[DYSPHAGIA] Case Study

[bedouin@nwlink.com (bedouin)]

I think you have available resources but you are stuck in the process of
applying your resources with your knowledge and extrapolating logically
from there.

How about your dysphagia textbooks?  Do you have the Logeman Manual for
Videofluorographic Swallow Studies, Crary & Groher's Dysphagia, any other
texts?  Have you done an Internet search?  How about the Dysphagia website?
 Have you watched any Mod. Ba Swallow Study videos?  Once you have the
structural information, add to that what you know about function as a
result of lesions to those structures and hypothesize the result.  

If the maxillary bone and teeth are missing, what does that tell you about
oral-motor structure/function?
If the trigeminal and facial nerves are damaged; what sensory/motor
function do they control?
If the left velum was torn then surgically repaired, what can you state
about that?

Good luck !

----------
> From: JoceAlex@aol.com
> To: dysphagia@medonline.com
> Subject: [DYSPHAGIA] Case Study
> Date: Thursday, March 01, 2001 7:09 PM
> 
Hello, 
       I am an SLP graduate student, and I'm doing research on a case study

for my dysphagia class.  The problem is, I'm having trouble finding
resources 
on the subject.
       The case is regarding a 24 y.o. male with a gunshot would to the
face. 
 Approx. 1/3 of the left maxillary bone is missing, as well as some teeth. 

His trigeminal and facial nerves were damaged, and the left faucial arches 
and left side of velum were torn and surgically repaired.  Also, the tongue

and left cheek were torn and surgically repaired as well.  He is currently 
NPO and feeding through a g-tube.  I'm supposed to answer questions about 
what can I expect to see on the MBS and overall eval, and is PO intake a 
realistic goal?
       If anyone can give me any leads as to where to look for any kinds of

resources (books, periodicals, websites, etc.), I would greatly appreciate
it!

Thanks in advance,
             Jocelyn  

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