INTRODUCTION Sialorrhoea is a common debilitating symptom in amyotrophic lateral sclerosis (ALS). It occurs when there is excessive saliva in the mouth beyond the lip margin. In ALS, sialorrhoea is not related to the increased production of saliva but to the impaired swallowing resulting from dysfunction of bulbar muscles. Swallowing requires an efficient coordination of several muscles in the ...

OBJECTIVES/HYPOTHESIS To examine aspects of laryngomalacia and correlate findings with quality of life (QOL). STUDY DESIGN Prospective cross-sectional study. METHODS Seventy-two patients with laryngomalacia were examined; the mean age was 8.8 weeks. Parents answered questions from the Infant and Toddler Quality of Life Questionnaire-47 (ITQOL-SF47). Fiberoptic laryngoscopy and endoscopic ex...

the reliability of surface electromyographic (semg) variables during swallowing determines the potential usefulness of these measures in swallowing assessment and treatment. this study aimed to establish the reliability of the semg measures of the swallowing function of muscles during different swallowing conditions in healthy young and old volunteers. two groups of volunteers (24 older adults,...

The effectiveness of head and neck cancer HNC treatments has increased tumour survival, response, loco-regional control. Treatment escalation does, however, also result in late early toxicities. One underrated symptom patients is dysphagia. Aspiration, dehydration, pneumonia, malnutrition can all from swallowing difficulties. About one-third individuals with dysphagia required therapy for pneum...

BACKGROUND The purpose of this study was to compare patient-reported outcomes between patients treated by initial transoral resection versus definitive chemoradiotherapy for oropharyngeal cancer. METHODS Thirty-one patients with oropharyngeal cancer treated by initial transoral CO2 laser microsurgery (n = 16) or robotic surgery (n = 15) followed by postoperative radiotherapy were identified. ...

The simultaneous assessment of the status of the glottis opening and the position of the larynx can be beneficial for the diagnosis of disorders of voice production and swallowing. The method presented here makes use of a time-multiplex algorithm for the measurement of space-resolved transfer impedances through the larynx. The fast sequence of measurements allows a quasi simultaneous assessment...

BACKGROUND AND PURPOSE The objective of the present study was to investigate the neural mechanisms of dysphagia in suprabulbar palsy (SBP) with multiple lacunar infarct. METHODS We evaluated the swallowing disorders of patients with SBP (n=34) and age-matched healthy control subjects (n=35) by means of an electrophysiological method that recorded the oropharyngeal swallowing patterns. With th...

OBJECTIVE Oropharyngeal dysphagia is a common feature of patients with myotonic dystrophy and is not usually perceived due to their emotional deficits and lack of interest. The aim was to show the existence and frequency of subclinical electrophysiological abnormalities in oropharyngeal swallowing and to clarify the mechanisms of dysphagia in myotonic dystrophy. METHODS Eighteen patients with...

BACKGROUND Transoral surgery is gaining attention as a minimally invasive treatment option for laryngeal and pharyngeal cancer. Postoperative swallowing function is satisfactory in most cases, but occasionally dysphagia persists. METHODS Swallowing function of 86 patients who underwent transoral videolaryngoscopic surgery (TOVS) for laryngeal and pharyngeal cancers was evaluated by the Functi...

We summarize the characteristics of dysphagia in 9 infants in Brazil with microcephaly caused by congenital Zika virus infection. The Schedule for Oral Motor Assessment, fiberoptic endoscopic evaluation of swallowing, and the videofluoroscopic swallowing study were used as noninstrumental and instrumental assessments. All infants had a degree of neurologic damage and showed abnormalities in the...