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Measurement of Pharyngo-laryngeal Volume During Swallowing Using 320-Row Area Detector Computed Tomography

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Abstract

This study aimed to (1) evaluate changes in bolus and air volumes in the pharyngo-laryngeal cavity during swallowing and (2) determine how differences in these volumes during swallowing are influenced by bolus amount using 320-row area detector computed tomography (320-ADCT). Three-, 10-, and 20-ml honey-thick liquids (5% w/v) were presented to ten healthy subjects placed in a 45° reclining position. 3D images were created in 29 phases at an interval of 0.1 s for 3.15 s. Changes in bolus and air volumes in the pharyngo-laryngeal cavity were calculated. The two one-sided tests were used to determine equivalency of the pharyngo-laryngeal volume of each event (i.e., onset of hyoid elevation, soft palate closure, true vocal cord closure, closure of laryngeal vestibule, epiglottis inversion, pharyngo-esophageal sphincter opening) for each bolus volume. The pharyngo-laryngeal volume during swallowing was about 20 ml before swallowing. The volume temporarily increased with tongue loading, but decreased to about 0 ml with pharyngeal contraction. Subsequently, the volume returned to the original volume after airway opening. Most of the air was released from the pharyngo-laryngeal space before the bolus flowed into the esophagus during swallowing. As the bolus volume to be swallowed increased, the maximal pharyngo-laryngeal volume increased, but changes in air volume remained constant. 320-ADCT allowed for analysis of dynamic volume changes in the pharyngo-laryngeal cavity, which will increase our knowledge of kinematic and volumetric mechanisms during swallowing.

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Acknowledgements

The authors sincerely thank the radiological technologists Mr. Y. Ida and Mr. M. Kobayashi for their invaluable assistance with the CT study. We also appreciate the valuable advice and suggestions provided by Dr. N. Fujii at the Department of Radiology, School of Medicine, Fujita Health University, and Dr. P. Wattanapan at the Institute of Medicine, Suranaree University of Technology.

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Authors and Affiliations

  1. Division of Medically Compromised Geriatric Dentistry, Department of Critical Care Medicine and Dentistry, Graduate School of Dentistry, Kanagawa Dental University, 82, Inaoka-cho, Yokosuka, Kanagawa, 238-8580, Japan

    Takatoshi Iida

  2. Department of Rehabilitation Medicine I, School of Medicine, Fujita Health University, Toyoake, Aichi, Japan

    Takatoshi Iida, Hitoshi Kagaya, Seiko Shibata, Eiichi Saitoh & Daisuke Kanamori

  3. Department of Dysphagia Rehabilitation, School of Dentistry, Nihon University, Chiyoda, Tokyo, Japan

    Takatoshi Iida & Koichiro Ueda

  4. Faculty of Rehabilitation, School of Health Sciences, Fujita Health University, Toyoake, Aichi, Japan

    Yoko Inamoto

  5. Department of Hygiene, Fujita Health University, Toyoake, Aichi, Japan

    Shuji Hashimoto

  6. Department of Radiology, School of Medicine, Fujita Health University, Toyoake, Aichi, Japan

    Kazuhiro Katada

  7. Department of Gerodontology, Tokyo Medical and Dental University, Bunkyo, Tokyo, Japan

    Haruka Tohara

Authors
  1. Takatoshi Iida
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  2. Hitoshi Kagaya
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  3. Yoko Inamoto
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  4. Seiko Shibata
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  5. Eiichi Saitoh
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  6. Daisuke Kanamori
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  7. Shuji Hashimoto
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  8. Kazuhiro Katada
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  9. Haruka Tohara
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  10. Koichiro Ueda
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Corresponding author

Correspondence to Takatoshi Iida.

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Iida, T., Kagaya, H., Inamoto, Y. et al. Measurement of Pharyngo-laryngeal Volume During Swallowing Using 320-Row Area Detector Computed Tomography. Dysphagia 32, 749–758 (2017). https://doi.org/10.1007/s00455-017-9818-y

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  • DOI: https://doi.org/10.1007/s00455-017-9818-y

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