scholarly journals A Relation Between the Piezoelectric Pulse Transducer Waveforms and Food Bolus Passage during Pharyngeal Phase of Swallow

2007 ◽  
Vol 6 (4) ◽  
pp. 272-275 ◽  
Author(s):  
Akira Toyosato ◽  
Shuichi Nomura ◽  
Atsuko Igarashi ◽  
Naoko Ii ◽  
Akiko Nomura
Keyword(s):  
Food Bolus ◽  
Pharyngeal Phase ◽  
Pulse Transducer

Effect of Neuromuscular Electrical Stimulation on Swallowing Process in Stroke Patient with Neurogenic Dysphagia

1970 ◽  
Vol 1 (1) ◽  
pp. 44-53
Author(s):  
Ruth Ariyani ◽  
Widjajalaksmi ◽  
Luh K Wahyuni ◽  
Susyana Tamin ◽  
Saptawati Bardosono
Keyword(s):  
Electrical Stimulation ◽  
Voice Quality ◽  
Neuromuscular Electrical Stimulation ◽  
Neurogenic Dysphagia ◽  
Stroke Patients ◽  
Cough Reflex ◽  
Voluntary Cough ◽  
Pharyngeal Phase ◽  
Significant Difference ◽  
Quasi Experimental

Objective: The aim of this study to determine the therapeutic effect of Neuromuscular Electrical Stimulation (NMES) on pharyngeal phase of swallowing for stroke patients with neurogenic dysphagia,and to see the effect of NMES in reducing the incidence of standing secretion, residue, penetration and aspiration.Methods: It is a quasi-­experimental study design. 10 stroke patients with neurogenic dysphagia in Cipto Mangunkusumo hospital, Jakarta, 40-­80 years old with hemodynamically stable, cooperative and will be get NMES therapy for 4 weeks. Pre and Post treatment assessment caompared using a modified MASA test (The Mann Assessment of Swallowing Ability) and FEES examination (Flexible Endoscophic Evaluation of Swallowing). Analysis of change scores using Wilcoxon test.Results:The obtain average age of patients 59.80+9.705 years. Significant difference seen in the pharyngeal phase of swallowing increased score of gag reflex, velum elevation, cough reflex, voluntary cough, voice quality, pharynx response, pharyngeal constrictor contraction and vocal cord adduction (p<0.005).Also seen significant reduction in the incidence of standing secretion, residue and penetration (p<0.005), but not significantly in the incidence of aspiration (p=0083).Conclusions: NMES increased the pharyngeal phase of swallowing, reduced the incidence of standing secretion, residue and penetration of stroke patients with neurogenic dysphagia, but have not able to reduced aspiration.Keywords :Neuromuscular Electrical Stimulation (NEMS), neurogenic dysphagia, MASA test (The Mann Assessment of Swallow ing Ability), FEES examination (Flexible Endoscophic Evaluation of Swallowing), swallowing process.

scholarly journals The reciprocal jaw-muscle reflexes elicited by anterior- and back-tooth-contacts—a perspective to explain the control of the masticatory muscles

BDJ Open ◽  
2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Lauri Vaahtoniemi
Keyword(s):  
Masticatory Muscles ◽  
Food Bolus ◽  
Dental Patients ◽  
Adductor Muscles ◽  
Jaw Muscle ◽  
Class 1 ◽  
Reflex Control ◽  
Control Hypothesis ◽  
Muscle Reflexes ◽  
Inhibitory Reflex

Abstract Aims Tooth-contact sensations are considered essential to boost jaw adductor muscles during mastication. However, no previous studies have explained the importance of the inhibitory reflex of human anterior-tooth (ANT)-contacts in mastication. Here I present the “reciprocal reflex-control-hypothesis” of mammalian mastication. Subjects and setting of the study I demonstrate the hypothesis with the live kinematics of free jaw-closures as inferred from T-Scan recordings of dental patients. Results The jaw-closures started with negligible force, predominantly with ANT-contacts (the AF-bites). The first ANT-contact inhibited the first kinematic tilt of the mandible, whereas the bites starting from a back-tooth (BAT)-contact (the BF-bites) accelerated the first tilt. The second tilt established a low-force static tripod of the ANT- and bilateral BAT-contacts for a fixed mandible-maxilla relation. Thereafter, semi-static bite force increased rapidly, relatively more in the BAT-area. Discussion and Conclusions In the vertical-closure phase of chewing, the primate joint-fulcrum (class 3 lever) conflicts with the food-bolus-fulcrum in the BAT-area (class 1 lever). The resilient class 3 and 1 lever systems are superseded by an almost static mechanically more advantageous class 2 lever with a more rigid fulcrum at the most anterior ANT-contact. For humans, the class 2 levered delivery of force also enables forceful horizontal food grinding to be extended widely to the BAT-area.

Sa1232 Endoscopic Management of Foreign Body Ingestion and Food Bolus Impactation: Experience of a Single Referral Center in Brazil

2017 ◽  
Vol 85 (5) ◽  
pp. AB211
Author(s):  
Simone L. Moreira ◽  
Carla L. Aluizio ◽  
Danielle P. Sampaio ◽  
Cristiane k. Nagasako ◽  
Maria de Fatima C. Servidoni ◽  
...  
Keyword(s):  
Foreign Body ◽  
Foreign Body Ingestion ◽  
Endoscopic Management ◽  
Food Bolus ◽  
Referral Center

955 An Audit for Reviewing the Soft Food Bolus Obstruction - Optimum Intervention and Referral Direction

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
N Nargheese ◽  
T Peedika
Keyword(s):  
Patient Satisfaction ◽  
Adverse Effects ◽  
Clinical Governance ◽  
Compelling Evidence ◽  
Food Bolus ◽  
Suprasternal Notch ◽  
Surgical Interventions ◽  
Upper Gi ◽  
Complex Patient

Abstract Introduction Absolute dysphagia secondary to impacted soft food bolus in oesophagus can occur due to various reasons. Existing pathway was ENT if patient points above the suprasternal notch and GI if below or at the level of notch. Objectives To assess management in patients with soft food bolus dysphagia and reviewing old pathway. Method Data was collected via clinical governance, case notes on track and analysed overall pathway of patients and discussed with the consultants; Paid attention to patients requiring surgical interventions, compared the complications 0f OGD and rigidscopy. Also, effectiveness of Buscopan weighing its adverse effects. Results Total of 147 cases were included, 2 patients from upper GI being secondarily referred to ENT, 18 of ENT with GI, 3.8 of 19% complications has risk of perforations with Rigid scope. 2.6% had risk with OGD with no perforations. 2% needed OGD after rigid. 85% underwent intervention after Buscopan. Conclusions There is no compelling evidence for Buscopan - to be used only for patient satisfaction. Combining Multiple transfers & complex patient journeys causing delay for treatments with less complications of OGD, soft food bolus should be managed by local gastro/gen surgery teams who can provide timely appropriate intervention, ENT involvement only if airway or pharyngeal concern.

Seasonal recurrence of food bolus obstruction in eosinophilic esophagitis

2015 ◽  
Vol 45 (9) ◽  
pp. 939-943 ◽  
Author(s):  
H. L. Philpott ◽  
S. Nandurkar ◽  
F. Thien ◽  
S. Bloom ◽  
E. Lin ◽  
...  
Keyword(s):  
Eosinophilic Esophagitis ◽  
Food Bolus

scholarly journals Pharmacological Management of Esophageal Food Bolus Impaction

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Yasir Mohammed Khayyat
Keyword(s):  
Foreign Body ◽  
Channel Blockers ◽  
Endoscopic Removal ◽  
Food Bolus ◽  
Pharmacological Management ◽  
Mesh Terms ◽  
Food Bolus Impaction ◽  
Bolus Impaction ◽  
Effervescent Agents ◽  
Manual Review

Background. Soft esophageal bolus impaction is an emergency that requires skilled endoscopic removal if persistent obstructive symptoms do not resolve spontaneously after careful observation. Expedited care of these patients is crucial to avoid respiratory and mechanical complications. Other possible options for management include medical agents used to manage it prior to performing endoscopy if access to endoscopy was not available or declined by the patient.Aim. To review the available pharmacological and other nonmedicinal options and their mechanism of relief for soft esophageal impaction.Method. Pubmed, Medline and Ovid were used for search of MESH terms pertinent including “foreign body, esophageal, esophageal bolus and medical” for pharmacological and non medicinial agents used for management of esophageal soft bolus impaction as well as manual review of the cross-references.Results. Several agents were identified including Buscopan, Glucagon, nitrates, calcium channel blockers, and papaveretum. Non medicinal agents are water, effervescent agents, and papain. No evidence was found to suggest preference or effectiveness of use of a certain pharmacological agent compared to others. Buscopan, Glucagon, benzodiazepines, and nitrates were studied extensively and may be used in selected patients with caution. Use of papain is obsolete in management of soft bolus impaction.

Assessment of the Predictors of Response to Glucagon in the Setting of Acute Esophageal Food Bolus Impaction

Dysphagia ◽  
2004 ◽  
Vol 19 (1) ◽  
pp. 18-21 ◽  
Author(s):  
Thomas C. Sodeman ◽  
Gavin C. Harewood ◽  
Todd H. Baron
Keyword(s):  
Food Bolus ◽  
Predictors Of Response ◽  
Food Bolus Impaction ◽  
Bolus Impaction
Sign in / Sign up

Export Citation Format

Share Document