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Análise ultrassonográfica da distância do osso hioide em indivíduos com disfagia orofaríngea neurogênica

Ultrasonographic analysis of the hyoid bone distance in individuals with neurogenic oropharyngeal dysphagia

Simone Galli Rocha Bragato; Roberta Gonçalves da Silva; Larissa Cristina Berti

http://dx.doi.org/10.1590/2317-1782/20242022074 CoDAS, vol.36, n3, e20220074, 2024
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Resumo

Comparar a medida ultrassonográfica de distância da aproximação do osso hioide no momento do pico máximo da deglutição entre indivíduos saudáveis e disfágicos neurogênicos e verificar o efeito das consistências do alimento no deslocamento do osso hioide. Estudo clínico prospectivo controlado. Foram realizadas avaliações ultrassonográficas da deglutição orofaríngea em 10 adultos com diagnóstico de disfagia orofaríngea e 10 adultos saudáveis, pareados por sexo e faixa etária. Para tanto, foi utilizado ultrassom portátil com transdutor microconvex 5-10 MHz, além de estabilizador de cabeça. As imagens ultrassonográficas foram gravadas pelo software Articulate Assistant Advanced a uma taxa de 120 quadros/segundo. Foram utilizadas as consistências de alimentos nível 0 (volume livre e 5 mL) e nível 4 (5 mL), conforme as recomendações do International Dysphagia Diet Standardisation Initiative. A distância foi mensurada no momento do pico máximo da deglutição entre a parte inferior do osso hioide e a inserção do músculo milo-hioideo. Cálculos de média e o desvio padrão foram utilizados na análise descritiva, enquanto o teste ANOVA de medidas repetidas foi aplicado na análise inferencial.Resultados evidenciaram que indivíduos disfágicos apresentaram menor elevação do osso hioide, marcada por maior distância da aproximação do osso hioide no momento do pico máximo da deglutição quando comparados aos indivíduos saudáveis, independentemente da consistência alimentar ofertada. Concluiu-se que a medida ultrassonográfica de distância da aproximação do osso hioide no momento do pico máximo da deglutição mostrou menor elevação laríngea em indivíduos com disfagia orofaríngea neurogênica quando comparados aos indivíduos saudáveis para todas as consistências alimentares ofertadas.

Palavras-chave

Deglutição; Ultrassonografia; Osso Hióide; Transtornos de Deglutição; Ultrassom

Abstract

To compare the ultrasound measurement of distance from the approximation of the hyoid bone during of the maximum deglutition peak between healthy individuals and neurogenic dysphagic individuals and to verify the effect of food consistencies on the displacement of the hyoid bone. Prospective, controlled clinical study. Ultrasound recordings of the oropharyngeal deglutition were conducted in 10 adults diagnosed with oropharyngeal dysphagia and in 10 healthy adults, matched by sex and age group. A portable ultrasound model Micro ultrasound system with a microconvex transducer 5-10 MHz, coupled to a computer as well as the head stabilizer were used. The ultrasound images were recorded using the AAA software (Articulate Assistant Advanced) at a rate of 120 frames/second. Food consistencies level 0 (free volume and 5 mL) and level 4 (5 mL) were used, based on the International Dysphagia Diet Standardisation Initiative (IDSSI). The calculation of the mean and standard deviation was used for the descriptive analysis, while the repeated measures ANOVA test was used for the inferential analysis. Results showed dysphagic individuals had lower elevation of the hyoid bone marked by a longer distance from the approximation of the hyoid bone during of the maximum deglutition peak when compared to healthy individuals, regardless of the food consistency offered. It was concluded that the ultrasound measurement of distance from the approximation of the hyoid bone during of the maximum deglutition peak showed less laryngeal elevation in individuals with neurogenic oropharyngeal dysphagia when compared to healthy individuals for all food consistencies offered.

Keywords

Deglutition; Ultrasonography; Hyoid Bone; Deglutition Disorders; Ultrasonics

References

  1. Sonies BC. Ultrasound imaging and swallowing. In: Jones B, Donner M, editors. Normal and abnormal swallowing: imaging in diagnosis and therapy. New York: Springer-Verlag; 1991. p. 109-17. http://doi.org/10.1007/978-1-4757-4150-6_8

  2. Sonies BC, Parent LJ, Morrish K, Baum BJ. Durational aspects of the oral-pharyngeal phase of swallow in normal adults. Dysphagia. 1988;3(1):1-10. http://doi.org/10.1007/BF02406274

  3. Sonies BC, Wang C, Sapper DJ. Evaluation of normal and abnormal hyoid bone movement during swallowing by use of ultrasound duplex-doppler imaging. Ultrasound Med Biol. 1996;22(9):1169-75. http://doi.org/10.1016/S0301-5629(96)00158-5

  4. Peng CL, Jost-Brinkmann PG, Miethke RR, Lin CT. Ultrasonographic measurement of tongue movement during swallowing. J Ultrasound Med. 2000;19(1):15-20. http://doi.org/10.7863/jum.2000.19.1.15

  5. Peng CL, Miethke RR, Pong SJ, Lin CT. Investigation of tongue movements during swallowing with M-Mode ultrasonography. J Orofac Orthop. 2007;68(1):17-25. http://doi.org/10.1007/s00056-007-0547-y

  6. Chi-Fishman G, Sonies BC. Effects of systematic bolus viscosity and volume changes on hyoid movement kinematics. Dysphagia. 2002;17:278-87. http://doi.org/10.1007/s00455-002-0070-7

  7. Söder N, Miller N. Using ultrasound to investigate intrapersonal variability in durational aspects of tongue movement during swallowing. Dysphagia. 2002;17(4):288-97. http://doi.org/10.1007/s00455-002-0071-6

  8. Kuhl V, Eicke BM, Dieterich M, Urban PP. Sonographic analysis of laryngeal elevation during swallowing. J Neurol. 2003;250(3):333-7. http://doi.org/10.1007/s00415-003-1007-2

  9. Shawker TH, Sonies B, Stone M, Baum BJ. Real-time ultrasound visualization of tongue movement during swallowing. J Clin Ultrasound. 2005;11(9):485-90. http://doi.org/10.1002/jcu.1870110906

  10. Wijk RA, Wulfert F, Prinz JF. Oral processing assessed by M-mode ultrasound imaging varies with food attribute. Physiol Behav. 2006;89(1):15-21. http://doi.org/10.1016/j.physbeh.2006.05.021

  11. Huang YL, Hsieh SF, Chang YC, Hsiang CC, Wang TG. Ultrasonographic evaluation of hyoid–larynx approximation in dysphagic stroke patients. Ultrasound Med Biol. 2009;35(7):1103-8. http://doi.org/10.1016/j.ultrasmedbio.2009.02.006

  12. Corcoran BC. Duration and distance of hyoid bone movement as observed by ultrasound: the influences of flavor and nectar-thick consistency [thesis]. Ohio: Faculty of Miami University, Miami University Oxford; 2011.

  13. Yabunaka K, Sanada H, Sanada S, Konishi H, Hashimoto T, Yatake H, et al. Sonographic assessment of hyoid bone movement during swallowing: a study of normal adults with advancing age. Radiological Phys Technol. 2011;4(1):73-7. http://doi.org/10.1007/s12194-010-0107-9

  14. Steele C, Sasse C, Bressmann T. Tongue–pressure and hyoid movement timing in healthy liquid swallowing. Int J Lang Commun Disord. 2012;47(1):77-83. http://doi.org/10.1111/j.1460-6984.2011.00082.x

  15. Hsiao MY, Wahyuni LK, Wang TG. Ultrasonography in assessing oropharyngeal dysphagia. J Med Ultrasound. 2013;21(4):181-8. https://doi.org/10.1016/j.jmu.2013.10.008

  16. Rocha SG, Silva RG, Berti LC. Análise ultrassonográfica qualitativa e quantitativa da deglutição orofaríngea. CoDAS. 2015;27(5):437-45. http://doi.org/10.1590/2317-1782/20152015015

  17. Ogawa N, Mori T, Fujishima I, Wakabayashi H, Itoda M, Kunieda K, et al. Ultrasonography to measure swallowing muscle mass and quality in older patients with sarcopenic dysphagia. J Am Med Dir Assoc. 2018;19(6):516-22. https://doi.org/10.1016/j.jamda.2017.11.007

  18. Ohkubo M, Scobbie JM. Tongue shape dynamics in swallowing using sagittal ultrasound. Dysphagia. 2019;34(1):112-8. http://doi.org/10.1007/s00455-018-9921-8

  19. Ishida R, Palmer JB, Hiiemae KM. Hyoid motion during swallowing: factors affecting forward and upward displacement. Dysphagia. 2002;17(4):262-72. http://doi.org/10.1007/s00455-002-0064-5

  20. Cordaro MA, Sonies BC. An image processing scheme to quantitatively extract and validate hyoid bone motion based on real-time ultrasound recordings of swallowing. IEEE Trans Biomed Eng. 1993;40(8):841-4. http://doi.org/10.1109/10.238473

  21. Cichero J, Murdoch BE. Dysphagia: foundation, theory and practice. Hoboken: Wiley; 2006.

  22. Macrae PR, Doeltgen SH, Jones RD, Huckabee ML. Intra- and inter-rater reliability for analysis of hyoid displacement measured with sonography. J Clin Ultrasound. 2012;40(2):74-8. http://doi.org/10.1002/jcu.20874

  23. Chen YC, Hsiao MY, Wang YC, Fu CP, Wang TG. Reliability of Ultrasonography in Evaluating Hyoid Bone Movement. J Med Ultrasound. 2017;25(2):90-5. http://doi.org/10.1016/j.jmu.2017.01.002

  24. Steele CM, Namasivayam-Mcdonald AM, Guida BT, Cichero JA, Fuivestein J, Hanson B. Creation and initial validation of the International Dysphagia Diet Standardisation Initiative functional diet scale. Arch Phys Med Rehabil. 2018;99(5):934-44. http://doi.org/10.1016/j.apmr.2018.01.012

  25. Hsiao MY, Chang YC, Chen WS, Chang HY, Wang TG. Application of ultrasonography in assessing oropharyngeal dysphagia in stroke patients. Ultrasound Med Biol. 2012;38(9):1522-8. http://doi.org/10.1016/j.ultrasmedbio.2012.04.017

  26. Lee YS, Lee KE, Kang Y, Yi TI, Kim JS. Usefulness of submental ultrasonographic evaluation for dysphagia patients. Ann Rehabil Med. 2016;40(2):197-205. http://doi.org/10.5535/arm.2016.40.2.197

  27. Kwak HJ, Kim L, Ryu BJ, Kim YH, Park SW, Cho DG, et al. Influence of nasogastric tubes on swallowing in stroke patients: measuring hyoid bone movement with ultrasonography. Ann Rehabil Med. 2018;42(4):551-9. http://doi.org/10.5535/arm.2018.42.4.551

  28. Oh EH, Seo JS, Kang HJ. Assessment of oropharyngeal dysphagia in patients with parkinson disease: use of ultrasonography. Ann Rehabil Med. 2016;40(2):190-6. http://doi.org/10.5535/arm.2016.40.2.190

  29. Matsuo T, Matsuyama M. Detection of poststroke oropharyngeal dysphagia with swallowing screening by ultrasonography. PLoS One. 2021;16(3):e0248770. http://doi.org/10.1371/journal.pone.0248770

Submitted date:
03/08/2023

Accepted date:
10/11/2023

68d319e2a95395241830d039 codas Articles
2317-1782 (Electronic)
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