The way food is eaten: Dysphagia, or impairment of swallowing function, is a frequent consequence of head and neck cancer and its treatment that can result in decreased quality of life and nutritional deficiency. Maintains and strengthens muscle mass during inactive periods e. The MBS, which is performed under the supervision of a speech-language pathologist and a radiologist, is the radiographic tool most commonly used for the evaluation and treatment of dysphagia. Aspiration is defined as food or liquid entering the airway. Abstract Videofluoroscopic examination of swallowing VF is the gold standard in diagnosis and management of dysphagia.
Evaluation and Treatment of Swallowing Impairments - American Family Physician
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Esophageal disorders in the elderly. Dietary modification, no eating at bedtime, remaining upright after eating, pharmacologic therapy, smoking cessation. For example, the complaint of food sticking or stopping in the chest is highly suggestive of an esophageal disorder. The patient's current medications should be reviewed because some drugs, especially psychotropic medications, can exacerbate dysphagia Table 3.
Residue was present in A swallow has four phases: Peptic stricture of the esophagus, achalasia of the lower esophageal sphincter. Correlates and consequences of eating dependency in institutionalized elderly. All examinations were recorded on videotape for further analysis.
Laryngeal penetration was silent no cough The recording of the test can be reviewed at a later date for comparative purposes or to determine progress from receiving a form of swallowing therapy. The Modified Barium Swallow serves several important functions in the diagnosis and management of swallowing disorders. Laryngeal closure will initiate with arytenoids adduction, glottal closure, and respiratory apnea and will be accompanied with laryngeal elevation and epiglottis inversion [ 4 , 5 ]. Then, 3 oz water swallow test was performed for all the patients. Two possible explanations could be proposed for this: