Comprehensive Rehabilitation for Epiglottis Dysfunction Due to Cut Injury of Neck with Respiratory and Swallowing Problems

Dian Marta Sari, Arnengsih Nazir, Marina A. Moeliono, Tri Damiati Pandji

2019

Abstract

An interesting case was referred to the Physical Medicine and Rehabilitation (PMR) department with neglected ‘vulnus scissum at the left side of the neck with exposed larynx and partially cut epiglottis’. Assessment of the patient showed epiglottis dysfunction, which caused the problem of swallowing, persistent coughing with lots of sputum, and the risk of aspiration. This was resulted in malnutrition, and prolonged hospitalization lead to deconditioning. Rehabilitation program was initiated cautiously, begun with improving the general condition, nutritional status and airway protection. Rhino-Laryngo Fiberscope (RLF) was done several times to assess the function of the epiglottis. Pulmonary rehabilitation consisted of exercise for effective coughing, airway clearance, chest wall mobilization or chest expansion and trunk flexibility. Posture training was added to achieve proper position needed for feeding. Rehabilitation of the deconditioning syndrome is also essential for functional recovery. Seven weeks of rehabilitation resulted in improvement of the general condition, including nutritional status. RLF showed a functional epiglottis, which ensured normal swallowing. This case and all its effects, required a comprehensive rehabilitation program, implemented step by step to manage all problems. At the end, the goal of medical rehabilitation in improving quality of life in this patient was achieved.

Paper Citation

in Harvard Style

Sari D., Nazir A., Moeliono M. and Pandji T. (2019). Comprehensive Rehabilitation for Epiglottis Dysfunction Due to Cut Injury of Neck with Respiratory and Swallowing Problems.In Proceedings of the 11th National Congress and the 18th Annual Scientific Meeting of Indonesian Physical Medicine and Rehabilitation Association - Volume 1: KONAS XI and PIT XVIII PERDOSRI, ISBN 978-989-758-409-1, pages 119-123. DOI: 10.5220/0009064801190123

in Bibtex Style

@conference{konas xi and pit xviii perdosri19,
author={Dian Marta Sari and Arnengsih Nazir and Marina A. Moeliono and Tri Damiati Pandji},
title={Comprehensive Rehabilitation for Epiglottis Dysfunction Due to Cut Injury of Neck with Respiratory and Swallowing Problems},
booktitle={Proceedings of the 11th National Congress and the 18th Annual Scientific Meeting of Indonesian Physical Medicine and Rehabilitation Association - Volume 1: KONAS XI and PIT XVIII PERDOSRI,},
year={2019},
pages={119-123},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0009064801190123},
isbn={978-989-758-409-1},
}

in EndNote Style

TY - CONF

JO - Proceedings of the 11th National Congress and the 18th Annual Scientific Meeting of Indonesian Physical Medicine and Rehabilitation Association - Volume 1: KONAS XI and PIT XVIII PERDOSRI,
TI - Comprehensive Rehabilitation for Epiglottis Dysfunction Due to Cut Injury of Neck with Respiratory and Swallowing Problems
SN - 978-989-758-409-1
AU - Sari D.
AU - Nazir A.
AU - Moeliono M.
AU - Pandji T.
PY - 2019
SP - 119
EP - 123
DO - 10.5220/0009064801190123