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[DYSPHAGIA] cricopharyngeal spasms
I am not aware of any way speech tx will help c-p spasm. I have heard of
myotomy being done and I have also heard of physician's using botox to eliminate
spasm in this area. Has an MBS been done yet to indicate what exactly needs
"stengthening"??
"Larry/Pam Seibert" <lpseibert@home.com> on 03/08/2001 05:48:47 PM
To: dysphagia@medonline.com
cc: (bcc: Kim Decourcey/VMED/HPHC)
Subject: [DYSPHAGIA] cricopharyngeal spasms
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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