臨床神経学

<シンポジウム22―1>難治性嚥下障害に対する治療戦略

難治性嚥下障害に対する治療戦略
―総論,リハビリテーション,手術―

藤島 一郎

浜松市リハビリテーション病院〔〒433―8511 浜松市中区和合町1327―1〕

Treatment and management for severe dysphagia consist of medication, rehabilitation and surgery. It is important to understand the prognosis of causative disease and dysphagia. The use of drug for dysphagia is restrictive and not so effective. Rehabilitation is widely applied. Restorative training is for acute cerebrovascular disorders and compensatory methods are used for chronic stage and/or progressive dysphagia. Surgical intervention, such as cricopharyngeal myotomy and laryngeal suspension is directed to get functional recovery. On the other hand tracheoesophageal diversion and laryngeal closure and so on are intended to prevent evere aspiration.
Full Text of this Article in Japanese PDF (218K)

(臨床神経, 51:1066−1068, 2011)
key words:嚥下障害,薬物治療,リハビリテーション,手術

(受付日:2011年5月20日)