Dysphagia - Chapter 11

Front 1

Techniques Designed to Improve Specific Swallowing Disorders

Back 1

1) Surgical Reduction of Osteophytes
2) Procedures to Improve Airway Closure at the Vocal Folds
3) Laryngeal Suspension for Reduced Laryngeal Elevation
4) Dilatation of Scar Tissue in the Cricopharyngeal Region
5) Cricopharyngeal Myotomy
6) Botulinum Toxin Injection

Front 2

Procedures Designed to Control Unremitting Aspiration

Back 2

1) Epiglottic Pull-Down
2) Suturing the Vocal Folds Together
3) Suturing the False Vocal Folds Together
4) Laryngeal Bypass or Tracheoesophageal Diversion
5) Traceostomy
6) Total Laryngectomy

Front 3

Techniques for Nonoral Feeding

Back 3

Nasogastric Feeding, Pharyngostomy, Esophagostomy, Gastrostomy, Jejunostomy

Front 4

Fundoplication - Antireflux Surgery

Back 4

-Done in children who receive gastrostomy or jejunostomy, and in adults with a history of reflux disease - done to reduce risk of reflux of nonoral feedings
-Involves twisting the top of the stomach around the LES to reinforce it and thereby reduce reflux

Front 5

Any patient who is aspirating significantly (more than ___% of all food consistencies) despite therapeutic interventions or who is taking longer than ___ seconds to swallow a singel bolus is a candidate for a nonoral feeding technique.

Back 5

Any patient who is aspirating significantly (more than _10_% of all food consistencies) despite therapeutic interventions or who is taking longer than _10_ seconds to swallow a singel bolus is a candidate for a nonoral feeding technique.

Front 6

If a patient's swallowing disorder is thought to be short term in nature (1 month or less), __________ is the treatment of choice.

Back 6

If a patient's swallowing disorder is thought to be short term in nature (1 month or less), _a nasogastric tube_ is the treatment of choice.