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[DYSPHAGIA] epiglottic inversion



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Dear Denise,
I would try the same types of exercises and strategies you use for laryngeal 
elevation including the Shakir exercises, mendelsohn, and pitch exercises. 
When you see poor epiglottic inversion, it's the result of forces from 
elevating and descending laryngeal structures. The epiglottis is not a static 
force in and of itself. So you have to look at hyoid bone elevation, 
elevation of the thyroid and cricoid cartilages and retraction of the tongue 
base. Keeping an idea of what structures are malfunctioning help you to plan 
treatment. Good Luck!
JoAnn

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<HTML><FONT FACE=arial,helvetica><FONT  COLOR="#400000" SIZE=2>Dear Denise,
<BR>I would try the same types of exercises and strategies you use for laryngeal elevation including the Shakir exercises, mendelsohn, and pitch exercises. When you see poor epiglottic inversion, it's the result of forces from elevating and descending laryngeal structures. The epiglottis is not a static force in and of itself. So you have to look at hyoid bone elevation, elevation of the thyroid and cricoid cartilages and retraction of the tongue base. Keeping an idea of what structures are malfunctioning help you to plan treatment. Good Luck!
<BR>JoAnn</FONT></HTML>

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