scholarly journals Delayed Anterior Cervical Screw Migration Causing Swallowing Difficulty

Cureus ◽  
2021 ◽  
Author(s):  
Timothy Maurer ◽  
Robert Maurer ◽  
George T Reiter
Keyword(s):  
Swallowing Difficulty

scholarly journals Development of a Multidisciplinary Aerodigestive Program: An Institutional Experience

Children ◽  
2021 ◽  
Vol 8 (7) ◽  
pp. 535
Author(s):  
Seung Kim ◽  
Mireu Park ◽  
Eunyoung Kim ◽  
Ga Eun Kim ◽  
Jae Hwa Jung ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Chart Review ◽  
Retrospective Chart Review ◽  
Multidisciplinary Management ◽  
Neurologic Disease ◽  
Institutional Experience ◽  
Swallowing Difficulty ◽  
The Common ◽  
Chronic Comorbidities

We share our experience on the implementation of a multidisciplinary aerodigestive program comprising an aerodigestive team (ADT) so as to evaluate its feasibility. We performed a retrospective chart review of the patients discussed at the monthly ADT meetings and analyzed the data. A total of 98 children were referred to the ADT during the study period. The number of cases increased steadily from 3.5 cases per month in 2019 to 8.5 cases per month in 2020. The median age of patients was 34.5 months, and 55% were male. Among the chronic comorbidities, neurologic disease was the most common (85%), followed by respiratory (36%) and cardiac (13%) disorders. The common reasons for consultation were suspected aspiration (56%), respiratory difficulty (44%), drooling/stertor (30%), regurgitation/vomiting (18%), and feeding/swallowing difficulty (17%). Following discussions, 58 patients received active interventions, including fundoplication, gastrostomy, laryngomicrosurgery, tracheostomy, and primary dilatation of the airway. According to the questionnaire of the caregiver, the majority agreed that the main symptoms and quality of life of patients had improved (88%), reducing the burden on caregivers (77%). Aerodigestive programs may provide comprehensive and multidisciplinary management for children with complex airway and digestive tract disorders.

Swallowing difficulty

2016 ◽  
Vol 9 (2) ◽  
pp. 99-108
Author(s):  
Tobias Edward Moorhouse ◽  
Adrian Bellwood
Keyword(s):  
Swallowing Difficulty

Swallowing Difficulty After Stroke (Dysphagia)

2005 ◽  
pp. 37-38
Author(s):  
William A. Sodeman ◽  
Thomas C. Sodeman
Keyword(s):  
Swallowing Difficulty

Effect of aging on bolus kinematics during the pharyngeal phase of swallowing

2006 ◽  
Vol 290 (3) ◽  
pp. G458-G465 ◽  
Author(s):  
Eytan Bardan ◽  
Mark Kern ◽  
Ronald C. Arndorfer ◽  
Candy Hofmann ◽  
Reza Shaker
Keyword(s):  
Pressure Gradient ◽  
The Elderly ◽  
Upper Esophageal Sphincter ◽  
Elderly Subjects ◽  
Kinematics And Dynamics ◽  
Pressure Gradients ◽  
Swallowing Difficulty ◽  
Esophageal Sphincter ◽  
Young Subjects ◽  
Liquid Bolus

Swallowing difficulty is a common complaint in the elderly and, although there are data for the biomechanics of liquid swallows, little is known about solid bolus motion, or kinematics, in the elderly. The aims of this study were as follows: 1) to characterize and compare solid and liquid bolus kinematics in the elderly and compare the findings with those in young subjects and 2) to correlate bolus kinematics and dynamics. Concurrent manometric-fluoroscopic techniques were used to study eight young and eight elderly subjects. The subjects performed four swallows each of 0.2-cm-diameter solid barium pellets and 5 ml of liquid barium during sagittal fluoroscopy and six-channel pharyngoesophageal manometry. Images were digitized for analysis of kinematic properties such as velocity and acceleration. Dynamic pressures were recorded and coordinated with kinematic events. Image analysis showed that velocity varied as the pellet passed through the hypopharynx, pharynx, and upper esophageal sphincter. In young subjects, pellet kinematics were characterized by two zones of pellet acceleration: one over the tongue base and another as the pellet passed through the upper esophageal sphincter. Although the elderly showed a similar zone of acceleration over the base of the tongue, the second zone of pellet acceleration was not seen. Decreasing pressure gradients immediately distal to the position of the solid pellet and liquid bolus characterized dynamics for all subjects. This decreasing pressure gradient was significantly larger in elderly than in young subjects. Bolus kinematics and dynamics were significantly altered among elderly compared with young subjects. Among these differences were the absence of hypopharyngeal bolus acceleration and a significant increase in the transsphincteric pressure gradient in the elderly.

COMPARISON OF PHYSICAL PROPERTIES OF AGAR, LOW GEL STRENGTH AGAR AND GELATIN, AS SUPPLEMENTARY FOOD FOR PEOPLE WITH SWALLOWING DIFFICULTY

2002 ◽  
Vol 33 (4) ◽  
pp. 285-295 ◽  
Author(s):  
ATSUKO IGARASHI ◽  
EKO ARAI ◽  
REIKO WATANABE ◽  
YOZO MIYAOKA ◽  
TAKAHIRO TAZAWA ◽  
...  
Keyword(s):  
Physical Properties ◽  
Gel Strength ◽  
Supplementary Food ◽  
Swallowing Difficulty

Congenital Hereditary Bilateral Abductor Vocal Cord Paralysis

1982 ◽  
Vol 91 (6) ◽  
pp. 564-566 ◽  
Author(s):  
Kenneth M. Grundfast ◽  
Gregory Milmoe
Keyword(s):  
Vocal Cord ◽  
Autosomal Dominant ◽  
Vocal Cord Paralysis ◽  
Neonatal Period ◽  
Family Members ◽  
The Family ◽  
Swallowing Difficulty

Congenital hereditary bilateral abductor vocal cord paralysis has been found in a father, his son and daughter. Though the disorder was previously believed to be inherited in a sex-linked manner, it now appears that there is an autosomal dominant variant. The vocal cord paralysis was associated with swallowing difficulty during infancy in all three of the family members. Although both the son and daughter required tracheostomies during the neonatal period, both manifested improvement of vocal cord movement during infancy so that decannulation was possible before 14 months of age. Localized delay in neurologic maturation is suspected as the etiology.

scholarly journals Successful treatment of dysphagia in a COVID-19 survivor

2021 ◽  
Vol 7 (10) ◽  
pp. 509
Author(s):  
Richa Rashmi ◽  
Joyanta C. Mandal ◽  
Kavita Kumari ◽  
Shruti S. Senapati
Keyword(s):  
Quality Of Life ◽  
Infectious Disease ◽  
Respiratory Compromise ◽  
Swallowing Therapy ◽  
Effortful Swallow ◽  
Successful Case ◽  
Icu Discharge ◽  
Swallowing Difficulty ◽  
Management Of Dysphagia

<p class="abstract">This study was aimed<strong> </strong>document a successful case of dysphagia management after coronavirus disease 2019 (COVID-19) infection. COVID-19 is highly infectious disease and causes 75 million infection and 1.66 million deaths worldwide. Clinical features of COVID-19 including respiratory compromise, microvascular thrombosis and neurologic dysfunction as well as well as prolonged intensive care unit (ICU) care in severe cases yield patients particularly susceptible to mild to severe swallowing impairment which can persist for months or years after ICU discharge. A 52 years old female was diagnosed with severe pharyngo-oesophageal dysphagia after COVID-19 infection and was advised for swallowing therapy. The swallowing therapy was given thrice a week for 45 minutes including Masako, Shaker’s and modified Shaker’s exercise along with effortful swallow, Mendelsohn maneuvers and super-supraglottic swallow. After 2 weeks of swallowing therapy patient started taking semisolid food orally and maintain normal SpO<sub>2 </sub>level during feeding. This study concluded early intervention is the key to boost faster recovery and helped to improve patient’s quality of life.<strong> </strong>Swallowing manuvers and exercises were very effective for the management of dysphagia secondary to COVID-19 infection. This can be generalized and efficacy can be determined with large group of patients having swallowing difficulty after COVID-19 infection.</p>

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