[Dysphagia] 'absent' swallows

[larissa.noll at cywhs.sa.gov.au (Noll, Larissa (CYWHS))]

What term do you give those swallows where the bolus does appear to be
transferred despite insufficient laryngeal elevation?  In these cases there
doesn't appear to be movement, though the bolus is still 'swallowed' with
some pooling in the piriforms and around the upper oesophageal sphincter.

Larissa
Adelaide, Australia

-----Original Message-----
From: dysphagia-bounces@b9.com [mailto:dysphagia-bounces@b9.com] On Behalf
Of Barbara C. Sonies
Sent: Thursday, 2 February 2006 02:48
To: Morgan Jennie (RXP) Speech & Language Therapy; diane sellstrom;
Dysphagia@b9.com
Subject: Re: [Dysphagia] 'absent' swallows

You can have some laryngeal elevation without a swallow- so absent swallow
is when there is insufficient hyolaryngeal elevation to transfer a bolus
regardless of tiny efforts which do not produce the physiological event.
B. Sonies, Ph.d., ccc/slp BRS-S


> From: "Morgan Jennie (RXP) Speech & Language Therapy"
> <Jennie.Morgan@cddah.nhs.uk>
> Date: Wed, 1 Feb 2006 13:56:45 -0000
> To: diane sellstrom <dianesellstrom98@yahoo.com>, <Dysphagia@b9.com>
> Conversation: [Dysphagia] 'absent' swallows
> Subject: RE: [Dysphagia] 'absent' swallows
> 
> Hi Diane,
> 
> I only use the term 'absent swallow' (both at bedside and on 
> videofluoroscopy) if there is no laryngeal movement in response to 
> giving a bolus. Otherwise I would call it a (very) weak swallow if there
was some laryngeal movement.
> 
> Jennie
> 
> -----Original Message-----
> From: dysphagia-bounces@b9.com [mailto:dysphagia-bounces@b9.com]On
> Behalf Of diane sellstrom
> Sent: Wednesday, 01 February 2006 11:15 AM
> To: Dysphagia@b9.com
> Subject: [Dysphagia] 'absent' swallows
> 
> 
> a recent discussion with a colleague has sparked a bit of debate 
> within our department and i'd be interested to see what others think.
> I'd like to know if/when people use the term 'absent swallow', 
> particularly when reviewing a Videofluoroscopy. If you do use it, how 
> would you define it and when does it become  e.g. a very weak swallow?
> Thanks,
> 
> Diane
> 
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