Image Evaluation of Airway Stenosis in Patients with Profound Intellectual and Motor Disabilities

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  • 重症心身障害者における気道狭窄の画像評価
  • 症例 重症心身障害者における気道狭窄の画像評価
  • ショウレイ ジュウショウ シンシン ショウガイシャ ニ オケル キドウ キョウサク ノ ガゾウ ヒョウカ

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<p>With a 320-detector-row CT scanner, dyspnea was evaluated in two patients with profound intellectual and motor disabilities. Case 1 was a 24-year-old male with cerebral palsy. Although tracheomalacia was suspected at the location where the tracheal cannula did not reach, narrowing of the trachea was not detected during inhalation or exhalation. However, the right bronchus was compressed in association with scoliosis. Case 2, a 52-year-old male with cerebral palsy, had dyspnea in the supine position. CT was performed in both the supine and prone positions. The soft palate and the epiglottis moved significantly in the gravity direction in both the supine and prone positions and the soft palate extensively touched the posterior wall of the pharynx in the supine position. It was found that the CT scanner was useful to visualize the airway at inspiratory and expiratory periods in a short time. Both cases had significant scoliosis, with Cobb angle exceeding 100º, as is common in patients with profound intellectual and motor disabilities. Significant scoliosis is occasionally associated with airway stenosis and gastroesophageal regurgitation. In this report, the present status of Japanese facilities for patients with intellectual and motor disabilities and the need for collaboration in many different fields for these patients were described.</p>

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