By Gauri Mankekar
Swallowing trouble or dysphagia is a typical illness and impacts all age teams from the baby to the aged. a number of health conditions like loss of dentition, gastroesophageal reflux disorder, eosinophilic esophagitis, cardiomegaly and strokes could cause dysphagia. it could possibly additionally keep on with head -neck surgical procedures. it is very important diagnose and deal with dysphagia, in a different way it may well bring about malnutrition and dehydration. superior figuring out of the body structure of swallowing, advances in endoscopic and radiological recommendations in addition to an expanding aged inhabitants has led to improvement of a separate swallowing problems self-discipline. This e-book will be an relief for clinicians, educators and trainees from the fields of speech language pathology, pediatrics, otolaryngology, gastroenterology, oncology, neurology, geriatrics and rehabilitation, all of who shape part of the multidisciplinary swallowing team.
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Extra info for Swallowing – Physiology, Disorders, Diagnosis and Therapy
Example text
Food transport and bolus formation during complete feeding sequences on foods of different initial consistency. Dysphagia. 1999;14(1):31–42. 8. Gleeson M, Browning GG, Burton MJ, Clarke R, John H, Jones NS, Lund VJ, Luxon LM, Watkinson JC. Scott-Brown’s otorhinolaryngology, head and neck surgery. 7th ed. London: Hodder Arnold; 2008. 38 G. Mankekar and K. Chavan 9. Logemann JA. Evaluation and treatment of swallowing disorders. 2nd ed. Austin: Pro-Ed; 1998. 10. Merati A, Bielamowicz S, editors. Textbook of laryngology.
Equipment The components of the manometry system are: • • • • • Esophageal manometry catheter (water perfusion or solid state) Pressure transducers Signal acquisition Information storage devices (software, computer) Lidocaine spray, viscous lidocaine, tapes, lubricating gel, syringes, etc. The esophageal manometry catheter is a long, flexible tube that is placed in the patient’s esophagus with the distal tip lying in the stomach. The catheters can be made of a variety of plastic materials, most frequently polyvinyl chloride or silicone.
5 Difference between infant (a) and adult (b) swallowing passages. Note in (a), the palate is flatter, the epiglottis touches the soft palate, and the hyoid is at a higher position. In (b), the palate is more curved, the epiglottis and palate are not in contact, and the oral cavity is larger. a hard palate, b soft palate, c epiglottis, d larynx, e esophagus, f hyoid bone, g tongue muscles. The mandibular nerve [V3] also receives sensory branches from the lower lip, the anterior two-thirds of the tongue, the teeth of the lower jaw, and the mucous membranes of the cheek.