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31 Cards in this Set

  • Front
  • Back
observe tongue functionand measure oral transit time
Flexible endoscopic examination of swallowing (FEES)
anatomy of oral cavity and pharynx: examines pharynx and larynx before and after swallow
Videoendoscopy DOES NOT visuaize what stage?
In videoendoscopy you CAN see
velopharyngeal closure
inward mvmt of lateral and/or posterior pharyngeal walls
elevation and retraction of soft palate
advantages of videoendoscopy
no radiation
tests sensory awareness by touch
view vocal folds
Videofluoroscopy allows visualization of what 3 things?
1. oral activity during oral prep and oral stages
2. triggering of pharyngeal swallow in realtion to position of bolus
3. motor aspects of the pharyngeal swallow- mvmt of larynx, hyoid, tongue base, pharyngeal walls, cricopharyngeal area
Treatment studies should or should not be introduced during videofluoroscopy?
Should. To gain evidence of efficacy of intervention
pt swallows radioactive substance- viewed with gamma camera

amount of aspiration and residue can be measured- not the physiology of mouth/pharynx
information on timing and relative amplitude of selected muscle cocntraction
alert that a swallow is disordered, and point toward the nature of the dysfunction
anatomic and/or neuromuscular dysfunctions
radiographic study should be used when...
disordered deglutition is not clearly limited to the oral cavity or who may be aspirating
From the videofluoroscopic study clinician should do 3 things
1. define anatomic and/or neuromuscular dysfunctions
2. determine the recommendation as to whether or not the patient should eat by mouth and in what condition
3. plan direct or indirect treatment
Oral Transit Time
From tongue mvmt till blolus head reaches madible/tongue base cross
Pharyngeal Delay Time
bolus head at mandible/tongue base cross, ends when laryngeal elevation begins
The most important step in evaluation and treatment is ___
relate symptoms observed to anatomic or neuromuscular disorder
the critical symptom in a delay is the ____
location of the bolus head
if the bolus reaches the ___ there is an increased risk of aspiration
pyriform sinuses, because they are significantly shortened as pharynx and larynx elevate
posterior-anterior view of radiography
allows to see symmetry of structures and function in the oral cavity and pharynx
3 steps in UES opening
cricopharyngus relaxation
upward movement of larynx
intrabolus pressure
airway closure (3 levels)
true vocal folds
laryngeal vestibule
epiglottis/aryepiglottic folds
Pressure is applied to the ___ of the bolus
What does residue in the valleculae mean?
reduced tongue base retraction
What does residue in the pyriform sinus mean?
cricopharyngreal dysfunction and reduced anterior laryngeal movement
aging effects during swallow
decrease flexibility
decrease reserve
decrease reflexes
increase # of dippers
increase oral transit time
larynx lowers
Glossopharyngeus muscle
tongue base posteriorly and posterior wall of pharyngeus anteriorly
anterior faucial arches
raises velum
posterior faucial arches
lowers velum
identify physiologic and anatomic differences causing a symptom
identify symptoms
w/ fluoroscope- pressure
w/out- effort