Oral dysphagia. An unique symptom for a wide spectrum of diseases

Antonio Craxi, Giuseppe Pizzo, Olga Di Fede, Domenico Compilato, Giuseppina Campisi, Falaschini, Lorenzo Lo Muzio, L. Lo Lo Muzio, Chiara Di Liberto, Silvia Falaschini

Risultato della ricerca: Articlepeer review

5 Citazioni (Scopus)

Abstract

Dysphagia, defined as a difficulty in swallowing of fluids and/or solid foods, is one of the most frequent symptoms of esophageal, gastrointestinal, ear, nose and throat diseases. As such, it poses a diagnostic challenge and an interdisciplinary clinical problem. Of particular importance in diagnosis is to distinguish between esophageal and oropharyngeal dysphagia. Oropharyn-geal dysphagia is often associated with neuromuscular disorders and is treated with rehabilitative protocols, while esophageal dysphagia may be due to anatomical alterations and esophageal motility difficulties. While the former can be adequately treated with endoscopic or surgical therapy, the latter are currently treated only pharmacologically. Interestingly, dysphagia may present as the initial symptom of a wide spectrum of oral conditions, including traumatic ulcerations, neuromuscular diseases, systemic and local immuno-mediated or infectious lesions, malignant neoplastic diseases or mucositis following chemo-radiotherapy for head and neck cancers: in these cases it is called oral dysphagia. Dysphagia, with or without evident oral lesions, suggests the presence of an oropharyngeal disease and requires adequate diagnostic-therapeutic management. This paper describes the major oral and systemic diseases that may manifest themselves with oral manifestations inducing dysphagia. Clinical management guidelines in dysphagia triggered by neuromyogenic pathogenesis are discussed.
Lingua originaleEnglish
pagine (da-a)125-131
Numero di pagine7
RivistaPanminerva Medica
Volume51
Stato di pubblicazionePublished - 2009

All Science Journal Classification (ASJC) codes

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