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DISFAGIA

ZAHRA
2006730108

Pembimbing : dr Mariana H. Junizaf,SpTHT


Definisi
Asal  bahasa latin dan
yunani
Disfagia : kesulitan
menelan, karena gangguan
saraf, otot, atau saluran
yang berperan saat
menelan.
Komplikasi : Aspirasi,
pneumonis, malnutrisi,
dehidrasi.
Epidemiologi

Disfagia Stroke iskemik 40% 


neurologis :  50% pasien Pneumonia
400.000-800.000 dengan stroke
di dunia kortikal 6%  aspirasi
Stroke 65%
Traumatic brain injury 25%-61%
Cervical spine surgery 50%
Carotid endarterectomy 2.5% -42%
Alzheimer's dementia 32% -84%
Frontotemporal dementia 30%
Parkinson's disease 50% -63%
Progressive supranuclear palsy Initially: 16%, later stages: 83%
Olivopontocerebellar atrophy 44% -75%
Huntington's disease 85%
Pre Multiple sclerosis 34%
val Amyotrophic lateral sclerosis 100%
ens
i
Anatomi

Organ
Otot
Saraf
Organ
Otot
Saraf
Fisiologi
menelan
A B

Fase Oral
Fase Faringeal
Fase Oesofageal

C D
Usia
• Distrofi otot tertentu Neuromuscular
• Myasteneia grafis
• Striktur Oesofagus Mekanik
• Tumor Oesofagus
• Stroke Neurologis
• Traumatik Brain Injury
Etiologi
Saraf Central
Saraf Cranialis
Klasifikasi
O ra l

Faringeal

Oesofageal
Tanda
Algoritma Diagnosis
Pemeriksaan
Pemeriksan neurologis (central, cranialis)
Evaluasi elevasi faringeal
Reflek gag
Auskultasi cervical
Videofluoroskopi
Fiberoptic endoscopic evaluation of
swallowing
Terima Kasih

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