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Food intake by maneuver; An extreme compensation for impaired swallowing

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Abstract

We report two young patients able to exist on exclusively oral intake despite an absent pharyngeal swallow response. Videofluoroscopic swallowing studies showed that both patients used a sequence of devised maneuvers rather than a coordinated pharyngeal swallow to move the bolus, protect the airway, and open the upper esophageal sphincter during bolus ingestion. We conclude that it is possible for young, highly motivated individuals to maintain oral intake despite ablation of neurologic elements crucial for the normal swallow response.

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References

  1. Kahrilas PJ, Dodds WJ, Dent J, Logemann JA, Shaker R: Upper esophageal sphincter function during deglutition.Gastroenterology 95:52–62, 1988

    PubMed  CAS  Google Scholar 

  2. Cook IJ, Dodds WJ, Dantas RO, et al.: Opening mechanism of the human upper esophageal sphincter.Am J Physiol 257: G748-G759, 1989

    PubMed  CAS  Google Scholar 

  3. Jacob P, Kahrilas PJ, Logemann JA, Shah V, Ha T: Upper esophageal sphincter opening and modulation during swallowing.Gastroenterology 97:1469–1478, 1989

    PubMed  CAS  Google Scholar 

  4. Logemann JA, Kahrilas PJ: Relearning to swallow post stroke—application of maneuvers and indirect biofeedback: a case study.Neurology 40:1136–1138, 1990

    PubMed  CAS  Google Scholar 

  5. Kahrilas PJ, Logemann JA, Krugler C, Flanagan E: Volitional augmentation of upper esophageal sphincter opening during swallowing.Am J Physiol 260:G450-G456, 1991

    PubMed  CAS  Google Scholar 

  6. Logemann JA, Kahrilas PJ, Begelman J, Dodds WJ, Pauloski BR: Interactive computer program for biomechanical analysis of videoradiographic studies of swallowing.AJR 153:277–280, 1989

    PubMed  CAS  Google Scholar 

  7. Doty RW: Neural organization of deglutition. InHandbook of Physiology, Alimentary Canal. Section 6, vol 4. Washington, D.C.: American Physiological Society, 1968, pp. 1861–1902

    Google Scholar 

  8. Cerenko D, McConnel FMS, Jackson RT: Quantitative assessment of pharyngeal bolus driving forces.Otolaryngol Head Neck Surg 100:57–63, 1989

    PubMed  CAS  Google Scholar 

  9. Shedd DP, Scatliff JH, Kirschner JA: The buccopharyngeal propulsive mechanism in human deglutition.Surgery 48:846–853, 1960

    Google Scholar 

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Authors and Affiliations

  1. Department of Medicine, Northwestern University, Chicago, Illinois, USA

    Peter J. Kahrilas M.D.

  2. Departments of Communication Sciences and Disorders, Northwestern University, Chicago, Illinois, USA

    Jerilyn A. Logemann Ph.D. & Patricia Gibbons M.S.

Authors
  1. Peter J. Kahrilas M.D.
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  2. Jerilyn A. Logemann Ph.D.
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  3. Patricia Gibbons M.S.
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Kahrilas, P.J., Logemann, J.A. & Gibbons, P. Food intake by maneuver; An extreme compensation for impaired swallowing. Dysphagia 7, 155–159 (1992). https://doi.org/10.1007/BF02493449

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  • DOI: https://doi.org/10.1007/BF02493449

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