[Dysphagia] anterior hyo-laryngeal elevation

[WadeC at rvh.on.ca (Wade, Colleen)]

Hello,

I have a question regarding anterior hyo-laryngeal elevation and
cricopharyngeal opening.  I understand that the anterior lift is
required for the cricopharyngeus to open.  Is it possible that a tight
cricopharyngeus, possibly due to severe GERD, could reduce anterior
hyo-laryngeal elevation?  I had a patient today who was 43 and healthy.
There was no medical history except difficulty swallowing, extra effort
required to swallow, and occasional xerostomia.  He reported that he has
experienced GERD on occasion.  He was assessed under videofluoroscopy.
Decreased anterior lift, reduced cricopharyngeal opening/duration, small
cervical osteophytes at C5-6, and residue in the cricopharyneal region
post swallow were observed.  This patient has no reported neurological
signs/symptoms.  I'm wondering why the anterior lift was reduced.  Any
input would be appreciated.

Thank-you

Colleen Wade M.S., CCC-SLP, Reg. CASLPO

Speech-Language Pathologist

Royal Victoria Hospital

Phone: (705) 728-9090 Ext. 4417

Fax: (705) 739-5674

Email: wadec@rvh.on.ca


Exceptional PEOPLE, Exceptional CARE



**** CONFIDENTIALITY NOTICE ****

This electronic transmission and any accompanying attachments may 
contain privileged or confidential information intended only for the use
of the individual or organization named above. Any distribution, 
copying or action taken in reliance on the contents of this 
communication by anyone other than the intended recipient(s) is 
STRICTLY PROHIBITED.

If you have received this communication in error please notify the 
sender at the above email address and delete this email immediately.

Thank you.

**************************************