Abstract
Patients with chronic dysphagia are often in need of artificial nutrition; though being well balanced in terms of energy and vitamins, patients are at a high risk for the loss of resistance and body weight. Dysphagia also causes a severe drawback of the overall quality of life. This paper gives an overview of the present management of dysphagia from the point of view of otolaryngologists, head-neck-surgeons, phoniatricians, and medical speech-language-voice- pathologists. The physiology of swallowing and typical symptoms of dysphagia are first explained. Then the current most important diagnostic procedures as orofacial and laryngeal function analysis, video-endoscopy, and quantitative assessments, are discussed (part 1). This also includes considerations on bolus viscosity variation, postures, swallowing maneuvers, and sensory enhancement procedures, while actual options like botulinum toxin, passy-muir speaking valve, electromyographic biofeedback, and electrostimulation are also mentioned (part 2).
Translated title of the contribution | The management of dysphagia. Part 1: Diagnostics |
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Original language | German |
Journal | Laryngo- Rhino- Otologie |
Volume | 83 |
Issue number | 12 |
Pages (from-to) | 862-870 |
Number of pages | 9 |
ISSN | 0935-8943 |
DOIs | |
Publication status | Published - 12.2004 |