By Michael E. Groher PhD, Michael A. Crary PhD F-ASHA
Get the entire info you must hopefully deal with dysphagia in expert perform with Dysphagia: medical administration in Adults and youngsters, second Edition! This logically geared up, evidence-based source displays the most recent developments in dysphagia in an approachable and uncomplicated demeanour that will help you grasp the scientific assessment and diagnostic decision-making procedures. New assurance of the newest insights and examine in addition to elevated details on little one and baby swallowing can help organize you for the stipulations you’ll face within the scientific environment. Plus, the real looking case situations and distinct overview questions threaded during the publication may help you enhance the medical reasoning talents wanted for pro luck.
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Extra resources for Dysphagia: Clinical Management in Adults and Children, 2e
Then try to swallow your saliva with your lips open, noticing the differences in effort expended. Do the same thing with the nose open and then pinch the nostrils closed and swallow. Oral Preparation Food or liquid in the mouth stimulates taste, temperature, and pressure (touch) receptors. The primary receptors of taste are located on the tongue, on the hard and soft palate, in the pharynx, and in the supralaryngeal region. The receptors are activated by saliva. Saliva is produced by the activation of the submandibular, submaxillary (autonomic aspects of CN VII), and parotid glands (autonomic aspects of CN IX).
37 prospectively enrolled a mixed group of 82 patients suspected of oropharyngeal dysphagia. The group was divided almost equally into a group that did not aspirate on thin or thick fluids and a group that aspirated only on thin fluids. Both groups were given 5 mL of a thin and thickened liquid. Kinematic analysis revealed that the thick bolus arrived earlier in the valleculae in the thinaspirator group, resulting in longer laryngeal elevation times that delayed the opening of the PES. They concluded that changes in bolus viscosity in dysphagic patients do not affect biomechanics.
He presented to the clinician with dysphagia. On examination the patient reported difficulty chewing and stated that food did not taste good. He noted considerable choking and a feeling that food was sticking in his throat. Physical examination of CN function revealed weakened right facial musculature from the stroke and weakened left facial musculature from the previous Bell’s palsy. He was unable to make a tight lip seal because of bilateral CN VII nerve weakness. His tongue deviated to the right on protrusion, and range of motion was reduced (CN XII).
Dysphagia: Clinical Management in Adults and Children, 2e by Michael E. Groher PhD, Michael A. Crary PhD F-ASHA