A Case of Drastic Reduction of Membranous Substances in the Pharynx by Interprofessional Cooperative Oral Care

Membranous substances in the pharynx are occasionally observed in tube feeding patients during the fiberoptic endoscopic evaluation of swallowing. Although the mechanism of the formation of these deposits sometimes causes problems, such as dysphagia, asphyxia, or aspiration pneumonia, a 91-year-old...

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Main Authors: Masahiko Okubo, Hideyuki Kamimura, Tsuyoshi Sato, Shoichiro Kokabu
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2022/6375915
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author Masahiko Okubo
Hideyuki Kamimura
Tsuyoshi Sato
Shoichiro Kokabu
author_facet Masahiko Okubo
Hideyuki Kamimura
Tsuyoshi Sato
Shoichiro Kokabu
author_sort Masahiko Okubo
collection DOAJ
description Membranous substances in the pharynx are occasionally observed in tube feeding patients during the fiberoptic endoscopic evaluation of swallowing. Although the mechanism of the formation of these deposits sometimes causes problems, such as dysphagia, asphyxia, or aspiration pneumonia, a 91-year-old male complained about difficulty of swallowing. He had a history of cerebral infarction and aspiration pneumonitis. There was a large amount of oral desquamated epithelium, dental plaque, and calculus in his mouth. Nurses and care workers administered oral care such as rubbing the tongue and buccal mucosa daily. Dentists and oral hygienists visited and provided special oral care three times per week. At least for 77 days, the patient had no recurrence of pneumonitis. The oral desquamated epithelium and membranous substances in the pharynx decreased drastically. 2 months after the first examination, the patient was able to start rehabilitation with food. Some studies have indicated that pharyngeal deposits are derived from the oral mucosa, and through our case, we realized the importance of daily oral care by interprofessional work to reduce membranous substances in the pharynx.
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series Case Reports in Dentistry
spelling doaj-art-edf4e2451e534b4d8c025d5f67a800e62025-02-03T05:58:13ZengWileyCase Reports in Dentistry2090-64552022-01-01202210.1155/2022/6375915A Case of Drastic Reduction of Membranous Substances in the Pharynx by Interprofessional Cooperative Oral CareMasahiko Okubo0Hideyuki Kamimura1Tsuyoshi Sato2Shoichiro Kokabu3Department of Oral and Maxillofacial SurgeryKamimura Dental and Orthodontics ClinicDepartment of Oral and Maxillofacial SurgeryDivision of Molecular Signaling and BiochemistryMembranous substances in the pharynx are occasionally observed in tube feeding patients during the fiberoptic endoscopic evaluation of swallowing. Although the mechanism of the formation of these deposits sometimes causes problems, such as dysphagia, asphyxia, or aspiration pneumonia, a 91-year-old male complained about difficulty of swallowing. He had a history of cerebral infarction and aspiration pneumonitis. There was a large amount of oral desquamated epithelium, dental plaque, and calculus in his mouth. Nurses and care workers administered oral care such as rubbing the tongue and buccal mucosa daily. Dentists and oral hygienists visited and provided special oral care three times per week. At least for 77 days, the patient had no recurrence of pneumonitis. The oral desquamated epithelium and membranous substances in the pharynx decreased drastically. 2 months after the first examination, the patient was able to start rehabilitation with food. Some studies have indicated that pharyngeal deposits are derived from the oral mucosa, and through our case, we realized the importance of daily oral care by interprofessional work to reduce membranous substances in the pharynx.http://dx.doi.org/10.1155/2022/6375915
spellingShingle Masahiko Okubo
Hideyuki Kamimura
Tsuyoshi Sato
Shoichiro Kokabu
A Case of Drastic Reduction of Membranous Substances in the Pharynx by Interprofessional Cooperative Oral Care
Case Reports in Dentistry
title A Case of Drastic Reduction of Membranous Substances in the Pharynx by Interprofessional Cooperative Oral Care
title_full A Case of Drastic Reduction of Membranous Substances in the Pharynx by Interprofessional Cooperative Oral Care
title_fullStr A Case of Drastic Reduction of Membranous Substances in the Pharynx by Interprofessional Cooperative Oral Care
title_full_unstemmed A Case of Drastic Reduction of Membranous Substances in the Pharynx by Interprofessional Cooperative Oral Care
title_short A Case of Drastic Reduction of Membranous Substances in the Pharynx by Interprofessional Cooperative Oral Care
title_sort case of drastic reduction of membranous substances in the pharynx by interprofessional cooperative oral care
url http://dx.doi.org/10.1155/2022/6375915
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