Abnormal sensation in the pharyngo-laryngeal region of senile patients.

概要

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The causative lesion in patients complaining of abnormal sensation in the throat is often obscure because of the difficulty in precise diagnosis. Swallowing function is thought to deteriorate with age from normal to i) a feeling of an abnormal throat sensation, and ii) a frank swallowing disorder. Patients were categorized age-wise, into three main groups, i) 40-50, ii) 50-60 and iii) 60 and above. In the last group were included controls. Pharyngo-larynx was examined by laryngoscopy and contrast barium studies. Compared to the patients in the younger age groups, some patients above 60 years were found to have a higher incidence of inflammatory lesions in the laryngopharynx, barium retention in the piriform sinus, vallecular space and the supra-glottic surface of the cords; a few had slight aspiration of the barium. Patients in the 60-above group showed improvement in their swallowing with drugs which improve cerebral metabolism and circulation. It was found that adding this therapy improves abnormal throat sensation in those senile patients who had swallowing dysfunction. In conclusion, there appear to be a high rate of functional swallowing disturbance among senile patients with abnormal sensation in the throat.
特定非営利活動法人日本気管食道科学会の論文