Application of Passy-Muir Valve Based on Comprehensive Swallowing Training for Child post Tracheotomy: A Case Report
10.3969/j.issn.1006-9771.2015.11.018
- VernacularTitle:说话瓣膜配合综合性吞咽康复在气管切开后患儿中的应用1例报道
- Author:
Chunqing XIE
;
Hongmei WEN
;
Guifang WAN
;
Huixiang WU
;
Zulin DOU
- Publication Type:Journal Article
- Keywords:
tracheotomy;
dysphagia;
cricopharyngeal achalasia;
Passy-Muir valve;
rehabilitation
- From:
Chinese Journal of Rehabilitation Theory and Practice
2015;(11):1315-1318
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the rehabilitation for dysphagia in young patient after tracheotomy and cricopharyngeal achalasia with-out cough reflex. Methods A child was reviewed, who accepted tracheotomy after resection of cerebellar pilocytic astrocytoma for dyspha-gia. The features characterized as severe silent aspiration and failure of cricopharyngeus muscle relaxation. Therapies included Passy-Muir valve placement, breathing exercises, balloon dilatation, surface electromyography biofeedback, and electrical stimulation. Results The aspi-ration was observed when she drank thin liquid with weak cough reflex, and disappeared as eating thick liquid and paste food, with complete cricopharyngeus muscle opening, 7 weeks after treatment. She was removed the tracheotomy tube and nasal feeding tube 11 weeks after treatment, and got sufficient nutrition by fully oral intake. Conclusion The application of Passy-Muir valve and comprehensive swallowing training is helpful for patient post tracheotomy with silent aspiration in decreasing the risk of aspiration, improving cough reflex and prompt-ing swallowing function.
