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Journal of the Korean Academy of Rehabilitation Medicine 2006;30(1):7-12.
Usefulness of Scintigraphic Swallowing Study in Brain Injury Patients with Laryngeal Aspiration.
Lee, Ju Kang , Lim, Oh Kyung , Yim, Yoon Myung , Chung, Seu Reon , Bae, Keun Hwan , Kim, Sung Hwan , Lee, Kwang Lae , Choe, Won Sick
1Department of Physical Medicine and Rehabilitation, Gachon Medical School. pm@gilhospital.com
2Department of Nuclear Medicine, Gachon Medical School.
기도흡인이 있는 뇌손상 환자에서 핵의학 연하검사의 유용성
이주강, 임오경, 임윤명, 정스런, 배근환, 김성환, 이광래, 최원식1
가천의과대학교 재활의학과, 1핵의학과
Abstract
Objective
We investigated the usefulness of the scintigraphic swallowing study in selecting the patients with low risk of aspiration pneumonia among those who showed small amount of laryngeal aspiration in videofluoroscopy.
Method
Scintigraphic swallowing study was performed in 22 patients with brain injury who showed small amount of laryngeal aspiration in videofluoroscopy. Oral feeding was tried in the patients who showed airway clearing function or no aspiration in scintigraphic swallowing study, and they were followed up for possible aspiration pneumonia.
Results
Total of sixteen patients showed no aspiration in scintigraphic swallowing study. Five patients showed laryn-geal aspiration, but preserved airway clearing function. One patient showed impairment of airway clearing function. Oral feeding was tried in 21 patients. Oral feeding was successful in 18 of 21 patients but not in 3 patients because of dysphagia or cough. Only 1 patient developed pneumonia after 246 days of follow up.
Conclusion
Scintigraphic swallowing study is useful to select the patients with low risk of aspiration pneumonia among the patients who showed small amount of laryngeal aspiration in videofluoroscopy. (J Korean Acad Rehab Med 2006; 30: 7-12)
Key Words: Scintigraphy, Videofluoroscopy, Laryngeal aspiration, Pneumonia


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