[Dysphagia] Botox to assist with mastication/swallowing

[pressmah at sjhmc.org (Pressman, Hilda)]

Can you tell us why an open mouth posture may be related to Reglan?  Thank you  Hilda Pressman

-----Original Message-----
From: dysphagia-bounces at b9.com [mailto:dysphagia-bounces at b9.com]On
Behalf Of Vikki Stefans
Sent: Sunday, January 21, 2007 8:49 PM
To: Moore, Tara - SJHMC
Cc: dysphagia at b9.com
Subject: Re: [Dysphagia] Botox to assist with mastication/swallowing


re the open mouth posture - quick question - is he on Reglan 
(metoclopramide)?

Vikki Stefans, M.D., pediatric physiatrist (rehab doc for kids) at UAMS
and Arkansas Children's Hospital.  Working Mom of Sarah T. and Michael C.,
and wife of Henry Stefans. Every mom is a working mom!- OK, dads too.

On Thu, 18 Jan 2007, Moore, Tara - SJHMC wrote:

> I have a 22 year-old patient who suffered anoxic brain injury a few years
> ago secondary to cardia arrest. He has had a PEG tube since the accident and
> has, "a severe-profound oropharyngeal dysphagia characterized by (per MBSS
> 01/23/06), severely decreased initiation (as expected with anoxic brain
> injury), severely decreased mastication with open mouth posture and anterior
> leakage, inability to move bolus posteriorly, gradual premature spillage to
> the valleculae, occasional triggering of pharyngeal swallow with minimal
> passage of material, no penetration, mild residue throughout the pharyngeal
> recessess." He has hx of pneumonia x2 b/w June 2005 and December 2005.
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