöten. Neben einer schluckzentrierten Anamnese ermöglichen die dynamischen Untersuchungsverfahren von Videoendoskopie und Röntgenvideokinematographie des Schluckaktes eine morphologische und funktionelle Analyse des Schluckaktes. Durch die endoskopische Schluckdiagnostik vermag der HNO-Arzt/Phoniater den Schluckakt zu beurteilen, die weiteren erforderlichen diagnostischen Schritte zu veranlassen, eine Therapie einzuleiten und adäquate Ernährung (oral, nonoral) zu empfehlen. Daher sind im klinischen Alltag für den HNO-Arzt/Phoniater Kenntnisse über Untersuchung und Behandlung von Schluckstörungen unverzichtbar.

Abstract

The diagnostics and therapy of oropharyngeal dysphagia fall within the competence of ENT, phoniatrics and speech language pathology. Due to etiologic diversity, interdisciplinary management is necessary in many cases. After taking a thorough history, focused on swallowing, dynamic instrumental examination methods, i.e. videoendoscopic and videofluoroscopic swallowing studies, allow an evaluation of the morphology and function of the act of swallowing. Videoendoscopic swallowing studies enable the ENT specialist/phoniatrician to decide on further diagnostic steps, to establish a therapy and to recommend the type of feeding (oral, non-oral). Therefore, in clinical routine, knowledge of the diagnostics and therapy of swallowing disorders is indispensable for the ENT specialist/phoniatrician.

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Authors and Affiliations

  1. Klinische Abteilung Phoniatrie-Logopädie, Univ.-HNO-Klinik Wien

    D.-M. Denk & W. Bigenzahn

  2. Klin. Abteilung Phoniatrie-Logopädie, Univ.-HNO-Klinik Wien, Währinger Gürtel 18–20, A-1090, Wien

    D.-M. Denk

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  1. D.-M. Denk
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  2. W. Bigenzahn
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Correspondence to D.-M. Denk.

Additional information

Auszugsweise vorgetragen im Kurs „Oropharyngeale Dysphagien“, 75. Jahresversammlung der Deutschen Gesellschaft für Hals-, Nasen- und Ohrenheilkunde, Kopf-und Halschirurgie, Bad-Reichenhall, 2004, und im Kurs „Systematische Einführung in die Kehlkopfchirurgie“, HNO-Klinik der Universität zu Köln, 2004.

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Denk, DM., Bigenzahn, W. Management oropharyngealer Dysphagien. HNO 53, 661–672 (2005). https://doi.org/10.1007/s00106-005-1284-4

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