Dysphagia Resource Center

Review article by Logemann on Oropharyngeal dysphagia and nutritional management.

ppalmer@dysphagia.com — Tue, 09 Nov 1999 00:25:14 GMT

Logemann J. (2007). Oropharyngeal dysphagia and nutritional management. Current Opinion in Clinical Nutrition & Metabolic Care. 10(5):611-614.

Ciprofloxican can cause serious side effects including CNS & GI..

ppalmer@dysphagia.com — Tue, 09 Nov 1999 00:29:59 GMT

Gastrointestinal: Painful oral mucosa, oral candidiasis, dysphagia, intestinal perforation, gastrointestinal bleeding. Cholestatic jaundice has been reported. Ileus, jaundice, gastrointestinal bleeding, C. difficle associated diarrhea, ...

E-Stimulation for Swallow Function: Reference List

ppalmer@dysphagia.com — Tue, 09 Nov 1999 23:17:25 GMT

A reference list from Medical University of South Carolina

Familial Dysautonomia case study

ppalmer@dysphagia.com — Tue, 09 Nov 1999 23:24:41 GMT

Some manifestations include abnormal pain and temperature regulation, cardiovascular lability, hypotonia, poor coordination and balance, attention and learning problems, dysphagia, absent tears, and dysautonomic crisis. ...

Researchers discover discrepancies between national dysphagia diet and premixed dysphagia products

ppalmer@dysphagia.com — Tue, 28 Mar 2000 00:57:38 GMT

Research at Wake Forest University tested viscosity of foods that ranged in thickness from thin to nectar (thicker) to honey (thickest), using the National Dysphagia DIET (NDD) terminology. They found that of four different prepared dysphagia diet foods used at the Medical Center (Resource, Hormel, Carnation and Boost) the viscosity listed for Resource was the most consistent with NDD guidelines.

Use of the ICF in Dysphagia Management

ppalmer@dysphagia.com — Fri, 31 Mar 2000 11:46:20 GMT

Ina recent publication in Seminars in Speech and Language, Dr. Threats addresses the use of the World Health Organization's International Classification of Functioning, Disability and Health (ICF) as a framework for dysphagia clinicians. The different components of the ICF are discussed in relation to the diagnosis and management of dysphagia. The author concludes that speech-language pathologists can use the ICF framework beneficially to justify and strengthen their role in the management of dysphagia.

"Redo" Fundoplications: Hospital Costs & Outcomes

ppalmer@dysphagia.com — Fri, 31 Mar 2000 01:25:33 GMT

A prospective investigation by Cowgill et al. will be published in the November issue of Journal of Surgical Research. The authors compared hospital costs of initial fundopilcation versus a repeat procedure for a failed fundoplicaiton. The authors noted that fundoplication resulted in a reduction in dysphagia frequency and that dysphagia severity was reduced. Length of stay was significantly longer for patients requiring “redo” fundoplications and hospital costs were significantly greater.

Mice Model may be useful in studying Presbylaryngis

ppalmer@dysphagia.com — Wed, 05 Apr 2000 22:26:47 GMT

Published in August 2007 in the Annals of Otology Rhinology & Laryngology, Abdelkafy et al. address "Age-related changes in the murine larynx: initial validation of a mouse model."

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Tongue Sucker to the Rescue!

ppalmer@dysphagia.com — Fri, 07 Apr 2000 01:02:54 GMT

The tongue sucker was developed as a result of the 2005 London bombings. The simple suction device is kept in first aid kits for use in cases where the tongue muscle becomes limp or bunched up in the oropharynx occluding the airway. The tongue sucker will allow you to easily bring the tongue forward and free the airway until trained professionals are available.

Seminars in Speech & Language devote an issue to Pediatric Dysphagia

ppalmer@dysphagia.com — Fri, 07 Apr 2000 01:10:36 GMT

An issue of Seminars in Speech & Language addresses issues of pediatric dysphagia providing literature reviews and tutorials on deglutition and respiration, nutritional absorption as a function of GI status, assessment and intervention.

Anterior Cervical Discectomy and Fusion Associated Complications.

ppalmer@dysphagia.com — Fri, 07 Apr 2000 01:21:18 GMT

In a recent publication in Spine, Fountas et al. published a retrospective review of complications associated with anterior cervical discectomy and fusion. The authors address management of these complications. A chart review of 1015 patients revealed a mortality rate of 0.1% (1 of 1015 patients, death occurred secondary to an esophageal perforation). The morbidity rate was 19.3% (196 of 1015 patients). The most common complication was the development of isolated postoperative dysphagia, which was observed in 9.5% of the patients. Other complications included postoperative hematoma (5.6%), recurrent laryngeal nerve palsy (3.1%), dural penetration (0.5%) and esophageal perforation (0.3%).

Authors of "Sword Swallowing and its Side Effects" win 2007 Ig Nobel Prize

ppalmer@dysphagia.com — Fri, 07 Apr 2000 23:40:38 GMT

Dr. Brian Witcombe and Dan Meyer published "Sword Swallowing and its Side Effects" in the British Medical Journal. The authors obtained information from over 100 sword swallowers and compiled the complications.

Dysphagia in post-carotid endarterectomy: a prospective study.

ppalmer@dysphagia.com — Sun, 09 Apr 2000 23:18:28 GMT

In Annals of Vascular Surgery (May 2007) Masiero et al. followed 19 patients who presented with dysphagia s/p carotid endartarectomy.
They performed FEES at 5 days and 3 months post operation. They measured degree of penetration and aspiration via the Penetration-Aspiration scale. The mean penetration-aspiration score at the first evaluation was 5.2. At the 3-month follow-up, the mean penetration-aspiration score was 1.2.

Unsuspected Swallowing of a Partial Denture

ppalmer@dysphagia.com — Tue, 11 Apr 2000 00:35:50 GMT

The authors report a case of a swallowed partial denture in a 51-year-old man who presented with progressive dysphagia, odynophagia, and fevers. Imaging studies were initially interpreted as supraglottitis with laryngeal inflammation, which was confirmed by direct visualization with flexible endoscopy. Despite appropriate therapy, the patient's symptoms persisted and rigid laryngoscopy was performed, which revealed a partial denture in the hypopharynx and upper esophagus. The subtle imaging appearance of a swallowed denture is discussed.

Case Study: 16 mo with esophageal duplication

ppalmer@dysphagia.com — Tue, 11 Apr 2000 00:39:16 GMT

A 16-month-old boy presented with a story of stridor, solid dysphagia and a history of spectacular protrusion underneath his tongue which was mistaken by the parents for a snake's tongue! Read about the radiologic findings at http://www.blackwell-synergy.com/doi/abs/10.1111/j.1442-2050.2007.00755.x

New ICD-9 CM Codes: Effective October 1

ppalmer@dysphagia.com — Tue, 11 Apr 2000 00:44:21 GMT

New codes impact SLPs as there are now subcodes for phases of dysphagia. See the pdf file at http://www.cdc.gov/nchs/datawh/ftpserv/ftpicd9/ftpicd9.htm#guidelines for the new codes.

Swallowing Trouble

ppalmer@dysphagia.com — Wed, 12 Apr 2000 22:59:30 GMT

The AAO-HNS provides an overview of dysphagia. This page provides an overview of dysphagia for patients.

Protocol for Pill Swallowing in Patients with Dysphagia

ppalmer@dysphagia.com — Wed, 12 Apr 2000 23:02:52 GMT

This web page contains a link to a pdf document that provides advice for parents and health care providers on how to administers pills to patients with dysphagia.

A Study Tool for Students

ppalmer@dysphagia.com — Wed, 12 Apr 2000 23:09:45 GMT

A web site dedicated to the development and sharing of study flashcards has a section for dysphagia.

Swallowing Animation

ppalmer@dysphagia.com — Wed, 12 Apr 2000 23:14:45 GMT

This animation includes a review of swallow anatomy and an animated normal swallow. It is a nice teaching tool!

New Dysphagia Text

ppalmer@dysphagia.com — Wed, 12 Apr 2000 23:35:39 GMT

A new text that includes dysphagia resources and protocols in English and Spanish was recently published by Plural Publishing.
Assessment of Dysphagia in Adults: Resources and Protocols in English and Spanish (Plural Protocols)

Reversible atrial fibrillation secondary to a mega-esophagus

ppalmer@dysphagia.com — Wed, 31 Jan 2001 23:24:37 GMT

Case report
Reversible atrial fibrillation secondary to a mega-oesophagus
Tahwinder Upile , Waseem Jerjes , Mohammed El Maaytah , Sandeep Singh, Colin Hopper and Jaspal Mahil

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A 45-year-old man with diplopia, dysarthria ,dysphagia in MRCP Forum

ppalmer@dysphagia.com — Wed, 31 Jan 2001 23:28:07 GMT

A 45-year-old man presented with diplopia, dysarthria and difficulty with swallowing. Over the next few days he developed weakness of the upper and lower limbs. On day 4 he was unable to walk unaided. He denied any sensory symptoms or bladder disturbances. His previous medical history is unremarkable. He is a non-smoker,
does not drink alcohol excessively. He does not take any drugs On examination he was apyrexial. His general medical examination was normal. His higher mental function was unremarkable. There were no signs of meningism. Cranial nerve examination showed bilateral dilated and fixed pupils. He had binocular diplopia but no obvious ophthalmoplegia. He was dysarthric with weak cough. His vital capacity was 3.15 standing and 2.00 lying flat. He had lower motor neuron tetraparesis of power 3/5. He was hyporeflexic with normal sensation. He was unable to walk unaided. Blood tests including FBC, U+Es, LFTs, TFTs, Ca, Autoantibody screen, ESR, CRP were normal. ECG and CXR were unremarkable. CT brain was normal. Nerve conduction studies and EMG were normal. What is the most likely diagnosis?

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Six-month outcome for dysphagia following traumatic brain injury: radiological assessment

ppalmer@dysphagia.com — Wed, 31 Jan 2001 23:30:54 GMT

The coexistence of a swallowing impairment, or dysphagia, can severely impact upon the medical condition and recovery of a child with traumatic brain injury (TBI; Logemann, Pepe, & Mackay, 1994). Despite this fact, there is limited data that provide evidence of the progression or outcome of dysphagia in the pediatric population post-TBI (Rowe, 1999). The present study aimed to (1) provide a prospective radiologically based profile of swallowing outcome and (2) determine the clinical significance of any persistent physiological swallowing deficits by investigating the presence/absence of any coexistent respiratory complications. Seven children with moderate/severe TBI were evaluated via an initial videofluoroscopic swallowing assessment (VFSS) at an average of 24.1 days postinjury, during the acute phase of management.

Study shows botulinum toxin reduces dysphagia in diabetic neuropathy

ppalmer@dysphagia.com — Sat, 03 Feb 2001 04:36:32 GMT

Botulinum Toxin Treatment for Oropharyngeal Dysphagia Associated With Diabetic Neuropathy

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