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[Dysphagia] continued epiglottic function
It has been my experience that sEMG has also proven to be quite helpful with these patients diagnostically, as well as for therapeutic purposes.
John Amato, EdD
-----Original Message-----
From: Dailey, Scott <scott-dailey@uiowa.edu>
To: Barbara Morrison <bjm@francomm.com>; dysphagia@b9.com
Sent: Thu, 3 Nov 2005 07:06:14 -0600
Subject: RE: [Dysphagia] continued epiglottic function
We have several patients without epiglotti (whatever the plural is of
epiglottis) who swallow. They need to use the supraglottic swallow
maneuver (hold breath, swallow cough). They penetrate most of the time.
The patient needs training to learn the supraglottic maneuver before
moving to further assessment (FEES or MBS). Perhaps the ENT was
describing that the epiglottis is the third level of airway closure
after vocal cords (1) false/ventricular folds (2).
Scott Dailey, M.A., CCC-SLP
Speech-Language Pathologist II
University of Iowa Hospitals & Clinics
200 Hawkins Dr
Iowa City, IA 52242
(319)356-7030
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-----Original Message-----
From: dysphagia-bounces@b9.com [mailto:dysphagia-bounces@b9.com] On
Behalf Of Barbara Morrison
Sent: Thursday, November 03, 2005 6:38 AM
To: dysphagia@b9.com
Subject: [Dysphagia] continued epiglottic function
Re. Epiglottis Case...(the email sent before I finished?!?!)
The ENT wants SLP services to "reintroduce swallowing". The ENT told the
family
that the epiglottis is the "third step" in the swallow function and that
it is NOT
that important. It has been my experience that the epiglottis IS pretty
important
in the swallow and for airway protection. Any thoughts about this
misguided ENT?!?!
Or has anyone had a patient who has no epiglottis and can swallow
safely????
The patient has had no surgery. He does currently have a trach with
decannulation
planned in a few weeks.
Thanks for any input.......
Barbara_______________________________________________
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