The objective of the study was to assess the effectiveness of a dedicated and specialist team (otolaryngologist, phoniatrician, speech therapist) in the management of patients with severe neurological impairments of the upper air- and digestive routes. Methods: Fifty-one subjects with neurological impairment of the upper airways and digestive tract, due to either central or peripheral causes, who underwent tracheotomy if needed, were recruited at a tertiary University Hospital. Two different rehabilitative approaches were used: classical approach (CA), where a specialist ENT consultation was requested by the professionals if needed; and a selective approach (SA) where a specialist team directly followed and monitored the different phases of management and rehabilitation. Different temporal parameters, in relation to tracheotomy, fenestration of the tracheal tube and decannulation time, have been taken into account and compared between these two approaches. Results: The decannulation time, the management of the tracheal tube and the recovery of the swallowing function were significantly shorter in patients who were treated according to the SA (p<0.05). The presence of the tracheal tube and the site of the damage did not affect the outcome in the different study groups (p>0.05). Conclusions: A dedicated team provides the optimal approach for the rehabilitation of patients with neurological oro-pharyngo-laryngeal dysfunctions. By reducing inpatient hospitalization, this approach may improve the quality of life of these patients and lower associated health care costs.
Selective rehabilitative approach to neurological dysfunctions of the pro-pharyngo-laryngeal trivium / A., Bianchi; Barbara, Maurizio; Monini, Simonetta. - In: ACTA OTO-LARYNGOLOGICA. - ISSN 0001-6489. - STAMPA. - 134(2014), pp. 1172-1178. [10.3109/00016489.2014.936626]
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|Titolo:||Selective rehabilitative approach to neurological dysfunctions of the pro-pharyngo-laryngeal trivium|
|Data di pubblicazione:||2014|
|Citazione:||Selective rehabilitative approach to neurological dysfunctions of the pro-pharyngo-laryngeal trivium / A., Bianchi; Barbara, Maurizio; Monini, Simonetta. - In: ACTA OTO-LARYNGOLOGICA. - ISSN 0001-6489. - STAMPA. - 134(2014), pp. 1172-1178. [10.3109/00016489.2014.936626]|
|Appartiene alla tipologia:||01a Articolo in rivista|