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[DYSPHAGIA] cricopharyngeal spasms



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What we do, depends on the severity of the problem!  In mild CP bars, we have 
have 
been sucessful in having patients swallow with a chin down posture(not a 
tuck), which facilitates expansion of the pharyngeal lumen.  Consequently, 
many patients
report immediately improved swallowing with this procedure, which is 
simultaneaously observed by the speech pathologist and the radiologist. This 
same 
procedure has also provided some relief for patients who are experiencing  
swallowing difficulties due to a cervical lordosis.  However, in severe CP 
bars, the paient is routinely referred to GI for consideration of 
dilatation/myotomy etc.


John

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<HTML><FONT FACE=arial,helvetica><FONT  SIZE=2>What we do, depends on the severity of the problem! &nbsp;In mild CP bars, we have 
<BR>have 
<BR>been sucessful in having patients swallow with a chin down posture(not a 
<BR>tuck), which facilitates expansion of the pharyngeal lumen. &nbsp;Consequently, 
<BR>many patients
<BR>report immediately improved swallowing with this procedure, which is 
<BR>simultaneaously observed by the speech pathologist and the radiologist. This 
<BR>same 
<BR>procedure has also provided some relief for patients who are experiencing &nbsp;
<BR>swallowing difficulties due to a cervical lordosis. &nbsp;However, in severe CP 
<BR>bars, the paient is routinely referred to GI for consideration of 
<BR>dilatation/myotomy etc.
<BR>
<BR>
<BR>John</FONT></HTML>

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