Dysphagia Short Answer

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8 Terms

1
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anterior/floor of mouth resection

problems with laryngeal elevation leads to residuals

  • acute dysphagia usually resolves

2
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base of tongue resection

  1. Oral and pharyngeal phases impacted

  2. Problems with swallow trigger, poor clearing, severe aspiration. 

  3. recuced efficiency of swallow

3
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supraglottic laryngectomy

Impaired pharyngeal phase, reduced airway protection

SLPs do

  • base of tongue ROM

  • laryngeal closure exercises

  • transition from tube to oral feeding

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total laryngectomy

total divide of trachea and esophagus

  • extended resection can result in pharyngeal motility problems

little-to-no chance of aspiration

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chemo and swallow

  1. lack of appetite

  2. general fatigue

  3. altered taste

  4. inflammation of digestive tract

  5. nausea

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Furuie article

preventative therapy DURING CRT improved

  • aspiration

  • bolus residue

  • FOIS (swallow score scale)

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radiation and swallow

  1. Stiffening/atrophy of muscles

  2. laryngeal dryness

  3. reduced ROM tongue, larynx

  4. reduced airway closure

  5. residuals 

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laryngectomy and aspiration

Connects esophagus and pharynx, trachea exits through opening (placed in tracheal cartilage area)

  • PREVENTS aspiration b/c disconnect between oral cavity/esophagus and trachea