Charting the recovery of dysphagia in two complex cases of post-thermal burn injury: physiological characteristics and functional outcomes

Rumbach, Anna F., Ward, Elizabeth C., Zheng, Carmen and Cornwell, Petrea (2015) Charting the recovery of dysphagia in two complex cases of post-thermal burn injury: physiological characteristics and functional outcomes. Speech Language and Hearing, 18 4: 204-211. doi:10.1179/2050572815Y.0000000002

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Author Rumbach, Anna F.
Ward, Elizabeth C.
Zheng, Carmen
Cornwell, Petrea
Title Charting the recovery of dysphagia in two complex cases of post-thermal burn injury: physiological characteristics and functional outcomes
Journal name Speech Language and Hearing   Check publisher's open access policy
ISSN 2050-571X
2050-5728
Publication date 2015-02-18
Year available 2015
Sub-type Article (original research)
DOI 10.1179/2050572815Y.0000000002
Volume 18
Issue 4
Start page 204
End page 211
Total pages 8
Place of publication Leeds, W Yorks, United Kingdom
Publisher Maney Publishing
Collection year 2016
Language eng
Formatted abstract
Purpose: This study examined the physiological deficits, recovery pattern, and outcomes observed clinically and instrumentally in two participants with dysphagia post-thermal burn.
Methods: Participants were followed prospectively using clinical and instrumental tools of assessment until dysphagia recovery. Clinical swallowing examinations were carried out every 1–2 days, or as clinically indicated. Instrumental assessment using fiberoptic endoscopic examination of swallowing was carried out at fortnightly intervals.
Results: Despite variability in the achievement of oral intake milestones, both cases demonstrated protracted recovery from dysphagia contributed to by medical instability and lengthy periods of ventilation and intubation. Instrumental assessment confirmed silent aspiration in both participants, likely owing to decreased laryngopharyngeal sensation. By discharge, participants had returned to their pre-morbid diets.
Conclusions: This study highlighted the protracted and complex recovery pattern associated with dysphagia following thermal burn injury. The presence of silent aspiration emphasizes the need for instrumental assessment to objectively assess aspiration risk and to facilitate dysphagia recovery within this population.
Keyword Dysphagia
Burn injury
Outcome
Resolution
Oral intake
fiberoptic endoscopic evaluation of swallowing
Silent aspiration
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Published online: 18 Feb 2015

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Health and Rehabilitation Sciences Publications
 
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Created: Thu, 26 Mar 2015, 09:14:37 EST by Ms Anna Rumbach on behalf of School of Health & Rehabilitation Sciences