Listy klinické logopedie 2024, 8(1):11-17 | DOI: 10.36833/lkl.2024.003727

Severe Oropharyngeal Dysphagia due to Laryngeal Neuropathy: Case Report

Ema Číčelová, Lukáš Varga1, Žofia Frajková1
Mgr. Ema Číčelová, doc. MUDr. RNDr. Lukáš Varga, Ph.D., PhDr. Žofia Frajková, Ph.D., Klinika otorinolaryngológie a chirurgie hlavy a krku LFUK a UNB, Antolská 11, 851 07 Bratislava, Slovenská republika. E-mail: ema.mojzis@gmail.com.

Unilateral laryngeal paresis can lead to dysphonia as well as respiratory and swallowing deficits. The pathomechanism of swallowing dysfunction in unilateral laryngeal paresis is decreased sensitivity of supraglottic structures, impaired protective function of reflexive cough and weakening of the upper oesophageal sphincter muscles. The subject of this case report is an 85-year-old man with unilateral laryngeal paresis, developed after gastrofibroscopy, with signs of severe oropharyngeal dysphagia leading to aspiration pneumonia. The patient was managed by a dysphagiology team leading the diagnostic and therapeutic process. This case study describes the pathomechanism of deglutition disorder in unilateral laryngeal paresis, its possible causes (iatrogenic or postinfectious) and the therapeutic process utilising compensatory and restitution techniques and expiratory muscle strength training in restoring peroral intake.

Keywords: case report, pneumonia, deglutition disorders, vocal cord paralysis

Received: February 20, 2024; Revised: March 26, 2024; Accepted: April 5, 2024; Published: June 14, 2024  Show citation

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Číčelová E, Varga L, Frajková Ž. Severe Oropharyngeal Dysphagia due to Laryngeal Neuropathy: Case Report. Listy klinické logopedie. 2024;8(1):11-17. doi: 10.36833/lkl.2024.003.
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