Cervical Auscultation

Cervical Auscultation

  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 [...]

“Establishing a Multidisciplinary Head and Neck Clinical Pathway: An Implementation Evaluation and Audit of Dysphagia-Related Services and Outcomes”

“Establishing a Multidisciplinary Head and Neck Clinical Pathway:  An Implementation Evaluation and Audit of Dysphagia-Related Services and Outcomes”

  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 [...]

They won’t follow my recommendations so let’s burn them at the stake!!

They won’t follow my recommendations so let’s burn them at the stake!!

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 [...]

Carbonated Beverages

Carbonated Beverages

Carbonated Beverages Carbonated beverages have hit the dysphagia world by storm.  Much of the recent dysphagia research has focused on the sensory portion of the swallow and how sensory drives the swallowing process.  Part of the sensory process is carbonated beverages.  One of the common misconceptions at this time is that carbonated beverages act as [...]

The Patient Exercising Their Right to Choose (Formerly The Non Compliant Patient)

The Patient Exercising Their Right to Choose (Formerly The Non Compliant Patient)

  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 [...]

Supraglottic and Super-Supraglottic Swallows and Tongue Pressure

Supraglottic and Super-Supraglottic Swallows and Tongue Pressure

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 [...]

Variations in Tongue-Palate Pressures with Xantham Gum Thickened Liquids

Variations in Tongue-Palate Pressures with Xantham Gum Thickened Liquids

Steele, CM, Molfenter, SM, Peladeau-Pigeon, M, Polacco, RC, Yee, C.  Variations in Tongue-Palate Swallowing Pressures When Swallowing Xantham 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 [...]