Summary of Swallowing, PDF

Summary

This document summarizes the process of swallowing and lists factors affecting each stage, along with potential issues and treatment methodologies in a medical/biological context.

Full Transcript

18:42 2022 03 1 extrinsic intrinsic buccinator orbicularis oris masseter, styloglossus...

18:42 2022 03 1 extrinsic intrinsic buccinator orbicularis oris masseter, styloglossus genioglossus, hyoglossus lat. Pterigoid, ant. Digastric, geniohyoid temporalis, med. Pterigoid 2 levator veli palatopharyngeus, palatoglossus, tensor veli palatini 3 palatini 3 1 2 3 HB mylohyoid Ant. Digastic geniohyoid * Stylohyoid Post. Digastic 2 5-6 4 8-20 12 10 9 7 5 5 2/3 1+2 3 7 2/3 1+2 3 12 9 1/3 1+2 3 10 1+2 3 1 4 27 20 25 HB ALS sjogrens 10 9 2 82% HB pharyngeal constrictor inferior constrictor GERD CVA Head trauma MS 5 ALS CVA 1 3 CVA 1 2 CVA 3 6 4 ( A ORAL MOTOR 5 pataka a 3 2 1 9 Gag reflex ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ TBI 2 4 2 1 6 2 Blue dye test 2 5 5 5 2 EMG Cervical asculatition ( Sintigraphy F.E.E.S F.E.E.S 5 F.E.E.S 1 2 3 4 1 2 3 4 FEES P.A.S. 6-8 2-5 1 FEES Yale pharyngeal severity rating IDDSI 7 0 6 10 4 FOICE 1 2 3 7 3 4 5 MASAKO 6 SHKIR 7 oral motor MASAKO SHKIR 2 10 10% 2 25-50% CVA 95% Brainstem Stroke 4-6 Head Trauma FEES 8 UMN MS 3-5 ALS PEG Myastenya Gravis Muscular Dystrophy Guillian Barre Myositis / Dermato Myositis / Poly Aryepiglottic folds Supraglottic Laryngectomy Reconstruction Extension 2-12 Extension Laryngeal Total Laryngectomy Reconstruction Hemilaryngectomy Total Laryngectomy TEP 9 10