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  • The Challenges of Dysphagia Management and Rehabilitation After Extensive Thermal Burn Injury: A Complex Case

    Author(s)
    F. Rumbach, Anna
    C. Ward, Elizabeth
    L. Cornwell, Petrea
    V. Bassett, Lynell
    J. Muller, Michael
    Griffith University Author(s)
    Cornwell, Petrea
    Year published
    2009
    Metadata
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    Abstract
    The role of the speech pathologist in the burns population is still emerging, with detailed discussion of the assessment and management of dysphagia limited to date. This report describes the case of a 60-year-old man who developed severe contractures of the head and neck and oropharyngeal dysphagia after sustaining 53.5% deep partial- and full-thickness burns. Although some aspects of rehabilitation were confounded by a preexisting mild intellectual disability, the patient was able to participate in an intensive regimen of active and passive exercise to rehabilitate his oropharyngeal dysphagia. Significant oral contractures ...
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    The role of the speech pathologist in the burns population is still emerging, with detailed discussion of the assessment and management of dysphagia limited to date. This report describes the case of a 60-year-old man who developed severe contractures of the head and neck and oropharyngeal dysphagia after sustaining 53.5% deep partial- and full-thickness burns. Although some aspects of rehabilitation were confounded by a preexisting mild intellectual disability, the patient was able to participate in an intensive regimen of active and passive exercise to rehabilitate his oropharyngeal dysphagia. Significant oral contractures remained; however, the patient was discharged without tracheostomy and consuming a texture-modified diet with no signs of aspiration. To our knowledge, this is one of a small handful of reports that document speech pathology management of the burns population, and a first that identifies and outlines specific characteristics of, and rehabilitation strategies for, dysphagia in a burned individual.
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    Journal Title
    Journal of Burn Care & Research
    Volume
    30
    Issue
    5
    DOI
    https://doi.org/10.1097/BCR.0b013e3181b487e0
    Subject
    Clinical sciences
    Clinical sciences not elsewhere classified
    Publication URI
    http://hdl.handle.net/10072/40530
    Collection
    • Journal articles

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