内視鏡ビデオスコピーによる重症心身障害児（者）における喉頭部異常の臨床的検討

• 水野 勇司

  国立病院機構福岡東医療センター小児科

• スビヤント ケイジ

  国立病院機構福岡東医療センター小児科

• 笹月 桃子

  国立病院機構福岡東医療センター小児科

• 坂本 慶

  国立病院機構福岡東医療センター小児科

• 相部 美由紀

  国立病院機構福岡東医療センター小児科

書誌事項

タイトル別名

• Videofiberscopic Study of Laryngeal Abnormalities in Patients with Severe Motor and Intellectual Disabilities

抄録

A total of 43 patients with severe motor and intellectual disabilities were enrolled in videofiberscopic investigation of laryngeal abnormalities. Their ages ranged from 2 to 41 years (mean: 19.9 years) and all of them had severe quadriplegia due to cerebral palsy or other conditions. Thirty-two out of the 43 patients (74.4%) had laryngeal abnormalities; laryngeal stenosis including that of iatrogenic origin, hypersecretion and laryngomalacia. Direct visualization of the occurrence of aspiration could be achieved in some patients. Seven (87.5%) out of 8 patients with tracheostomy and 25 (71.4%) out of 35 patients without tracheostomy had laryngeal abnormalities, showing no significant difference. The prevalence of abnormalities was significantly higher in patients with parenteral nutrition (30/33=90.9%) than in those with oral feeding (2/10=20%). Endoscopic investigation of the larynx is important, and videofiberscopy is especially effective for evaluation of laryngeal abnormalities in severely handicapped patients.

収録刊行物

• 脳と発達

  脳と発達 40 (6), 456-459, 2008

  THE JAPANESE SOCIETY OF CHILD NEUROLOGY

キーワード

• 重症心身障害児 (者)
• 喉頭狭窄
• 喉頭軟化症
• 内視鏡ビデオスコピ

詳細情報

• CRID: 1390001204552550528
• NII論文ID: 130004184029
• NII論文ID: 10024845701
• NII書誌ID: AN0020232X
• DOI: 10.11251/ojjscn1969.40.456
• ISSN: 18847668
• ISSN: 00290831
• Web Site: https://search.jamas.or.jp/link/ui/2009038590
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可