Endoscopic video swallow studies and swallowing difficulties

Endoscopic video swallow studies and swallowing difficulties

Swallowing diagnostics and treatments assistance is the topic of the day. Oropharyngeal dysphagia can also be caused by esophageal cancer and head or neck cancer. It may be caused by an obstruction in the upper throat, pharynx, or pharyngeal pouches that collect food. Esophageal dysphagia is the feeling that something is stuck in your throat. This condition is caused by: spasms in the lower esophagus, such as diffuse spasms or the inability of the esophageal sphincter to relax, tightness in the lower esophagus due to an intermittent narrowing of the esophageal ring, narrowing of the esophagus from growths or scarring.

Compensatory techniques alter the swallow when used but do not create lasting functional change. An example of a compensatory technique includes a head rotation, which is used during the swallow to direct the bolus toward one of the lateral channels of the pharyngeal cavity. Although this technique may increase swallow safety during the swallow, there is no lasting benefit or improvement in physiology when the technique is not used. The purpose of the technique is to compensate for deficits that cannot be or are not yet rehabilitated sufficiently. Rehabilitative techniques, such as exercises, are designed to create lasting change in an individual’s swallowing over time by improving underlying physiological function. The intent of many exercises is to improve function in the future rather than compensate for a deficit in the moment. Discover additional details at Dysphagia.

Oropharyngeal dysphagia involves difficulty moving food to the back of the mouth and starting the swallowing process. This type of dysphagia can result from various nerve or brain disorders such as stroke, cerebral palsy, multiple sclerosis, Parkinson’s and Alzheimer’s diseases, cancer of the neck or throat, a blow to the brain or neck, or even dental disorders. Depending on the cause, symptoms may include drooling, choking, coughing during or after meals, pocketing of food between the teeth and cheeks, gurgly voice quality, inability to suck from a straw, nasal regurgitation (food backing into the nasal passage), chronic respiratory infection, or weight loss. Liquids are usually more of a problem in oropharyngeal dysphagia.

Videofluoroscopy (MBSS) has long been viewed as the “gold standard” for evaluation of a swallowing disorder for the comprehensive information it provides. However, it is not very efficient and accessible in certain clinical and practical situations. In addition, MBSS does not allow for the assessment of soft tissue and airway patency, which is an integral component of swallowing function. FEES has been shown to be as equally safe and effective for swallowing evaluation. In fact, research articles have also repeatedly proven that FEES is also a gold-standard assessment and is just as accurate, with even better sensitivity and specificity than MBSS. Find more details on dysphagiainmotion.com.