[Dysphagia] Botox to assist with mastication/swallowing

[vstefans at george.ach.uams.edu (Vikki Stefans)]

re the open mouth posture - quick question - is he on Reglan 
(metoclopramide)?

Vikki Stefans, M.D., pediatric physiatrist (rehab doc for kids) at UAMS
and Arkansas Children's Hospital.  Working Mom of Sarah T. and Michael C.,
and wife of Henry Stefans. Every mom is a working mom!- OK, dads too.

On Thu, 18 Jan 2007, Moore, Tara - SJHMC wrote:

> I have a 22 year-old patient who suffered anoxic brain injury a few years
> ago secondary to cardia arrest. He has had a PEG tube since the accident and
> has, "a severe-profound oropharyngeal dysphagia characterized by (per MBSS
> 01/23/06), severely decreased initiation (as expected with anoxic brain
> injury), severely decreased mastication with open mouth posture and anterior
> leakage, inability to move bolus posteriorly, gradual premature spillage to
> the valleculae, occasional triggering of pharyngeal swallow with minimal
> passage of material, no penetration, mild residue throughout the pharyngeal
> recessess." He has hx of pneumonia x2 b/w June 2005 and December 2005.