Evaluation of Swallowing Function in Patients with Oropharyngeal Secretions

Overview

Journal Clin Exp Dent Res

Publisher Wiley

Specialty Dentistry

Date 2019 Nov 6

PMID 31687191

Citations 5

Authors

Taiki Yamaguchi

Shinya Mikushi

Takao Ayuse

Affiliations

Soon will be listed here.

Abstract

Background: Several studies have reported a strong association between the presence of oropharyngeal secretions in the laryngeal vestibule and the likelihood of aspiration of food or liquid. However, no previous studies have evaluated the accumulation of saliva and swallowing dynamics.

Objective: The objective of this study was to examine the factors related to decreased function that result in saliva accumulation based on images from videofluoroscopic examination of swallowing (VF) performed on the same day as videoendoscopic examination of swallowing (VE).

Methods: This retrospective study investigated 47 patients with dysphagia who underwent VF and VE on the same day. Saliva accumulation in the pharynx was assessed on VE and classified by the Murray secretion scale. Pharyngeal residue was assessed on VF. In addition, displacement of the hyoid bone and larynx on swallowing and the opening size of the esophageal orifice were measured, and contact between the base of the tongue and the posterior pharyngeal wall was examined on VF.

Results: Moderate correlations were found between saliva accumulation and perpendicular displacement of the larynx and upper esophageal sphincter opening. The percentage of patients showing contact between the base of the tongue and the posterior pharyngeal wall was significantly greater in those with a saliva accumulation score of 0 or 1.

Conclusion: Less laryngeal elevation and upper esophageal sphincter opening and absence of contact between the base of the tongue and the posterior pharyngeal wall when swallowing tended to result in accumulation of saliva in the pharynx.

Citing Articles

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Hotzel J, Zaretsky E, Goeze A, Hey C Dysphagia. 2025; .

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Guijo L, Pilon J, Cola P, da Silva R, Onofri S Eur Arch Otorhinolaryngol. 2024; 282(1):371-375.

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A deep learning approach to dysphagia-aspiration detecting algorithm through pre- and post-swallowing voice changes.

Kim J, Kim M, Choi S, Lee K, Ryu J Front Bioeng Biotechnol. 2024; 12:1433087.

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Characteristics of post-stroke dysphagia: A retrospective study based on FEES.

Sun F, Qiao J, Huang X, He Z, Dou Z Brain Behav. 2023; 13(8):e3161.

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Severe secretion retention: a predictor of decannulation outcome in severe brain injury patients with tracheostomy.

Song L, Wang Y, Li H, Li Z, Song W Eur J Phys Rehabil Med. 2023; 59(2):174-182.

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