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Inclusion body myositis and dysphagia. Presentation, intervention and outcome at a swallowing clinic

Published online by Cambridge University Press:  02 March 2022

M Shrivastava Open the ORCID record for M Shrivastava [Opens in a new window] ,
C Harris ,
S Holmes ,
S Brady  and
S Winter
M Shrivastava*
Affiliation:
ENT Department, Oxford University Foundation Trust, Oxford, United Kingdom
C Harris
Affiliation:
ENT Department, Oxford University Foundation Trust, Oxford, United Kingdom
S Holmes
Affiliation:
ENT Department, Oxford University Foundation Trust, Oxford, United Kingdom
S Brady
Affiliation:
Nuffield Department of Clinical Neurosciences, Oxford University Hospitals, Oxford, UK
S Winter
Affiliation:
ENT Department, Oxford University Foundation Trust, Oxford, United Kingdom
*
Author for correspondence: Dr M Shrivastava, ENT Department, Oxford University Foundation Trust, Headley Way, Oxford OX3 9DU, UK E-mail: manu.shrivastava1@nhs.net
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Abstract

Objective

This study reviewed patients with inclusion body myositis who were referred for assessment of dysphagia at a tertiary swallow clinic. It describes symptoms at presentation, imaging and management strategies.

Method

A retrospective review of electronic patient records was performed between 2016 and 2020.

Results

Twenty-four patients were included, with a mean age of 72 years. Baseline modified Sydney Swallow Questionnaires identified problems with hard or dry food, food sticking, and repeated swallowing. Twenty-two patients had a Reflux Symptom Index score that could indicate significant reflux. Video swallow identified specific problems, including tongue base retraction (96 per cent) and residual pharyngeal pooling (92 per cent). Seven patients (30 per cent) had features of aspiration on imaging despite a median penetration-aspiration scale score of 2. Four patients received balloon dilatation, and two patients underwent cricopharyngeal myotomy.

Conclusion

This study helped to profile features of dysphagia in patients with inclusion body myositis. More evidence is needed to determine the most effective management pathway for these patients.

Keywords

DysphagiaInclusion Body MyositisDeglutition DisordersNeuromuscular Diseases
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 137 , Issue 2 , February 2023 , pp. 213 - 218
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Dr M Shrivastava takes responsibility for the integrity of the content of the paper

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