Abstract
Endotracheal intubation and tracheostomy are common artificial airway procedures done for ventilation and tracheobronchial toileting. They are most commonly seen in the intensive care setting and patients with head and neck cancers. From a functional point of view, the artificial airway appliances disrupt the normal coordinated physiology of swallowing in many ways. Patients who have recently been extubated or decannulated can have dysphagia for a variable amount of time. Several patient factors like concomitant neurological disorders and preexisting swallowing difficulties contribute to the development of dysphagia. However, in the present literature, there is a lack of consensus with regard to the incidence of airway appliance dysphagia and magnitude of the problem. Treatment guidelines are emerging, and patients may benefit from an individual case-by-case approach.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Skoretz SA, Flowers HL, Martino R. The incidence of dysphagia following endotracheal intubation: a systematic review. Chest J. 2010;137:665–73.
Leder SB, Cohn SM, Moller BA. Fiberoptic endoscopic documentation of the high incidence of aspiration following extubation in critically ill trauma patients. Dysphagia. 1998;13:208–12.
Carmona AF, Guarasa IM, RodrÃguez RG, López PM, Castellanos MD. Dysphagia following prolonged mechanical ventilation and tracheostomy in critical ill patients. Results of edisval study pilot phase. Intensive Care Med Exp. 2015;3:A677.
Muz J, Mathog RH, Nelson R, Jones LA. Aspiration in patients with head and neck cancer and tracheostomy. Am J Otolaryngol. 1989;10:282–6.
Leder SB, Ross DA. Investigation of the causal relationship between tracheotomy and aspiration in the acute care setting. Laryngoscope. 2000;110:641–4.
Brodsky MB, Gellar JE, Dinglas VD, Colantuoni E, Mendez-Tellez PA, Shanholtz C, Palmer JB, Needham DM. Duration of oral endotracheal intubation is associated with dysphagia symptoms in acute lung injury patients. J Crit Care. 2014;29:574–9.
Bonanno PC. Swallowing dysfunction after tracheostomy. Ann Surg. 1971;174:29.
Sasaki CT, Suzuki M, Horiuchi M, Kirchner JA. The effect of tracheostomy on the laryngeal closure reflex. Laryngoscope. 1977;87:1428–33.
Ding R, Logemann JA. Swallow physiology in patients with trach cuff inflated or deflated: a retrospective study. Head Neck. 2005;27:809–13.
Dettelbach MA, Gross RD, Mahlmann J, Eibling DE. Effects of the Passy-Muir valve on aspiration in patients with tracheostomy. Head Neck. 1995;17:297–302.
Elpern EH, Borkgren Okonek M, Bacon M, Gerstung C, Skrzynski M. Effect of the Passy-Muir tracheostomy speaking valve on pulmonary aspiration in adults. Heart Lung. 2000;29:287–93.
Gross RD, Mahlmann J, Grayhack JP. Physiologic effects of open and closed tracheostomy tubes on the pharyngeal swallow. Ann Otol Rhinol Laryngol. 2003;112:143–52.
Leder SB, Tarro JM, Burrell MI. Effect of occlusion of a tracheotomy tube on aspiration. Dysphagia. 1996;11:254–8.
Kang JY, Choi KH, Yun GJ, Kim MY, Ryu JS. Does removal of tracheostomy affect dysphagia? A kinematic analysis. Dysphagia. 2012;27:498–503.
Leder SB, Joe JK, Ross DA, Coelho DH, Mendes J. Presence of a tracheotomy tube and aspiration status in early, postsurgical head and neck cancer patients. Head Neck. 2005;27:757–61.
Donzelli J, Brady S, Wesling M, Theisen M. Effects of the removal of the tracheotomy tube on swallowing during the fiberoptic endoscopic exam of the swallow (FEES). Dysphagia. 2005;20:283–9.
MA DVITA, Spierer-rundback L. Swallowing disorders in patients with prolonged orotracheal intubation or tracheostomy tubes. Crit Care Med. 1990;18:1328–30.
Suiter DM, McCullough GH, Powell PW. Effects of cuff deflation and one-way tracheostomy speaking valve placement on swallow physiology. Dysphagia. 2003;18:284–92.
Mah JW, Staff II, Fisher SR, Butler KL. Improving decannulation and swallowing function: a comprehensive, multidisciplinary approach to post-tracheostomy care. Respir Care. 2017;62:137–43.
Goldsmith T. Evaluation and treatment of swallowing disorders following endotracheal intubation and tracheostomy. Int Anesthesiol Clin. 2000;38(3):219–42.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer Nature Singapore Pte Ltd.
About this chapter
Cite this chapter
Balasubramanian, D. (2018). Tracheostomy and Intubation-Related Dysphagia. In: Thankappan, K., Iyer, S., Menon, J. (eds) Dysphagia Management in Head and Neck Cancers. Springer, Singapore. https://doi.org/10.1007/978-981-10-8282-5_25
Download citation
DOI: https://doi.org/10.1007/978-981-10-8282-5_25
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-10-8281-8
Online ISBN: 978-981-10-8282-5
eBook Packages: MedicineMedicine (R0)