Functional abnormalities of the pharynx: a prospective analysis of radiographic abnormalities relative to age and symptoms.

Frederick, M G; Ott, David J.; Grishaw, E. K.; Gelfand, DW; Chen, M. Y. M.

doi:10.2214/ajr.166.2.8553946

Cited by 42 publications

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“…It is recognized that the patient's localization of symptoms is an unreliable guide to the site of dysfunction or disease and that simultaneous abnormality of the pharynx and esophagus occurs in 35% of patients with dysphagia [4,[23][24][25][26][27][28][29][30][31][32]. The detection of a significant motility disorder in 19 of our patients (14% of cases) highlights the value of the barium swallow in the detection of such disorders.…”

Section: Discussionmentioning

confidence: 98%

The oblique pharyngogram: value in the assessment of dysphagia

et al. 1999

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Section: Discussionmentioning

confidence: 98%

The oblique pharyngogram: value in the assessment of dysphagia

et al. 1999

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“…One observation of swallowing in the elderly-that pharyngeal clearing may be incomplete [16,17]-has particular relevance to the problem of differentiating normal from abnormal swallowing. Pharyngeal clearing is important to safe and efficient swallowing, and if it alters with aging, then it may contribute to dysphagia in this population.…”

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confidence: 99%

Structural Displacements Affecting Pharyngeal Constriction in Nondysphagic Elderly and Nonelderly Adults

2004

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This study investigated spatial displacement variables important to pharyngeal constriction and clearing in nondysphagic elderly subjects and a control group of nondysphagic younger adults. Height, weight, and body mass index (BMI) characteristics were determined for all subjects, who then underwent videofluoroscopic swallow studies. Measures obtained during swallow of a 20-cc bolus included hyoid and laryngeal displacement, unobliterated pharyngeal space at the point of maximum pharyngeal constriction, and pharyngeal width when maximally expanded during the swallow. Data were first examined to determine if elderly subjects with medical conditions common to an aged population differed from elderly subjects with no medical condition. No differences were identified and data for all elderly subjects were subsequently pooled for comparison to data for the nonelderly control group. Findings revealed no differences in maximum hyoid displacement between the groups. Significant differences were identified for larynx-to-hyoid approximation and for the measure representing unobliterated pharyngeal space at the point of maximum pharyngeal constriction. Elderly subjects did not elevate the larynx to the same extent, or clear the pharynx, as well as the younger control subjects. In addition, data suggested that the larynx was positioned lower and that the width of the pharynx maximally expanded was greater in elderly subjects. Implications of the data for swallowing function in the elderly are discussed.

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“…The prevalence of dysphagia has been reported to be 507 in nursing homes [1]. Furthermore, the incidence of identi®able swallowing abnormalities has been found to be greater in older patients with dysphagia when compared with younger patients who complain of swallowing diculties [2]. The clinical impact of dysphagia in the elderly warrants an in-depth analysis of the speci®c types of abnormalities occurring in this patient population.…”

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Pharyngeal Constriction in Elderly Dysphagic Patients Compared with Young and Elderly Nondysphagic Controls

Kendall

Leonard

2001

Dysphagia

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This article reports the results of our study to determine the incidence of abnormalities in timing and extent of pharyngeal constriction in an elderly population with complaints of dysphagia. We performed a retrospective analysis of videofluoroscopic studies, i.e.. dynamic swallow studies, that were performed between 1996 and 1999. Included in the study were patients over 65 years old without an obvious medical or surgical cause for their dysphagia complaints. The timing of maximum pharyngeal constriction was measured relative to the onset of bolus pharyngeal transit, relative to the arrival of the bolus at the upper esophageal sphincter, and relative to the exit of the tail of the bolus from the upper esophageal sphincter. The extent of maximum pharyngeal constriction was measured from a lateral view. Patient data were compared with data gathered from young (18-62 years old) nondysphagic controls and with data gathered from elderly (67-83 years old) nondysphagic controls. We found that 73% of the patient population demonstrated incomplete pharyngeal constriction relative to controls, although the timing of pharyngeal constriction remained coordinated relative to the position of the bolus in the pharynx. Poor pharyngeal constriction, suggestive of pharyngeal weakness, contributed to 75% of the cases of aspiration.

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Functional abnormalities of the pharynx: a prospective analysis of radiographic abnormalities relative to age and symptoms.

Abstract: . Address correspondence toD.J.Ott. PURPOSE.To We categorized patients by age into three groups: less than 40 years old (n = 31), between 40 and 60 years old (n = 42), and greater than 60 years old (n = 37).

Cited by 42 publications

References 0 publications

The oblique pharyngogram: value in the assessment of dysphagia

The oblique pharyngogram: value in the assessment of dysphagia

Structural Displacements Affecting Pharyngeal Constriction in Nondysphagic Elderly and Nonelderly Adults

Pharyngeal Constriction in Elderly Dysphagic Patients Compared with Young and Elderly Nondysphagic Controls

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