Silent saliva aspiration in Parkinson's disease
Identifieur interne : 001382 ( Main/Exploration ); précédent : 001381; suivant : 001383Silent saliva aspiration in Parkinson's disease
Auteurs : Bernardo Rodrigues [Brésil] ; Ana Caline N Brega [Brésil] ; Marília Sampaio [Brésil] ; Natalie Argolo [Brésil] ; Ailton Melo [Brésil]Source :
- Movement Disorders [ 0885-3185 ] ; 2011-01.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Aspiration, Deglutition Disorders (diagnosis), Deglutition Disorders (etiology), Dysphagia, Endoscopes, Female, Humans, Male, Middle Aged, Nervous system diseases, Parkinson Disease (complications), Parkinson disease, Parkinson's disease, Saliva, Saliva (metabolism), Sialorrhea, Sialorrhea (diagnosis), Sialorrhea (etiology), Statistics, Nonparametric, dysphagia, laryngeal penetration, saliva aspiration, sialorrhea, silent aspiration, swallowing disorders.
- MESH :
- complications : Parkinson Disease.
- diagnosis : Deglutition Disorders, Sialorrhea.
- etiology : Deglutition Disorders, Sialorrhea.
- metabolism : Saliva.
- Aged, Aged, 80 and over, Endoscopes, Female, Humans, Male, Middle Aged, Statistics, Nonparametric.
Abstract
Background: Silent laryngeal penetration and silent aspiration (SLP/SA) are common manifestations in Parkinson's disease (PD) patients and are frequently associated with dysphagia. However, little is known about saliva aspiration in this population. Objective: We investigated the frequency and characteristics of saliva SLP/SA in PD patients with daily drooling (Group A) and in individuals without PD or daily drooling (Group B). Method: Both groups were evaluated by fiberoptic endoscopic evaluation of swallowing (FEES) after dyeing the oral cavity with blue dye. The oropharynx was assessed for the presence of the stasis of saliva, and sensitivity was tested by direct tactile stimuli. Results: PD patients (n = 28) and controls (n = 18) were evaluated. We observed silent aspiration of saliva in 10.7% and silent laryngeal penetration of saliva near the vocal folds in 28.6% of Group A; however, none of these events was observed in Group B. Sensitivity in the epiglottis and posterior wall of the hypopharynx was decreased in 89.2% of Group A and in 33.3% of Group B, whereas in the aryepiglottic folds and interarytenoid area, a decrease in sensitivity was observed in 92.8% and in 44.4% of Groups A and B, respectively. Conclusion: Silent aspiration and laryngeal penetration of saliva are common features in PD patients with daily drooling. The presence of hypoesthesia of the laryngeal structures and the lack of protective reflexes in such patients may play a major role in the mechanisms of SLP/SA. © 2010 Movement Disorder Society.
Url:
DOI: 10.1002/mds.23301
Affiliations:
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Le document en format XML
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Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2011-01">2011-01</date><biblScope unit="vol">26</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="138">138</biblScope><biblScope unit="page" to="141">141</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">4E3E2FF1451E278E816B920CA8D673FA078827C5</idno><idno type="DOI">10.1002/mds.23301</idno><idno type="ArticleID">MDS23301</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Aspiration</term><term>Deglutition Disorders (diagnosis)</term><term>Deglutition Disorders (etiology)</term><term>Dysphagia</term><term>Endoscopes</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Nervous system diseases</term><term>Parkinson Disease (complications)</term><term>Parkinson disease</term><term>Parkinson's disease</term><term>Saliva</term><term>Saliva (metabolism)</term><term>Sialorrhea</term><term>Sialorrhea (diagnosis)</term><term>Sialorrhea (etiology)</term><term>Statistics, Nonparametric</term><term>dysphagia</term><term>laryngeal penetration</term><term>saliva aspiration</term><term>sialorrhea</term><term>silent aspiration</term><term>swallowing disorders</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Deglutition Disorders</term><term>Sialorrhea</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Deglutition Disorders</term><term>Sialorrhea</term></keywords><keywords scheme="MESH" qualifier="metabolism" xml:lang="en"><term>Saliva</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Endoscopes</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Statistics, Nonparametric</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Aspiration</term><term>Dysphagie</term><term>Maladie de Parkinson</term><term>Pathologie du système nerveux</term><term>Salive</term><term>Sialorrhée</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background: Silent laryngeal penetration and silent aspiration (SLP/SA) are common manifestations in Parkinson's disease (PD) patients and are frequently associated with dysphagia. However, little is known about saliva aspiration in this population. Objective: We investigated the frequency and characteristics of saliva SLP/SA in PD patients with daily drooling (Group A) and in individuals without PD or daily drooling (Group B). Method: Both groups were evaluated by fiberoptic endoscopic evaluation of swallowing (FEES) after dyeing the oral cavity with blue dye. The oropharynx was assessed for the presence of the stasis of saliva, and sensitivity was tested by direct tactile stimuli. Results: PD patients (n = 28) and controls (n = 18) were evaluated. We observed silent aspiration of saliva in 10.7% and silent laryngeal penetration of saliva near the vocal folds in 28.6% of Group A; however, none of these events was observed in Group B. Sensitivity in the epiglottis and posterior wall of the hypopharynx was decreased in 89.2% of Group A and in 33.3% of Group B, whereas in the aryepiglottic folds and interarytenoid area, a decrease in sensitivity was observed in 92.8% and in 44.4% of Groups A and B, respectively. Conclusion: Silent aspiration and laryngeal penetration of saliva are common features in PD patients with daily drooling. The presence of hypoesthesia of the laryngeal structures and the lack of protective reflexes in such patients may play a major role in the mechanisms of SLP/SA. © 2010 Movement Disorder Society.</div></front></TEI><affiliations><list><country><li>Brésil</li></country><region><li>Bahia</li></region></list><tree><country name="Brésil"><region name="Bahia"><name sortKey="Rodrigues, Bernardo" sort="Rodrigues, Bernardo" uniqKey="Rodrigues B" first="Bernardo" last="Rodrigues">Bernardo Rodrigues</name></region><name sortKey="Argolo, Natalie" sort="Argolo, Natalie" uniqKey="Argolo N" first="Natalie" last="Argolo">Natalie Argolo</name><name sortKey="Melo, Ailton" sort="Melo, Ailton" uniqKey="Melo A" first="Ailton" last="Melo">Ailton Melo</name><name sortKey="N Brega, Ana Caline" sort="N Brega, Ana Caline" uniqKey="N Brega A" first="Ana Caline" last="N Brega">Ana Caline N Brega</name><name sortKey="Sampaio, Marilia" sort="Sampaio, Marilia" uniqKey="Sampaio M" first="Marília" last="Sampaio">Marília Sampaio</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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