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Resources for swallowing and swallowing disorders.

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Recent Dysphagia Resource Center News

The American Academy of Otolaryngology – Head and Neck Surgery Foundation Hoarseness Guidelines
Posted 2009-09-21 20:24:28
The American Academy of Otolaryngology – Head and Neck Surgery Foundation has released Clinical Practice Guidelines for Hoarseness.
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Imflammatory Myopathies: Neurological Perspective On Myositis
Posted 2009-09-14 21:44:25
A general review of inflammatory myopathies--inclusion body myositis, dermatomositis, and polymyositis.
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Case study of boy with Eosinophilic Esophagitis
Posted 2009-09-14 21:41:25
An 11 year old boy with a 1 year history of dysphagia to solids underwent a barium swallow which excluded anatomical causes of dysphagia, but revealed multiple-ringed esophagus. Endoscopy showed a furrowing and trachealizing appearance of the entire esophagus. Patient was diagnosed with eosinophilic esophagitis.
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Carbohydrate receptors in the oral cavity?
Posted 2009-04-22 23:19:46
In a study published in Journal of Physiology (2009), Chambers and colleagues explore the impact of sports drinks on the oral cavity. Using functional MRI the authors identified brain regions that were activated by the sports drinks.
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An alternative diagnosis to GERD centers on food allergies
Posted 2009-04-22 23:07:30
For patients experiencing symptoms of gastroesophageal reflux disease, or GERD, but who seem beyond the reach of usual treatments, another diagnosis is possible -- eosinophilic esophagitis, or EE. EE is becoming more frequently recognized as the source of symptoms such as regurgitation, vomiting, chest pain, heartburn and dysphagia. ...
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Bedside screening tests vs. videofluoroscopy
Posted 2009-04-22 23:03:45
A review article posted in the Journal of Nursing reviewed bedside screening tests vs. videofluoroscopy or fibreoptic endoscopic evaluation of swallowing to detect dysphagia in patients with neurological disorder.
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Dizziness and Vertigo
Posted 2009-03-02 20:12:24
A tutorial on dizziness.
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Review article by Logemann on Oropharyngeal dysphagia and nutritional management.
Posted 2008-03-12 20:48:53
Logemann J. (2007). Oropharyngeal dysphagia and nutritional management. Current Opinion in Clinical Nutrition & Metabolic Care. 10(5):611-614.
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Ciprofloxican can cause serious side effects including CNS & GI..
Posted 2008-03-12 20:44:08
Gastrointestinal: Painful oral mucosa, oral candidiasis, dysphagia, intestinal perforation, gastrointestinal bleeding. Cholestatic jaundice has been reported. Ileus, jaundice, gastrointestinal bleeding, C. difficle associated diarrhea, ...
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E-Stimulation for Swallow Function: Reference List
Posted 2008-03-11 21:56:42
A reference list from Medical University of South Carolina
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Familial Dysautonomia case study
Posted 2008-03-11 21:49:26
Some manifestations include abnormal pain and temperature regulation, cardiovascular lability, hypotonia, poor coordination and balance, attention and learning problems, dysphagia, absent tears, and dysautonomic crisis. ...
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Researchers discover discrepancies between national dysphagia diet and premixed dysphagia products
Posted 2007-10-24 20:16:29
Research at Wake Forest University tested viscosity of foods that ranged in thickness from thin to nectar (thicker) to honey (thickest), using the National Dysphagia DIET (NDD) terminology. They found that of four different prepared dysphagia diet foods used at the Medical Center (Resource, Hormel, Carnation and Boost) the viscosity listed for Resource was the most consistent with NDD guidelines.
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"Redo" Fundoplications: Hospital Costs & Outcomes
Posted 2007-10-21 19:48:34
A prospective investigation by Cowgill et al. will be published in the November issue of Journal of Surgical Research. The authors compared hospital costs of initial fundopilcation versus a repeat procedure for a failed fundoplicaiton. The authors noted that fundoplication resulted in a reduction in dysphagia frequency and that dysphagia severity was reduced. Length of stay was significantly longer for patients requiring “redo” fundoplications and hospital costs were significantly greater.
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Use of the ICF in Dysphagia Management
Posted 2007-10-21 09:27:47
Ina recent publication in Seminars in Speech and Language, Dr. Threats addresses the use of the World Health Organization's International Classification of Functioning, Disability and Health (ICF) as a framework for dysphagia clinicians. The different components of the ICF are discussed in relation to the diagnosis and management of dysphagia. The author concludes that speech-language pathologists can use the ICF framework beneficially to justify and strengthen their role in the management of dysphagia.
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Mice Model may be useful in studying Presbylaryngis
Posted 2007-10-15 22:47:20
Published in August 2007 in the Annals of Otology Rhinology & Laryngology, Abdelkafy et al. address "Age-related changes in the murine larynx: initial validation of a mouse model."
 
 
The authors stained laryngeal tissue from 9 aged and 9 young mice to validate a mouse model for the aging larynx. They stained the larynges with Alcian blue to determine the hyaluronic acid content, trichrome stain to determine the collagen content, and immunohistochemical stain for alpha smooth muscle actin to determine the myofibroblast content. Morphometric measurements were performed for muscle area, muscle thickness, and muscle fiber diameter. Statistically significant differences in the density measurements of hyaluronic acid and collagen reflected decreased hyaluronic acid and increased collagen content in the aging larynx. Alpha smooth muscle actin-labeled myofibroblasts were only evident in the aged larynges. No statistically significant differences were found in the morphometric measurements. In conclusion aged mice may make a practical model for the age-related changes in the vocal folds that can be used further in studies aiming to correct these changes.
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Tongue Sucker to the Rescue!
Posted 2007-10-14 20:11:13
The tongue sucker was developed as a result of the 2005 London bombings. The simple suction device is kept in first aid kits for use in cases where the tongue muscle becomes limp or bunched up in the oropharynx occluding the airway. The tongue sucker will allow you to easily bring the tongue forward and free the airway until trained professionals are available.
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Seminars in Speech & Language devote an issue to Pediatric Dysphagia
Posted 2007-10-14 20:03:31
An issue of Seminars in Speech & Language addresses issues of pediatric dysphagia providing literature reviews and tutorials on deglutition and respiration, nutritional absorption as a function of GI status, assessment and intervention.
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Anterior Cervical Discectomy and Fusion Associated Complications.
Posted 2007-10-14 19:52:49
In a recent publication in Spine, Fountas et al. published a retrospective review of complications associated with anterior cervical discectomy and fusion. The authors address management of these complications. A chart review of 1015 patients revealed a mortality rate of 0.1% (1 of 1015 patients, death occurred secondary to an esophageal perforation). The morbidity rate was 19.3% (196 of 1015 patients). The most common complication was the development of isolated postoperative dysphagia, which was observed in 9.5% of the patients. Other complications included postoperative hematoma (5.6%), recurrent laryngeal nerve palsy (3.1%), dural penetration (0.5%) and esophageal perforation (0.3%).
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Authors of "Sword Swallowing and its Side Effects" win 2007 Ig Nobel Prize
Posted 2007-10-13 21:33:29
Dr. Brian Witcombe and Dan Meyer published "Sword Swallowing and its Side Effects" in the British Medical Journal. The authors obtained information from over 100 sword swallowers and compiled the complications.
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Dysphagia in post-carotid endarterectomy: a prospective study.
Posted 2007-10-11 21:55:39
In Annals of Vascular Surgery (May 2007) Masiero et al. followed 19 patients who presented with dysphagia s/p carotid endartarectomy.
 
They performed FEES at 5 days and 3 months post operation. They measured degree of penetration and aspiration via the Penetration-Aspiration scale. The mean penetration-aspiration score at the first evaluation was 5.2. At the 3-month follow-up, the mean penetration-aspiration score was 1.2.
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