[DYSPHAGIA] cricopharyngeal spasms

[lpseibert@home.com (Larry/Pam Seibert)]

Am scheduled to see a quadraplegic tomorrow who is on a cuffless trach
and was recently scoped because he started having trouble swallowing
solids.  He complained that there was difficulty at the level of the
trach.  He was on a regular diet for years prior to this.

When scoped the physician ordered 2 months of speech therapy to
strengthen the swallow before considering a myotomy.  A spasm was noted
at the level of the cricophayngus.

I haven't done much of this before and would appreciate anyone's advice
on such a case.

Pam

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