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E K Hadde, T M Nicholson, J A Y Cichero
Recent studies show that understanding the rheological properties of thickened fluids, such as viscosity and yield stress, is advantageous in designing optimal thickened fluids for the treatment of dysphagia. To date, these studies have focused on the rheological behavior of thickened fluids in shear deformation, while limited information is available on the surface tension of thickened fluids or their rheological behavior in extensional deformation. Knowledge of the extensional properties of thickened fluids (extensional viscosity and cohesiveness) is important to fully understand the behavior of such fluids while swallowing...
May 21, 2019: Dysphagia
Aline Cristina Pacheco-Castilho, Gabriela de Martini Vanin, Roberto Oliveira Dantas, Octávio Marques Pontes-Neto, Rosemary Martino
Dysphagia and its associated complications are expected to be relatively more frequent in stroke patients in Brazil than in similar patients treated in developed countries due to the suboptimal stroke care in many Brazilians medical services. However, there is no estimate of dysphagia and pneumonia incidence for the overall stroke population in Brazil. We conducted a systematic review of the recent literature to address this knowledge gap, first screening citations for relevance and then rating full articles of accepted citations...
May 20, 2019: Dysphagia
(no author information available yet)
No abstract text is available yet for this article.
May 15, 2019: Dysphagia
Julie Killerup Kaae, Marie Louise Spejlborg, Ulrik Spork, Kristine Bjørndal, Jesper Grau Eriksen
Dysphagia is a significant late morbidity following treatment with radiotherapy (RT) for head and neck squamous cell carcinomas (HNSCC). The purpose of this feasibility study was to test a gel-based saliva substitute to reduce the subjective assessment of dysphagia while eating food items varying in size and texture. Eligible study subjects treated with curative intended RT and suffering from dysphagia and xerostomia were recruited from the outpatient clinic during a two-month period. Nineteen subjects consented to participation and completed the EORTC QLQ-H&N35 questionnaire and three test meals...
May 9, 2019: Dysphagia
Amanda Khamis, Iona Novak, Catherine Morgan, Gloria Tzannes, Jane Pettigrew, Jeanette Cowell, Nadia Badawi
Feeding difficulties and dysphagia are common in cerebral palsy (CP) and can lead to deficiencies of development and aspiration pneumonia; a leading cause of death in CP. Motor learning interventions have shown positive results in other clinical areas and may be beneficial for this population. This systematic review appraises research that addresses the question: are motor learning-based interventions more effective than compensatory strategies alone in treating dysphagia in infants with, or at risk of, CP?...
May 8, 2019: Dysphagia
(no author information available yet)
No abstract text is available yet for this article.
May 6, 2019: Dysphagia
Karini Mayer Silva da Cunha, Taís de Campos Moreira, Sheila Taminini de Almeida, Helena Maria Tannhauser Barros, Maristela Ferigolo
Users of cocaine and/or crack may present symptoms of dysphagia due to changes in anatomical structures caused by the use of these substances. The objective of this study was to investigate the presence of symptoms suggestive of dysphagia in users of cocaine and/or crack seeking treatment, as well as to investigate the quality of life of these individuals related to their swallowing condition. A cross-sectional study from September 2015 to December 2016, with 121 users of cocaine and/or crack, was conducted...
May 4, 2019: Dysphagia
Taichi Mafune, Shinya Mikami, Takehito Otsubo, Osamu Saji, Tsunehisa Matsushita, Takeharu Enomoto, Futaba Maki, Shinobu Tochimoto
Swallowing difficulty is among the major complications that can occur after surgery for thoracic esophageal cancer. Recurrent laryngeal nerve paralysis (RLNP) has been considered the most significant cause of a postoperative swallowing difficulty, but association between the two has not been adequately explained. We investigated the relation between postoperative RLNP and swallowing difficulty by means of video fluoroscopy. Our study included 32 patients who underwent subtotal esophagectomy for thoracic esophageal cancer at St...
April 29, 2019: Dysphagia
Jixiang Gao, Xiaojun Guan, Zhidong Cen, You Chen, Xueping Ding, Yuting Lou, Sheng Wu, Bo Wang, Zhiyuan Ouyang, Min Xuan, Quanquan Gu, Xiaojun Xu, Peiyu Huang, Minming Zhang, Wei Luo
Dysphagia is a common non-primary symptom of patients with Parkinson's disease. The aim of this study is to investigate the underlying alterations of brain functional connectivity in Parkinson's disease patients with dysphagia by resting-state functional magnetic resonance imaging. We recruited 13 Parkinson's disease patients with dysphagia and ten patients without dysphagia, diagnosed by videofluoroscopic study of swallowing. Another 13 age and sex-matched healthy subjects were recruited. Eigenvector centrality mapping was computed to identify functional connectivity alterations among these groups...
April 29, 2019: Dysphagia
James A Curtis, Sonja Molfenter, Michelle S Troche
Dysphagia is a highly prevalent disorder in Parkinson's Disease (PD) characterized by changes in swallowing kinematics, residue, and airway invasion. These changes can lead to serious medical morbidities including malnutrition, aspiration pneumonia, and death. However, little is known about the most predictive causes of residue and airway invasion in this patient population. Therefore, the aims of this study were to (1) assess how disease severity affects residue, airway invasion, and swallowing kinematics in PD; and (2) determine which swallowing kinematic variables were most predictive of residue and airway invasion...
April 27, 2019: Dysphagia
Prasit Mahawongkajit, Ajjana Techagumpuch, Palin Limpavitayaporn, Amonpon Kanlerd, Ekkapak Sriussadaporn, Jatupong Juntong, Assanee Tongyoo, Chatchai Mingmalairak
In esophageal cancer treatment, nutrition by feeding tube has been demonstrated to improve patient tolerance of treatment, quality of life, and long-term outcomes. The open gastrostomy and percutaneous endoscopic gastrostomy (PEG) using introducer technique are procedures that avoid cancer cells seeding and also improve patient's nutritional status, hydration, and medication. The aim of this study is to compare the results of the introducer PEG and open gastrostomy in patients with advanced esophageal cancer...
April 25, 2019: Dysphagia
Jitsuro Yano, Sayako Yamamoto-Shimizu, Tomonori Yokoyama, Isami Kumakura, Kozo Hanayama, Akio Tsubahara
The activities of the suprahyoid muscles have been reported to be induced by tongue muscle contraction. The purpose of this research was to investigate whether tongue-strengthening exercises using a device cause hypertrophy of the geniohyoid muscle in healthy adults. Seven healthy young adults (3 men and 4 women, 21.0 ± 1.3 years old) received 8-week tongue muscle training with the JMS Tongue Pressure Measuring Device. The participants were instructed to press the anterior tongue against the hard palate 30 times in each session, three sessions a day, and 3 days a week...
April 22, 2019: Dysphagia
Raymond Fong, Anna F Rumbach, Elizabeth C Ward
At present, the nature and extent of upper esophageal stage clearance issues following nonsurgical management of nasopharyngeal cancer (NPC) is not well elucidated. The aim of this study was to conduct an initial retrospective study of the prevalence and severity of upper esophageal clearance impairments in a cohort of patients post-NPC management. A secondary aim was to explore any observed relationship between severity of impairment with both (a) aspiration and (b) temporal oropharyngeal swallowing measures...
April 15, 2019: Dysphagia
Bonnie Martin-Harris, Kathryn A Carson, Jeanne M Pinto, Maureen A Lefton-Greif
AIM: This investigation tested the construct validity of the first standardized assessment tool, the BaByVFSS Impairment Profile, (BaByVFSSImP©), developed for the quantification of swallowing observations made from videofluoroscopic swallow studies (VFSS) in bottle-fed babies. METHOD: Construct validity of the measures was tested using descriptive methods and confirmatory factor analysis (CFA) of swallowing scores obtained from a cohort of bottle-fed babies (median age 3 months 1 day, interquartile range 1 month 4 days-7 months 4 days) sequentially referred for VFSS based on clinical signs, symptoms, or risk factors associated with dysphagia and/or aspiration...
April 6, 2019: Dysphagia
Rebecca Louise Nund, Bena Brown, Elizabeth Celeste Ward, Julia Maclean, Justin Roe, Joanne M Patterson, Rosemary Martino
A combination of outcome measures are required to provide important information on the physiological profile and associated impact of dysphagia in head and neck cancer (HNC). Choosing the most appropriate tool can be a difficult and time-consuming process. The aim of this study was to identify and then compare the content of tools commonly used to assess swallowing post HNC care using the International Classification of Functioning Disability and Health (ICF) as a reference. A literature audit of 11 databases was conducted for relevant articles published between January 2004 and June 2017 and total of 502 papers met the inclusionary criteria...
April 3, 2019: Dysphagia
Hyo Won Im, Seung Yeun Kim, Byung-Mo Oh, Tai Ryoon Han, Han Gil Seo
Although children are more radio-sensitive than adults, few studies have evaluated radiation dosage during videofluoroscopic swallowing study (VFSS) in children. The aim of the study was to investigate the radiation dosage using dose-area product (DAP) for VFSS in pediatric cases and to identify factors affecting the radiation dose. Patients aged 0-17 years who had undergone VFSS were included. The following data were collected retrospectively: DAP; fluoroscopic time; number of tried diets; and clinical characteristics including sex, age, etiology of dysphagia, and recommended feeding type...
April 3, 2019: Dysphagia
Rakesh Kochhar, Sarthak Malik, Yalaka Rami Reddy, Usha Dutta, Narendra Dhaka, Saroj Kant Sinha, Bipadabhanjan Mallick, T D Yadav, Vikas Gupta
BACKGROUND AND AIMS: This retrospective study was aimed at assessing the efficacy of endoscopic dilation for esophageal anastomotic strictures, and to compare response between caustic anastomotic strictures (CAS) and non-caustic anastomotic strictures (NCAS). MATERIALS AND METHODS: Patients with anastomotic strictures (enrolled during January 1996-December 2015) were analyzed. Short- and long-term outcomes of dilation, in terms of clinical success, refractory, and recurrent strictures were compared between NCAS and CAS...
March 30, 2019: Dysphagia
Mohammed Elrabie Ahmed, Mona El-Rabie Ahmed, Ahmed Mahmoud El Batawi, Hesham Mostafa Abdelfattah, Noura Jelassi
Detailed information on the hypopharyngeal cyst presentation, terminology, classification, diagnosis, management, and possible complication is scarce though it would lead to life-threatening symptoms. This review article, therefore, meticulously presents and analyzes the majority of the pertaining literature. In this context, a particular emphasis has been placed on the embryological development of the branchial arches while discussing each entity that would improve the current understanding of different pharyngeal cyst's pathologies...
March 29, 2019: Dysphagia
Zhenwei Zhang, Subashan Perera, Cara Donohue, Atsuko Kurosu, Amanda S Mahoney, James L Coyle, Ervin Sejdić
Videofluoroscopic swallow studies are widely used in clinical and research settings to assess swallow function and to determine physiological impairments, diet recommendations, and treatment goals for people with dysphagia. Videofluoroscopy can be used to analyze biomechanical events of swallowing, including hyoid bone displacement, to differentiate between normal and disordered swallow functions. Previous research has found significant associations between hyoid bone displacement and penetration/aspiration during swallowing, but the predictive value of hyoid bone displacement during swallowing has not been explored...
March 27, 2019: Dysphagia
Yael Shapira-Galitz, Hagit Shoffel-Havakuk, Doron Halperin, Yonatan Lahav
Reduced laryngeal sensation and accumulated pharyngeal secretions are known predictors of aspiration. Yet, their association with residue has not been fully explored. One Hundred and ten fiberoptic endoscopic examination of swallowing (FEES) examinations were retrospectively analyzed. Murray's secretion scale (MSS) for secretion stasis and laryngeal sensation were tested for association with residue severity (Yale pharyngeal residue severity rating scale, YPR-SRS) and the number of swallows required to clear the bolus...
March 25, 2019: Dysphagia
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