[Dysphagia] audible swallow

[KHouts at stanfordmed.org (Houts, Karen L)]

I have seen some pts that have a audible galuping sort of sound, for lack of a better way to describe it. On the VFS the bolus was poorly controlled.  The valleculae & especially the pyriforms were well filled before the swallow. This galuping sound was consistently timed with the retropulsion of the material in the pharynx as the swallow was initiated & the structures began to rise. I dont know if what we heard was the actual motion of the material or the air being pushed thru the material as the area is compressed. However each of these people had good airway protection so it wasnt that important. I just consider the sound a bit of a red flag that may or may not require any intervention depending on the rest of the picture.
 
                                                                                                                     Karen Houts OTR/L-SWC

	-----Original Message----- 
	From: dysphagia-bounces@b9.com on behalf of M. Tervo 
	Sent: Tue 8/30/2005 5:19 PM 
	To: dysphagia@b9.com 
	Cc: 
	Subject: [Dysphagia] audible swallow
	
	

	I heard at a conference that a audible swallow is a disordered swallow.  I have been unable to locate any info that explains the details of this...can anyone please explain this further?
	
	
	
	               
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