Endoscopic Diagnosis and Management of Swallowing Disorders

Jun 3, 2017 by in OTOLARYNGOLOGY Comments Off on Endoscopic Diagnosis and Management of Swallowing Disorders

Approach to Esophageal Swallowing Disorder Dysphagia, odynophagia, retrosternal chest pain, regurgitation, and heartburn are the major symptoms of esophageal disorders. In oropharyngeal dysphagia, there is inability to initiate swallow, nasopharyngeal…

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Medical Management of Swallowing Disorders

Jun 3, 2017 by in OTOLARYNGOLOGY Comments Off on Medical Management of Swallowing Disorders

Fig. 8.1 Gastroesophageal reflux Reflux occurs due to increased relaxation of lower esophageal sphincter allowing a spontaneous reflux or increased abdominal pressure (stress reflux). Whereas some reflux is normal, several…

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Anatomy of Swallowing

Jun 3, 2017 by in OTOLARYNGOLOGY Comments Off on Anatomy of Swallowing

Fig. 1.1 The oral cavity The oral cavity is the initial site for the processing of food. It extends from the lips to the pharynx. The oral cavity is divided…

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Dysphagia: Clinical Diagnosis

Jun 3, 2017 by in OTOLARYNGOLOGY Comments Off on Dysphagia: Clinical Diagnosis

Fig. 3.1 Algorithm for clinical diagnosis of dysphagia   4. Associated symptoms: Does patient cough or get chest pain associated with dysphagia? Dysphagia (for solids and liquids) with chest pain…

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Assessment of Swallowing Disorders

Jun 3, 2017 by in OTOLARYNGOLOGY Comments Off on Assessment of Swallowing Disorders

Fig. 4.1 Lateral view on modified barium swallow study of a patient with a tracheostomy tube and a nasogastric tube. This example shows stasis in the vallecular with shallow penetration…

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Presbyphagia

Jun 3, 2017 by in OTOLARYNGOLOGY Comments Off on Presbyphagia

Problem Technique Result Residues in the pyriform sinus and alteration in pressure Head rotated Pulls cricoid cartilage away from posterior pharyngeal wall, reducing residue in pyriform sinuses and resting pressure…

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Pediatric Dysphagia

Jun 3, 2017 by in OTOLARYNGOLOGY Comments Off on Pediatric Dysphagia

Developmental Neurological Structural Medical Behavioral Bronchopulmonary dysplasia Developmental delay  Intellectual disability  Down syndrome  Cerebral palsy Pediatric CVA TBI Brain tumors Neurosurgery Cleft lip/palate Genetic syndromes  Pierre Robin  Velocardiofacial syndromes  Williams…

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Neurogenic Dysphagia

Jun 3, 2017 by in OTOLARYNGOLOGY Comments Off on Neurogenic Dysphagia

49. Drake W, O’Donoghue S, Bartram C, et al. Eating in side lying facilitates rehabilitation in neurogenic dysphagia. Brain Inj. 1997;11:137–42.CrossRefPubMed 50. Goulding R, Bakheit AMO. Evaluation of the benefits…

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