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Dysphagia pp 71-81 | Cite as

Evaluation of Symptoms

  • Doris-Maria Denk-Linnert
Part of the Medical Radiology book series (MEDRAD)

Abstract

Symptoms of pharyngeal/esophageal diseases are mainly related to swallowing function, e.g., dysphagia, aspiration, globus sensation or heartburn. Dysphagia and aspiration may lead to malnutrition, potentially life-threatening pulmonary complications (e.g., aspiration pneumonia) and impairment of life-quality. The most important dysphagia related symptom is aspiration. Other components of dysphagia are drooling, leaking, delayed triggering of the swallowing reflex, retentions, nasal penetration or pharyngeal regurgitation. The etiologies of oropharyngeal dysphagia may be divided into three groups: diseases of the upper aerodigestive tract, neurological diseases and psychogenic disorders. Possible hints to suspect dysphagia and aspiration are indirect and direct symptoms. They necessitate an interdisciplinary diagnostic work-up for revealing etiology and pathophysiology. For the proof or exclusion of aspiration it´s direct visualization by videoendoscopy and videofluoroscopy remains indispensable and cannot be replaced by screening procedures.

Keywords

Aspiration Pneumonia Aerodigestive Tract Diffuse Idiopathic Skeletal Hyperostosis Oropharyngeal Dysphagia Globus Sensation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  1. 1.Department of Otorhinolaryngology, Section of PhoniatricsMedical University of Vienna, Vienna Medical SchoolViennaAustria

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