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A
swallowing disorder is usually caused by a central nervous system disorder such
as cerebral infarction and hemorrhage, neuromascular
disease, or as a side effect of surgery for head and neck cancer. This condition
is more common in older people. We routinely evaluate the degree of swallowing
disorder by using videofluorography
(VF) and videoendoscopy
(VE). Speech-language-hearing therapists (ST) teach patients to perform and
practice many exercises to improve swallowing during their dysphagia
rehabilitation. To improve swallowing function in patients with brain stem
infarction such as Wallenberg syndrome, we perform surgery called
cricopharyngeal myotomy
and laryngeal suspension. Surgery to prevent aspiration, including laryngotracheal
separation and total laryngectomy, is indicated for the patients with severe
repeated aspiration pneumonia.
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Tuesday, March 21, 2017
Swallowing disorder
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