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Grosso M, Duce V, Fattori B, et al. The Value of Oro-Pharyngo-Esophageal Scintigraphy in the Management of Patients with Aspiration into the Tracheo-bronchial Tree and Consequent Dysphagia. N Am J Med Sci. 2015;7(11):533-6doi: 10.4103/1947-2714.170628.
Grosso, M., Duce, V., Fattori, B., Bruschini, L., Meniconi, M., Raschillà, R., Cocco, F., Locantore, L., Guidoccio, F., Orsini, F., Massri, K., Volterrani, D., & Rubello, D. (2015). The Value of Oro-Pharyngo-Esophageal Scintigraphy in the Management of Patients with Aspiration into the Tracheo-bronchial Tree and Consequent Dysphagia. North American journal of medical sciences, 7(11), 533-6. https://doi.org/10.4103/1947-2714.170628
Grosso, Mariano, et al. "The Value of Oro-Pharyngo-Esophageal Scintigraphy in the Management of Patients with Aspiration into the Tracheo-bronchial Tree and Consequent Dysphagia." North American journal of medical sciences vol. 7,11 (2015): 533-6. doi: https://doi.org/10.4103/1947-2714.170628
Grosso M, Duce V, Fattori B, Bruschini L, Meniconi M, Raschillà R, Cocco F, Locantore L, Guidoccio F, Orsini F, Massri K, Volterrani D, Rubello D. The Value of Oro-Pharyngo-Esophageal Scintigraphy in the Management of Patients with Aspiration into the Tracheo-bronchial Tree and Consequent Dysphagia. N Am J Med Sci. 2015 Nov;7(11):533-6. doi: 10.4103/1947-2714.170628. PMID: 26713303; PMCID: PMC4683810.
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N Am J Med Sci. 2015 Nov;7(11):533-6. doi: 10.4103/1947-2714.170628.

The Value of Oro-Pharyngo-Esophageal Scintigraphy in the Management of Patients with Aspiration into the Tracheo-bronchial Tree and Consequent Dysphagia.

North American journal of medical sciences

Mariano Grosso, Valerio Duce, Bruno Fattori, Luca Bruschini, Martina Meniconi, Rosanna Raschillà, Fabiola Cocco, Luisa Locantore, Federica Guidoccio, Federica Orsini, Katrin Massri, Duccio Volterrani, Domenico Rubello

Affiliations

  1. Regional Center of Nuclear Medicine, University of Pisa and University Hospital of Pisa, Pisa, Italy.
  2. Ear, Nose and Throat Audiology Phoniatrics Unit, University Hospital of Pisa, Pisa, Italy.
  3. Otorhinolaryngology Unit, University Hospital of Pisa, Pisa, Italy.
  4. Department of Nuclear Medicine, Santa Maria della Carità Hospital, Novara, Italy.
  5. Department of Nuclear Medicine, Santa Maria della Misericordia Hospital, Rovigo, Italy.

PMID: 26713303 PMCID: PMC4683810 DOI: 10.4103/1947-2714.170628

Abstract

CONTEXT: Tracheo-bronchial aspiration is the most invalidating condition which can happen to patients affected by dysphagia, especially when caused by central neurologic disorders; the associated pneumonia episodes represent the most frequent cause of death in these patients. Oro-pharyngo-esophageal scintigraphy (OPES) allows both functional imaging and semiquantitative evaluation of the subsequent phases of swallowing.

CASE REPORT: We evaluated by means of OPES a woman who had previously undergone high-dose external beam radiation therapy for a nasopharyngeal carcinoma, which determined tissue fibrosis and progressive dysphagia.

CONCLUSION: In this patient with dysphagia, OPES was a simple, inexpensive, noninvasive, and reliable technique that allowed to show the presence of bolus aspiration and quantified tracheobronchial aspirate.

Keywords: Dysphagia; inhalation into tracheobronchial tree; management of aspiration; oro-pharyngo-esophageal scintigraphy

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