[This website news Ke Xianjuan] Recently, the Department of Rehabilitation Medicine of Xiangyang First People's Hospital implemented botulinum toxin injection treatment for a patient with cyclopharyngeal muscle failure and dysphagia, which improved the efficiency of eating. The s

[This website news Ke Xianjuan] Recently, the Department of Rehabilitation Medicine of Xiangyang First People's Hospital implemented botulinum toxin injection treatment for a patient with cyclopharyngeal muscle failure, improving the efficiency of eating. The successful development of this technology has found a new direction for the treatment of patients with cyclopharyngeal muscle retardation in the rehabilitation medicine department of our hospital.

It is reported that the patient is a young male, and he developed swallowing dysfunction after acute cerebral infarction. The patient complained that he had choked and coughed when drinking water, drooled and unable to eat, and replenished nutrition by nasofetal tubes. He lost about 20 kilograms since the onset of the disease. After angiography, it was determined that the patient had cyclopharyngeal muscle aversion. The image showed a large residual epiglottis and piriform sinus, incomplete opening of the cyclopharyngeal muscle, and leakage and dominant aspiration. After one week of outpatient swallowing training in our hospital, the effect was not obvious. Now, I have been rehabilitated and I have been admitted to this department. Ding Xudong, director of the Department of Rehabilitation Medicine of

, combined with the patient's situation and Wang Wei, director of the ultrasound department of our hospital, successfully implemented a cyclopharyngeal muscle toxin injection for the patient. On the afternoon of the second day after the injection, the patient complained that he could swallow some saliva and a small amount of paste food. On the 4th day, he could eat porridge and rotten rice orally without choking. When eating paste food, the epiglottis and piriform sinus remained in small amounts, and the steamed bun-like solid food remained obvious, and 20ml of liquid was not aspirated. At this point, the patient could leave the nasal feeding tube and realize oral food.

In order to further improve the patient's swallowing function, reduce the sense of lag in solid food, and improve the efficiency of eating, the department's swallowing treatment team continued to perform multiple graded balloon catheter dilation for the patients, and cooperated with various precision rehabilitation training such as swallowing electric stimulation, swallowing function training, deep and shallow layered acupuncture. After one week, the patient reported that the feeling of lag in solid food disappeared, and the meal time was shortened from half an hour a week ago to ten minutes, and the eating efficiency was significantly improved. At present, the patient has recovered and discharged from the hospital.

combined with the patient's differences before and after the contrast and the patient's subjective swallowing function evaluation, considering that the efficacy of this case of cyclopharyngeal desponsive patients is mainly caused by injection of botulinum toxin. This provides a new idea for the department to quickly and effectively cure cyclopharyngeal desponsive disorder.