Swallowing Exam 1 Paramby

what leads to dysphagia?

incoordination or abnormal obstruction of flow

VFSS procedure

• diagnostic and interventional

• designed to not just observe and describe a disorder, but to assess effectiveness of interventions

oropharyngeal swallow

a continuum of temporarily overlapping events

structures active during entire oropharyngeal swallow

mandible

soft palate

tongue

hyolaryngeal complex

UES

anchoring attachments for the tongue

mandible, hyoid bone, skull base

the _______ anchors all of the anterior muscles responsible for hyolaryngeal excursion (HLE)

mandible

SLP area of scope of practice

lips to the end of the cricopharyngeus muscles

stages of swallowing

1. oral prep

2. oral

3. pharyngeal

4. esophageal

three branches of the vagus nerve

1. pharyngeal branch

2. superior laryngeal branch

3. recurrent laryngeal branch

the vagus nerve innervates the

larynx

to create suction

soft palate lowers to the to the tongue and muscles in the face or cheek contract to create negative pressure

what does the mendelson maneuver do

keeps UES open

when does pharyngeal stage of swallowing begin

faucial pillars and ramus of the mandible

factors that lower chances of pneumonia

independent feeding, physical exercise, and good oral hygiene

muscles of mastication

masseter

temporalis

medial pterigoid

lateral pterigoid

because the hyoid and epiglottis are attached →

when the hyoid moves, so do laryngeal structures

thyrohyoid shortening

laryngeal elevation

every tongue muscle is innervated by CN 12 except

palatoglossus

muscles responsible for anterior movement

mylohyoid, stylohyoid, ABD

muscles responsible for superior movement

hyoglossus

what muscle opens the UES

cricopharyngeus muscle

what is cricopharyngeus muscle innervated by

the recurrent laryngeal branch of the vagus nerve

2 reasons why the UES isn’t opening

1. not enough anterior movement of hyoid

2. cricopharyngeus muscle isn’ relaxed enough

4 suprahyoid muscles

• mylohyoid

• stylohyoid

• ABD and PBD

• geniohyoid

mentioned the hyoglossus but that is 5??

signs of pharyngeal onset delay

cohesive bolus

signs of oral containment impairment

bolus trickles down

onset of pharyngeal swallow activity is marked by

onset of maximal hyolaryngeal excursion (HLE)