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Videofluoroscopy of Swallowing in Symptomatic Patients Who Have Undergone Long-Term Intubation

B. Partik1, P. Pokieser1, W. Schima1, E. Schober1, A. Stadler1, E. Eisenhuber1, D. Denk2 and G. Lechner1

1 Department of Radiology, University of Vienna, Waehringer Guertel 18-20, A-1090 Vienna, Austria.
2 Department of Otorhinolaryngology, University of Vienna, Waehringer Guertel 18-20, A-1090 Vienna, Austria



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  		Fig. 1A. —59-year-old woman with history of mediastinitis after Boerhaave's syndrome who underwent 13-day intubation. Videofluoroscopic image obtained 111 days after extubation shows severe intradeglutitive aspiration of contrast material into trachea (arrow).

 


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  		Fig. 1B. —59-year-old woman with history of mediastinitis after Boerhaave's syndrome who underwent 13-day intubation. Follow-up videofluoroscopic examination 3 years after functional swallowing therapy shows entire bolus of contrast material (iopamidol) has been propelled into esophagus (solid arrow). Note lack of aspiration. Also note site of former esophageal performation (open arrow).

 

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