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Dysphagia

, Volume 7, Issue 1, pp 8–11 | Cite as

Multiple swallows and piecemeal deglutition; Observations from normal adults and patients with head and neck cancer

  • James Dziadziola
  • Sandra Hamlet
  • Gina Michou
  • Lewis Jones
Article

Abstract

The incidence of multiple swallows for liquid and paste, and the time delay between multiple swallows, was determined from videofluoroscopic records of modified barium swallow tests. In a comparison of liquid and paste, the overall incidence of multiple swallows did not differ, for either patients with head and neck cancer or normal controls. However, for liquid swallows the incidence in patients with cancer was abnormally high, predominantly in patients with pharyngeal cancer.

Key words

Deglutition Deglutition disorders 

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References

  1. 1.
    Logemann JA:Evaluation and Treatment of Swallowing Disorders. San Diego: College-Hill Press, 1983Google Scholar
  2. 2.
    Adnerhill I, Ekberg O, Groher ME: Determining normal bolus size for thin liquids.Dysphagia 4:1–3, 1989PubMedCrossRefGoogle Scholar
  3. 3.
    Jones P, Work C: Volume of a swallow.Am J Dis Child 102: 427, 1961PubMedGoogle Scholar
  4. 4.
    Watson WA, Bradford DC, Veltri JE: The volume of a swallow: correlation of deglutition with patient and container parameters.Am J Emerg Med 3:278–281, 1983CrossRefGoogle Scholar
  5. 5.
    Saylor J: Volume of a swallow: role of orifice size and viscosity.Vet Hum Toxicol 29:79–83, 1987PubMedGoogle Scholar
  6. 6.
    Robbins JA, Logemann JA, Kirshner HS: Swallowing and speech production in Parkinson's disease.Ann Neurol 19: 283–287, 1986PubMedCrossRefGoogle Scholar
  7. 7.
    Dodds WJ, Logemann JA, Stewart ET: Radiologic assessment of abnormal oral and pharyngeal phases of swallowing.AJR 154:965–974, 1990PubMedGoogle Scholar
  8. 8.
    Jung TTK, Adams GL: Dysphagia in laryngectomized patients.Otolaryngol Head Neck Surg 88:25–33, 1980PubMedGoogle Scholar
  9. 9.
    Kaplan JN: The incidence of hypopharyngeal stenosis after surgery for laryngeal cancer.Otolaryngol Head Neck Surg 89:656–695, 1981Google Scholar
  10. 10.
    McConnel FMS, Cerenko D, Mendelsohn MS: Dysphagia after total laryngectomy.Otolaryngol Clin North Am 21:721–726, 1988PubMedGoogle Scholar
  11. 11.
    Wilson JA, Pryde A, Macintyre CCA, Heading RC: Normal pharyngoesophageal motility.Dig Dis Sci 34:1590–1599, 1989PubMedCrossRefGoogle Scholar
  12. 12.
    Mansson I, Sandberg N: Salivary stimulus and swallowing reflex in man.Acta Otolaryngol 79:445–450, 1975PubMedGoogle Scholar

Copyright information

© Springer-Verlag New York Inc 1992

Authors and Affiliations

  • James Dziadziola
    • 1
  • Sandra Hamlet
    • 1
  • Gina Michou
    • 1
  • Lewis Jones
    • 2
  1. 1.Department of OtolaryngologyHarper Hospital, Wayne State UniversityDetroitUSA
  2. 2.Department of RadiologyHarper Hospital, Wayne State UniversityDetroitUSA

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