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Dysphagia

Histoplasmosis of the head and neck in the immunocompetent patient: Report of 2 cases

September 27, 2018  |  Ashley P. O'Connell Ferster, MD; Aaron Jaworek, MD; Amanda Hu, MD, FRCSC

Abstract

Histoplasmosis of the head and neck is rarely seen in immunocompetent patients. We report 2 new cases of histoplasmosis of the head and neck in immunocompetent patients, one an 80-year-old man and the other a 57-year-old man. The older man presented with oral cavity...

Improved swallow outcomes after injection laryngoplasty in unilateral vocal fold immobility

August 22, 2018  |  Steven Zuniga, MD; Barbara Ebersole, MA, CCC-SLP; Nausheen Jamal, MD

Abstract

While the impact of injection laryngoplasty on voice outcomes in unilateral vocal fold immobility has been well characterized, there is a relative paucity of literature investigating its influence on swallow function and outcomes. We performed a retrospective chart review of...

Computational analysis of swallowing mechanics after surgery for obstructive sleep apnea

April 30, 2018  |  Mark A. Ellis, MD; Mariah B. Pate, MD; Hugh D. Dorris, BA; William G. Pearson Jr., PhD; Jimmy J. Brown, DDS, MD

Abstract

Multilevel upper airway surgery for obstructive sleep apnea (OSA) has been shown to cause clinically significant dysphagia in some patients. We describe the cases of 2 adults with OSA who developed persistent dysphagia after multilevel upper airway surgery. Patient-specific...

Relationship between dysarthria and oral-oropharyngeal dysphagia: The current evidence

March 14, 2018  |  Brandon J. Wang, BA, BBA; Felicia L. Carter, MA, CCC-SLP; Kenneth W. Altman, MD, PhD

Abstract

There is a high prevalence of dysphagia among patients with neuromuscular diseases and cerebrovascular diseases, and its consequences can be profound. However, the correlation between dysarthria and oral-oropharyngeal dysphagia remains unclear. We conducted a literature review...

Where am I? Transnasal esophagoscopy outside the normal esophagus

December 12, 2017  |  Mark A. Fritz, MD; Gregory N. Postma, MD

Unsedated colonoscopy and small bowel intubation are achievable in select patients in the otolaryngology clinic, but a complete history and old records are important.

Management decisions for Zenker diverticulum in the elderly

September 18, 2017  |  Karen Kost, MD, FRCSC; Kourosh Parham, MD

Zenker diverticulum is primarily a geriatric condition, usually requiring surgical management.

June is National Dysphagia Awareness Month

June 20, 2017  |  Amanda Hu, MD, FRCSC

The Agency for Healthcare Research and Quality has estimated that 60,000 people in the United States die annually from complications associated with swallowing disorders.

Linear IgA dermatosis limited to the mucosal membranes as a rare cause of dysphagia

April 30, 2017  |  Victoria M. Bones, MD; Lyndsay L. Madden, DO

Evaluating the quality and readability of Internet information sources regarding the treatment of swallowing disorders

March 24, 2017  |  Ashley P. O'Connell Ferster, MD; Amanda Hu, MD, FRCSC

Abstract

The Internet has become a popular resource for patient education. The information it provides, however, is rarely peer-reviewed, and its quality may be a concern. Since the average American reads at an 8th grade level, the American Medical Association and the National...

The use of high-resolution pharyngeal manometry as biofeedback in dysphagia therapy

February 20, 2017  |  Ashli O'Rourke, MD; Kate Humphries, MS

HRPM biofeedback therapy may be particularly beneficial for patients with sensory deficits by providing a visual mechanism for accurate exercise and strategy implementation.

Intramural esophageal hematoma mimicking a hypopharyngeal tumor

January 25, 2017  |  Chao-Jung Lin, MD; Bor-Hwang Kang, MD, PhD; Yueng-Hsiang Chu, MD, PhD; Chih-Hung Wang, MD, PhD

The common presentation of intramural esophageal hematoma is acute onset of retrosternal pain, typically accompanied by dysphagia, odynophagia, or hematemesis.

End-of-life decision making in geriatric terminal head and neck cancer

December 7, 2016  |  Kourosh Parham, MD, PhD, FACS; Karen M. Kost, MD, FRCSC

In the oncogeriatric setting, the comprehensive geriatric assessment has been recognized as providing useful information supplementary to what can be obtained via standard oncology status assessments.

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