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What is Cervical Auscultation? Using Cervical Auscultation (CA) involves the use of a stethoscope, placed on the throat to "listen" to the sounds of the swallow. Clinicians often use CA to assess swallow sounds and airway sounds. Judgements are made on the normality of the swallow or the degree of impairment of swallowing. Cervical [...]
If you are considering joining or starting a head and neck cancer program, this is the read for you! I was searching through articles this morning and found this very article stating the importance of a team approach and a systematic approach to head and neck cancer! "Head and neck cancer guidelines recommend multidisciplinary [...]
OK, so we’re probably not going to be burning any patients at the stake. I’m fairly certain that you may lose your license for that! I’m sure we’ve all been there though. We do a thorough assessment of a patient. We obtain instrumental assessment just as we were advised. We make recommendations based on [...]
Not Nectar Thick When patients have dysphagia, often sensory techniques, including carbonation can help increase aspects of the swallow. For some reason, at one point in time, the research was translated to substitution of carbonated beverages, including soda to replace nectar thick liquids. Carbonated Beverages Carbonated beverages have hit the dysphagia world by storm. [...]
EDIT 1/4/17. Due to a recent Facebook post, I wanted to change some wording on this post. As with all areas of dysphagia, I continue to grow, learn and change my beliefs, mainly because of the patients I serve. Although my belief stands that those patients who do not follow my recommendation continue to [...]
Fujiwara, S, Ono, T, Minagi, Y, Fujiu-Kurachi, M, Hori, K, Maeda, Y, Boroumand, S, Nitschke, I, Ursula, V, Bohlender, J. Effect of Supraglottic and Super-supraglottic swallows on Tongue Pressure Production against Hard Palate. Dysphagia (2014) 29:655-662. The Super- and Supraglottic Swallows are maneuvers used to assist in early airway closure to prevent food or [...]
Steele, CM, Molfenter, SM, Peladeau-Pigeon, M, Polacco, RC, Yee, C. Variations in Tongue-Palate Swallowing Pressures When Swallowing Xanthan Gum-Thickened Liquids. Dysphagia (2014) 29:678-684. "Thickened liquids are frequently recommended to reduce the risk of aspiration in patients with oropharyngeal dysphagia." We know that tongue-palate pressures increase with thicker liquids, however little is known about the differences [...]