caa a22 4500 469050330 CHVBK 20180323132829.0 cr unu---uuuuu 170328e19920301xx s 000 0 eng 10.1007/BF02493421 doi (NATIONALLICENCE)springer-10.1007/BF02493421 Scintigraphic detection of salivary aspiration: Description of a new diagnostic technique and case reports [Elektronische Daten] [Kenneth Silver, Douglas Van Nostrand] Pneumonia is the feared consequence of persistent aspiration of saliva. Although some persons with impaired protection of the laryngeal airway are thought to be at risk, it is not known with certainty which factors are important. Some patients receive tracheostomies to enhance airway safety, often without clear evidence of aspiration of oropharyngeal secretions. A simple, readily available technique is described by which oral secretions are scintigraphically labeled with technetium-99m sulfur colloid via slow intraoral infusion. Subsequent sequential chest imaging with a gamma camera allows detection and tracking of the aspirated material. Three persons are described in whom this technique was used. Inone, the scintigraphic analysis was instrumental in implicating infected saliva as the likely source of recurrent pulmonary infections. Although the method is useful in detecting aspiration of saliva in high risk persons, more study is needed to equate the degree of aspiration visualized with the risk of pulmonary disease. Springer-Verlag New York Inc, 1992 Aspiration nationallicence Scintigraphy nationallicence Saliva nationallicence Pneumonia nationallicence Deglutition nationallicence Deglutition disorders nationallicence Silver Kenneth Division of Rehabilitation Medicine, Johns Hopkins University School of Medicine, Room 303, 5601 Loch Raven Blvd., Good Samaritan POB, 21239, Baltimore, Maryland, USA aut Van Nostrand Douglas Department of Nuclear Medicine, The Good Samaritan Hospital, Room 303, 5601 Loch Raven Blvd., Good Samaritan POB, 21239, Baltimore, Maryland, USA aut Dysphagia Springer-Verlag 7/1(1992-03-01), 45-49 0179-051X 7:1<45 1992 7 455 https://doi.org/10.1007/BF02493421 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF02493421 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Silver Kenneth Division of Rehabilitation Medicine, Johns Hopkins University School of Medicine, Room 303, 5601 Loch Raven Blvd., Good Samaritan POB, 21239, Baltimore, Maryland, USA aut NATIONALLICENCE 700 1- Van Nostrand Douglas Department of Nuclear Medicine, The Good Samaritan Hospital, Room 303, 5601 Loch Raven Blvd., Good Samaritan POB, 21239, Baltimore, Maryland, USA aut NATIONALLICENCE 773 0- Dysphagia Springer-Verlag 7/1(1992-03-01), 45-49 0179-051X 7:1<45 1992 7 455 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer