[Dysphagia] continued epiglottic function

[Tamsin.WEST at svhm.org.au (WEST Tamsin (SVHM))]

I have also had excellent success in using the supraglottic swallow in Pt's with little/no epiglottis. Training the Pt is vital and they need to be willing to use the strategy at all times. I have found showing them the VF can be very helpful with this!!

Tamsin West
Speech Pathologist
St. Vincent's Health
Ph: (03) 9288 2211 pager 985
Fax: (03) 92883808


-----Original Message-----
From: dysphagia-bounces@b9.com [mailto:dysphagia-bounces@b9.com]On
Behalf Of Barbara Morrison
Sent: Thursday, 3 November 2005 11:38 PM
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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