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Abstract

Normal pharyngeal swallow is precisely scheduled and symmetric. It is finely tuned and coordinated in a precise and exact manner to establish a safe swallow (Miller 1986; Dodds 1989). The swallowing process is regulated by a command centre in the brainstem, a central program generator which receives input from the cerebral cortex and peripheral muscle and directs the sequence of swallowing. This process is both voluntary and involuntary and incorporates motor activity from the oral cavity, pharynx and esophagus. It involves both motor and sensory activity. There is an evolving amount of knowledge concerning normal and abnormal swallowing (Jones and Donner 1991; Ekberg and Wahlgren 1985; Hannig and Hannig 1987; Brühlmann 1985; Pokieser et al. 1995; Dodds 1989).

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References

  • Ardran GM, Kemp FM (1956) Radiologic investigation of pharyngeal and laryngeal palsy. Acta Radiol Diagn 46: 446–457

    CAS  Google Scholar 

  • Ardran GM, Kemp FM, Wegelius C (1957) Swallowing defects after poliomyelitis. Br J Radiol 30:169–189

    Article  PubMed  CAS  Google Scholar 

  • Bosma JF, Brodie DR (1969a) Disabilities of the pharynx in amyotrophic lateral sclerosis as demonstrated by cineradiography. Radiology 92:97–103

    PubMed  CAS  Google Scholar 

  • Bosma JF, Brodie DR (1969b) Cineradiographic demonstration of pharyngeal area myotonia in myotonic dystrophy patients. Radiology 92:104–109

    PubMed  CAS  Google Scholar 

  • Brühlmann WF (1985) Die röntgenkinematographische Untersuchung von Störungen des Schluckaktes. Huber, Bern

    Google Scholar 

  • Buchholz DW (1995) Cricopharyngeal myotomy may be effective treatment for selected patients with neurogenic oropharyngeal dysphagia. Dysphagia 10:255–258

    Article  PubMed  CAS  Google Scholar 

  • Buchholz DW, Bosma JF, Donner MW (1985) Adaptation, compensation, and decompensation of the pharyngeal swallow. Gastrointest Radiol 10:235–239

    Article  PubMed  CAS  Google Scholar 

  • Calne DB, Shaw DG, Spiers AS, Stern GM (1970) Swallowing in Parkinsonism. Br J Radiol 43:456–457

    Article  PubMed  CAS  Google Scholar 

  • Cerenko D, McConnel FMS, Jackson RT (1989) Quantitative assessment of pharyngeal bolus driving forces. Otolaryngol Head Neck Surg 100:57–63

    PubMed  CAS  Google Scholar 

  • Curtis DJ, Cruess DF, Berg T (1984) The cricopharyngeal muscle. A video-recording. AJR 146:497–500

    Google Scholar 

  • Curtis DJ, Hudson T (1983) Laryngotracheal aspiration: analysis of specifi c neurmuscular factors. Radiology 149:517–522

    PubMed  CAS  Google Scholar 

  • Curtis DJ, Sepulveda GV (1983) Epiglottic motion: video recording of muscular dysfunction. Radiology 148:473–477

    PubMed  CAS  Google Scholar 

  • Daly DD, Code CF, Andersson HA (1962) Disturbances of swallowing and esophageal motility in patients with multiple sclerosis. Neurology 59:250–256

    Google Scholar 

  • Dodds WJ (1989) The physiology of swallowing. Dysphagia 3:171–178

    Article  PubMed  CAS  Google Scholar 

  • Donner MW, Jones B (1985) Editorial. Gastrointest Radiol 10: 194–195

    Article  Google Scholar 

  • Donner MW, Silbiger ML (1966) Cinerafl uorographic analysis of pharyngeal swallowing in neuromuscular disorders. Am J Med Sci 251:600–616

    Article  PubMed  CAS  Google Scholar 

  • Doty RW, Bosma JB (1956) An electromyographic analysis of refl ux deglutition. J Neurophysiol 19:44–60

    PubMed  CAS  Google Scholar 

  • No authors listed (1981) Inhaled foreign bodies (editorial). Br Med J 282:1649–1650

    Article  Google Scholar 

  • Ekberg O (1982) Defective closure of the laryngeal vestibule during deglutition. Acta Otolaryngol 93:309–317

    Article  PubMed  CAS  Google Scholar 

  • Ekberg O (1986a) The cricopharyngeus revisited. Br J Radiol 59:875–879

    Article  PubMed  CAS  Google Scholar 

  • Ekberg O (1986b) Posture of the head and pharyngeal swallow. Acta Radiol Diagn 27:691–696

    CAS  Google Scholar 

  • Ekberg O, Hilderfors H (1985) Defective closure of the laryngeal vestibule: frequency of pulmonary complications. AJR 145:1159–1164

    PubMed  CAS  Google Scholar 

  • Ekberg O, Lindgren S, Schultz T (1986) Pharyngeal swallowing in patients with paresis of the recurrent nerve. Acta Radiol Diagn 27:697–700

    CAS  Google Scholar 

  • Ekberg O, Olsson R (1997) Operative techniques in otolaryngology. Head Neck Surg 8:153–162

    Google Scholar 

  • Ekberg O, Wahlgren L (1985) Dysfunction of pharyngeal swallowing: a cineradiographic investigation in 854 dysphagial patients. Acta Radiol Diagn 26:389–395

    CAS  Google Scholar 

  • Ergun GA, Kahrilas PJ, Lin S, Logemann JA, Harig JM (1993a) Shape, volume, and content of the deglutitive pharyngeal chamber imaged by ultrafast computerized tomography. Gastroenterology 105:1396–1403

    Article  PubMed  CAS  Google Scholar 

  • Ergun GA, Kahrilas PJ, Logemann JA (1993b) Interpretation of pharyngeal manometric recordings: limitations and variability. Dis Esophagus 6:11–16

    Google Scholar 

  • Feinberg MJ, Ekberg O (1990) Deglutition in near fatal choking episodes: Radiologic evaluation. Radiology 176:637–640

    PubMed  CAS  Google Scholar 

  • Gordon C, Hewer RL, Wade DT (1987) Dysphagia in acute stroke. Br Med J 295:411–414

    Article  CAS  Google Scholar 

  • Hamlet SL, Stone M, Shawker TH (1988) Posterior tongue grooving in deglutition and speech: preliminary observations. Dysphagia 3:65–68

    Article  PubMed  CAS  Google Scholar 

  • Hannig C, Hannig A (1987) Stellenwert der Hochfrequenzröntgenkinematographie in der Diagnostik des Pharynx und ösophagus. Röntgenpraxis 40:358–377

    PubMed  CAS  Google Scholar 

  • Heimlich JH (1985) A life-saving maneuver to prevent food choking. JAMA 234:398–401

    Article  Google Scholar 

  • Horner J, Bouyer FG, Alberts MJ, Helms MJ (1991) Dysphagia following brain-stem stroke: clinical correlates and outcome. Arch Neurol 48:1170–1173

    PubMed  CAS  Google Scholar 

  • Hsieh PY, Brasseur JG, Shaker R, Kern MK, Kahrilas PJ, Ren J (1995) Modeling and timing of UES opening events. Presented at the Dysphagia Research Society meeting, Tysons Corner, McLean, VA, October 26–28, 1995

    Google Scholar 

  • Jones B, Donner MW (1991) Normal and abnormal swallowing. Imaging in diagnosis and therapy. Springer, Berlin

    Google Scholar 

  • Kahrilas PJ, Dodds WJ, Dent J, Logemann JA, Shaker R (1988) Upper esophageal sphincter function during deglutition. Gastroenterology 95:52–62

    PubMed  CAS  Google Scholar 

  • Kun WS, Buchholz D, Kuman AJ, Donner MW, Rosenbaum AE (1987) Magnetic resonance imaging for evaluating neurogenic dysphagia. Dysphagia 2:40–45

    Article  Google Scholar 

  • Lima JH (1989) Laryngeal foreign bodies in children: a persistent, life-threatening problem. Laryngoscope 99:415–420

    Article  PubMed  CAS  Google Scholar 

  • Linden P, Siebens A (1983) Dysphagia: predicting laryngeal penetration. Arch Phys Med Rehab 69:637–640

    Google Scholar 

  • Logemann JA (1983) Evaluation and treatment of swallowing disorders. College-Hill Press, San Diego

    Google Scholar 

  • Logemann JA, Kahrilas PJ (1990) Relearning to swallow after stroke-application of maneuvers and indirect biofeedback: a case study. Neurology 40:1136–1138

    PubMed  CAS  Google Scholar 

  • McConnel FMC (1988) Analysis of pressure generation and bolus transit during pharyngeal swallowing. Laryngoscope 98:71–78

    PubMed  CAS  Google Scholar 

  • McConnel FMS, Cerenko D, Jackson RT, Guffin TN Jr (1988) Timing of major events of pharyngeal swallowing. Arch Otolaryngol Head Neck Surg 114:1413–1418

    PubMed  CAS  Google Scholar 

  • Meadows JC (1973) Dysphagia in unilateral cerebral lesions. J Neurol Neurosurg Phychiatry 36:853–860

    Article  CAS  Google Scholar 

  • Miller AJ (1986) Neurophysiological basis of swallowing. Dysphagia 1:91–100

    Article  Google Scholar 

  • Murray JF (1962) Deglutition in myasthenia gravis. Br J Radiol 35:43–52

    Article  PubMed  CAS  Google Scholar 

  • Muz J, Mathog RM, Miller PR, Rosen R, Borrero G (1987) Detection and quantifi cation of laryngotracheopulmonary aspiration with scintigraphy. Laryngoscope 97:1180–1185

    Article  PubMed  CAS  Google Scholar 

  • Olsson R, Castell J, Johnston B, Ekberg O, Castell DO (1997) Combined videomanometric identifi cation of abnormalities related to pharyngeal retention. Acad Radiol 4:349–354

    Article  PubMed  CAS  Google Scholar 

  • Olsson R, Ekberg O (1995) Videomanometry of the pharynx in dysphagic patients with a posterior cricopharyngeal indentation. Acad Radiol 2:597–601

    Article  PubMed  CAS  Google Scholar 

  • Pokieser P, Schober W, Schima W (1995) Videokinematographie des Schluckaktes—Indikation, Methodik und Befundung. Radiologe 35:703–711

    PubMed  CAS  Google Scholar 

  • Robbins J, Levine RL (1988) Swallowing after unilateral stroke of the cerebral cortex: preliminary experience. Dysphagia 3: 11–17

    Article  PubMed  CAS  Google Scholar 

  • Robbins J, Levine RL, Maser A, Rosenbek JC, Kempster GB (1993) Swallowing after unilateral stroke of the cerebral cortex. Arch Phys Med Rehab 74:1295–1300

    Article  CAS  Google Scholar 

  • Robbins JA, Logemann JA, Kirshner HS (1986) Swallowing and speech production in Parkinson’s disease. Ann Neurol 19:283–287

    Article  PubMed  CAS  Google Scholar 

  • Rosenbek JC, Robbins J, Fishback B, Levine RL (1991) The effects of thermal application on dysphagia after stroke. J Speech Hear Res 34:1257–1268

    PubMed  CAS  Google Scholar 

  • Siebens AA, Linden P (1985) Dynamic imaging for swallowing re-education. Gastrointest Radiol 10:251–253

    Article  PubMed  CAS  Google Scholar 

  • Silbiger M, Pikielney R, Donner MW (1967) Neuromuscular disorders affecting the pharynx. Invest Radiol 2:442–448

    Article  PubMed  CAS  Google Scholar 

  • Splainard ML, Hutchins B, Sulton LD, Chaudhuri G (1988) Aspiration in rehabilitation patients: videofl uoroscopic versus bedside clinical assessment. Arch Phys Med Rehab 69:637–640

    Google Scholar 

  • Thulin A, Welin S (1954) Radiographic findings in unilateral hypopharyngeal paralysis. Acta Otolaryngol Suppl 116: 288–293

    Article  PubMed  CAS  Google Scholar 

  • Veis SL, Logemann JA (1985) Swallowing disorders in persons with cerebrovascular accident. Arch Phys Med Rehabil 66: 372–375

    PubMed  CAS  Google Scholar 

References

  • Al-Saleem T, Harwick R, Robbins R, et al. (1970) Malignant lymphomas of the pharynx. Cancer 26:1769–1778

    Article  Google Scholar 

  • Apter AJ, Levine MS, Glick SN (1984) Carcinomas of the base of the tongue: diagnosis using double-contrast radiography of the pharynx. Radiology 151:123–126

    PubMed  CAS  Google Scholar 

  • Bachman AL (1978) Benign non-neoplastic conditions of the larynx and pharynx. Radiol Clin North Am 16:273–290

    PubMed  CAS  Google Scholar 

  • Bachman AL, Seaman WB, Macken KL (1968) Lateral pharyngeal diverticula. Radiology 91:774–782

    PubMed  CAS  Google Scholar 

  • Balfe DM, Heiken JP (1986) Contrast evaluation of structural lesions of the pharynx. Curr Probl Diagn Radiol 15: 73–160

    Article  PubMed  CAS  Google Scholar 

  • Banfi A, Bonadonna G, Carnevali G, et al. (1970) Lymphoreticular sarcomas with primary involvement of Waldeyer’s ring. Cancer 26:341–351

    Article  PubMed  CAS  Google Scholar 

  • Bosma JF, Gravkowski EA, Tyrostad CW (1968) Chronic ulcerative pharyngitis. Arch Otolaryngol 87:85–96

    PubMed  CAS  Google Scholar 

  • Brady AP, Stevenson GW, Somers S (1995) Premature contraction of the cricopharyngeus: new sign of gastroesophageal refl ux disease. Abdom Imaging 20:225–229

    Article  PubMed  CAS  Google Scholar 

  • Carpenter RJ III, DeSanto LW, Devine KD, et al. (1976) Cancer of the hypopharynx. Arch Otolaryngol 102:716–721

    PubMed  Google Scholar 

  • Chang-Lo M (1977) Laryngeal involvement in Von Recklinghausen’s disease. Laryngoscope 87:435–442

    Article  PubMed  CAS  Google Scholar 

  • Clements JL, Cox GW, Torres WE, et al. (1974) Cervical esophageal webs-a roentgen-anatomic correlation. AJR 121:221–231

    Google Scholar 

  • Conley J, Dingman DL (1974) Adenoid cystic carcinoma in the head and neck (cylindroma). Arch Otolaryngol 100:81–90

    PubMed  CAS  Google Scholar 

  • Cunningham MP, Catlin D (1967) Cancer of the pharyngeal wall. Cancer 20:1859–1866

    Article  PubMed  CAS  Google Scholar 

  • Curtis DJ, Cruess DF, Crain M, et al. (1988) Lateral pharyngeal outpouchings: a comparison of dysphagic and asymptomatic patients. Dysphagia 2:156–161

    Article  PubMed  CAS  Google Scholar 

  • Delahunty JE, Margulies SE, Alonso UA, et al. (1971) The relationship of refl ux esophageal to pharyngeal pouch (Zenker’s diverticulum). Laryngoscope 81:570–577

    Article  PubMed  CAS  Google Scholar 

  • DuBrul EL (1980) Sicher’s oral anatomy, 7th edn. CV Mosby, St. Louis, pp 319–350

    Google Scholar 

  • Ekberg O (1981) Cervical esophageal webs in patients with dysphagia. Clin Radiol 32:633–641

    Article  PubMed  CAS  Google Scholar 

  • Ekberg O, Nylander G (1983a) Lateral diverticula from the pharyngoesophageal junction area. Radiology 146: 117–122

    PubMed  CAS  Google Scholar 

  • Ekberg O, Nylander G (1983b) Webs and web-like formations in the pharynx and cervical esophagus. Diagn Imaging 52: 10–18

    PubMed  CAS  Google Scholar 

  • Ekberg O, Birch-lensen M, Lindstrom C (1986) Mucosal folds in the valleculae. Dysphagia 1:68–72

    Article  Google Scholar 

  • Emery CD, Wall S, Federle MP, et al. (1986) Pharyngeal Kaposi’s sarcoma in patients with AIDS. AJR 147:919–922

    PubMed  CAS  Google Scholar 

  • Frazell EL, Lucas JC (1962) Cancer of the tongue: report of the management of 1554 patients. Cancer 15:1085–1099

    Article  PubMed  CAS  Google Scholar 

  • Frieling T, Berges W, Lubke HJ, et al. (1988) Upper esophageal sphincter function in patients with Zenker’s diverticulum. Dysphagia 3:90–92

    Article  PubMed  CAS  Google Scholar 

  • Gatti WM, Strom CG, Orfei E (1975) Synovial sarcoma of the laryngopharynx. Arch Otolaryngol 98:53–54

    Google Scholar 

  • Goldstein HM, Zornoza J (1978) Association of squamous cell carcinoma of the head and neck with cancer of the esophagus. AJR 131:791–794

    PubMed  CAS  Google Scholar 

  • Gromet M, Homer MJ, Carter BL (1982) Lymphoid hyperplasia at the base of the tongue. Radiology 144:825–828

    PubMed  CAS  Google Scholar 

  • Harris RD, Berdon WE, Baker DH (1970) Roentgen diagnosis of acute epiglottis in the adult. J Can Assoc Radiol 21: 270–272

    PubMed  CAS  Google Scholar 

  • Huizenga C, Balogh K (1970) Cartilaginous tumors of the larynx. Cancer 26:201–210

    Article  PubMed  CAS  Google Scholar 

  • Hyams VJ, Rabuzzi DD (1970) Cartilaginous tumors of the larynx. Laryngoscope 80:755–767

    Article  PubMed  CAS  Google Scholar 

  • Hyams VJ, Batsakis JG, Michaels L (1988) Tumors of the upper respiratory tract and ear. In: Atlas of tumor pathology, Second series, Fascicle 25. Armed Forces Institute of Pathology, Bethesda, MD.

    Google Scholar 

  • Jimenez JR (1970) Roentgen examination of the oropharynx and oral cavity. Rad Clin North Am 8:413–424

    CAS  Google Scholar 

  • Jing BS (1970) Roentgen examination of the larynx and hypopharynx. Radiol Clin North Am 8:361–386

    PubMed  CAS  Google Scholar 

  • Johnson JT, Bacon GW, Meyers EN, Wagner RL (1995) Medial vs. lateral wall piriform sinus carcinomas: implications for management of regional lymphatics. Head Neck 16:401–405

    Article  Google Scholar 

  • Kabakian HA, Dahmash MS (1978) Pharyngoesophageal manifestations of epidermolysis bullosa. Clin Radiol 29: 91–94

    Article  PubMed  CAS  Google Scholar 

  • Killian G (1908) Ueber den Mund der Speiseröhre. Zeitschr Ohrenheilkd Wiesb 55:1–41

    Google Scholar 

  • Kirchner JA, Owen JR (1977) Five hundred cancers of the larynx and piriform sinuses: results of treatment by radiation and surgery. Laryngoscope 87:1288–1303

    Article  PubMed  CAS  Google Scholar 

  • Knuff TE, Benjamin SB, Castell DO (1982) Pharyngoesophageal (Zenker’s) diverticulum: a reappraisal. Gastroenterology 82:734–736

    PubMed  CAS  Google Scholar 

  • Krugman ME, Rosin HD, Toker C (1973) Synovial sarcoma of the laryngopharynx. Arch Otolaryngol 98:53–54

    PubMed  CAS  Google Scholar 

  • Levine MS, Rubesin SE (1990a) Update on esophageal radiology. AJR 155:933–94

    PubMed  CAS  Google Scholar 

  • Levine MS, Rubesin SE (1990b) Radiologic investigation of dysphagia. AJR 154:1157–1163

    PubMed  CAS  Google Scholar 

  • Lindbichler F, Raith J Uggowitzer M, Hausegger K. (1998) Aspiration resulting from lateral hypopharyngeal pouches. AJR 170:129–132

    PubMed  CAS  Google Scholar 

  • Mannsson T, Wilske J, Kindblom L-G (1978) Lipoma of the hypopharynx: a case report and a review of the literature. J Laryngol Otol 92:1037–1043

    Google Scholar 

  • Maran AGD, Buchanan DR (1978) Branchial cysts, sinuses and fi stulae. Clin Otolaryngol 3:407–414

    Article  Google Scholar 

  • McNab-Jones RF (1961) The Patterson-Brown-Kelly syndrome: its relationship to iron defi ciency and postcricoid carcinoma. J Laryngol Otol 71:529–561

    Google Scholar 

  • Nanson EM (1976) Carcinoma in a long-standing pharyngeal diverticulum. Br J Surg 63:417–419

    Article  PubMed  CAS  Google Scholar 

  • Nosher JL, Campbell WL, Seaman WB (1975) The clinical signifi cance of cervical esophageal and hypopharyngeal webs. Radiology 117:45–47

    PubMed  CAS  Google Scholar 

  • Patterson HC, Dickerson GR, Pilch BZ, et al. (1981) Hamartoma of the hypopharynx. Arch Otolaryngol 107:767–772

    PubMed  CAS  Google Scholar 

  • Pernkopf E (1989) Anatomy, vol 1, Head Neck, 3rd edn. Urban & Schwarzenberg, Baltimore

    Google Scholar 

  • Perrot JW (1962) Anatomical aspects of hypopharyngeal diverticula. Aust N Z J Surg 31:307–317

    Article  Google Scholar 

  • Pitman RG, Fraser GM (1965) The post-cricoid impression of the esophagus. Clin Radiol 16:34–39

    Article  PubMed  CAS  Google Scholar 

  • Rubesin SE (1991) Pharyngeal dysfunction. In: Gore RM (ed) Categorical course on gastrointestinal radiology. American College of Radiology, Reston, VA, pp. 1–9.

    Google Scholar 

  • Rubesin SE (1994) Structural abnormalities. In: Gore RM, Levine MS, Laufer I. Textbook of Gastrointestinal Radiology. WB Saunders, Philadelphia, pp. 244–276

    Google Scholar 

  • Rubesin SE (1995) Oral and pharyngeal dysphagia. Gastro Clin North Am 24:331–352

    CAS  Google Scholar 

  • Rubesin SE (2000a) Pharynx. In: Levine MS, Rubesin SE, Laufer I (eds) Double contrast gastrointestinal radiology. WB Saunders, Philadelphia, pp 61–89

    Google Scholar 

  • Rubesin SE (2000b) Pharynx: normal anatomy and examination techniques. In: Gore RM, Levine MS (eds) Textbook of gastrointestinal radiology. WB Saunders, Philadelphia, pp 190–211

    Google Scholar 

  • Rubesin SE (2000c) Structural abnormalities of the pharynx. In Gore RM, Levine MS (eds) Textbook of gastrointestinal radiology. WB Saunders, Philadelphia, pp 227–255

    Google Scholar 

  • Rubesin SE, Glick SN (1988) The tailored double-contrast pharyngogram. Crit Rev Diagn Imaging 28:133–179

    PubMed  CAS  Google Scholar 

  • Rubesin SE, Laufer I (1991) Pictorial review: principles of double contrast pharyngography. Dysphagia 6:170–178

    Article  PubMed  CAS  Google Scholar 

  • Rubesin SE, Stiles TD (1997) Principles of performing a “modifi ed barium swallow” examination. In: Balfe DM, Levine MS (eds) Categorical course in diagnostic radiology: gastrointestinal. RSNA Publications, Oak Brook, IL, pp 7–20

    Google Scholar 

  • Rubesin SE, Levine MS (2001) Killian-Jamieson diverticula: radiographic findings in 16 patients. AJR 177:85–89

    PubMed  CAS  Google Scholar 

  • Rubesin SE, Jessurun J, Robertson D, et al. (1987a) Lines of the pharynx. Radiographics 7:217–237

    PubMed  CAS  Google Scholar 

  • Rubesin SE, Jones BJ, Donner MW (1987b) Contrast pharyngography: the importance of phonation. AJR 148:269–272

    PubMed  CAS  Google Scholar 

  • Seaman WB (1967) The signifi cance of webs in the hypopharynx and upper esophagus. Radiology 89:32–38

    PubMed  CAS  Google Scholar 

  • Seaman WB (1974) Contrast radiography in neoplastic disease of the larynx and pharynx. Semin Roentgenol 9:301–209

    Article  PubMed  CAS  Google Scholar 

  • Semenkovich JW, Balfe DM, Weyman PJ, et al. (1985) Barium pharyngography: comparison of single and double contrast technique. AJR 144:715–720

    PubMed  CAS  Google Scholar 

  • Shauffer IA, Phillips HE, Sequeira J (1977) The jet phenomenon: a manifestation of esophageal web. AJR 129:747–748

    PubMed  CAS  Google Scholar 

  • Shirazi KK, Daffner RH, Gaede JT (1977) Ulcer occurring in Zenker’s diverticulum. Gastrointest Radiol 2:117–118

    Article  PubMed  CAS  Google Scholar 

  • Silver CE (1977) Surgical management of neoplasms of the larynx, hypopharynx and cervical esophagus. Curr Probl Surg 14:2–69

    Article  PubMed  CAS  Google Scholar 

  • Smiley TB, Caves PK, Porter DC (1970) Relationship between posterior pharyngeal pouch and hiatus hernia. Thorax 25: 725–731

    Article  PubMed  CAS  Google Scholar 

  • Spiro RH, Koss LG, Hajdu SI, et al. (1973) Tumors of minor salivary origin. Cancer 31:117–129

    Article  PubMed  CAS  Google Scholar 

  • Strong EW (1979) Carcinoma of the tongue. Otolaryngol Clin North Am 12:107–114

    PubMed  CAS  Google Scholar 

  • Taylor AJ, Stewart ET, Dodds WJ (1990) The esophageal jet phenomenon revisited. AJR 155:289–290

    PubMed  CAS  Google Scholar 

  • Thompson WM, Oddson TA, Kelvin F, et al. (1978) Synchronous and metachronous squamous cell carcinoma of the head, neck and esophagus. Gastrointest Radiol 3:123–127

    Article  PubMed  CAS  Google Scholar 

  • Todd GB, Michaels L (1974) Hodgkin’s disease involving Waldeyer’s lymph ring. Cancer 34:176–1768

    Google Scholar 

  • Waldenstrom J, Kjellberg SR (1939) The roentgenological diagnosis of sideropenic dysphagia (Plummer-Vinson’s syndrome) Acta Radiol 20:618–638

    Article  Google Scholar 

  • Weaver JW, Kaude JV, Hamlin DJ (1984) Webs of the lower esophagus: a complication of gastroesophageal refl ux? AJR 142:289–292

    PubMed  CAS  Google Scholar 

  • Wychulis AR, Gunnulaugsson GH, Clagett OT (1969) Carcinoma arising in pharyngoesophageal diverticulum. Surgery 66:976–979

    PubMed  CAS  Google Scholar 

  • Zaino C, Jacobson HG, Lepow H, et al. (1967) The pharyngoesophageal sphincter. Radiology 89:639–645

    PubMed  CAS  Google Scholar 

  • Zaino C, Jacobson HG, Lepow H, et al. (1970) The pharyngoesophageal sphincter. Charles C. Thomas, Springfi eld, IL

    Google Scholar 

  • Zbaren P, Egger C (1997) Growth patterns of piriform sinus carcinomas. Laryngoscope 107:511–518

    Article  PubMed  CAS  Google Scholar 

References

  • Arndorfer RC, Stef JJ, Dodds WJ, Linehan JH, Hogan WJ (1977) Improved infusion system for intraluminal esophageal manometry. Gastroenterology 73:23–27

    PubMed  CAS  Google Scholar 

  • Ask P, Öberg Å, Tibbling L (1979) Frequency content of esophageal peristaltic pressure. Am J Physiol 236:E296–E300

    PubMed  CAS  Google Scholar 

  • Atkinson M, Kramer P, Wyman SM, Ingelfinger FJ (1957) The dynamics of swallowing. I. Normal pharyngeal mechanisms. J Clin Invest 36:581–588

    Article  PubMed  CAS  Google Scholar 

  • Bosma JF, Donner MW, Tanaka E, Robertson D (1986) Anatomy of the pharynx, pertinent to swallowing. Dysphagia 1:23–33

    Article  Google Scholar 

  • Brasseur JG (1987) A fluid mechanical perspective on esophageal bolus transport. Dysphagia 2:32–39

    Article  PubMed  CAS  Google Scholar 

  • Brasseur JG, Dodds WJ (1991) Interpretation of intraluminal manometric measurements in terms of swallowing mechanics. Dysphagia 6:100–119

    Article  PubMed  CAS  Google Scholar 

  • Buchholz DW, Bosma JF, Donner MW (1985) Adaptation, compensation, and decompensation of the pharyngeal swallow. Gastrointest Radiol 10:235–239

    Article  PubMed  CAS  Google Scholar 

  • Castell JA, Castell DO (1993) Modern solid state computerized manometry of the pharyngoesophageal segment. Dysphagia 8:270–275

    Article  PubMed  CAS  Google Scholar 

  • Castell JA, Dalton CB, Castell DO (1990) Pharyngeal and upper esophageal manometry in humans. Am J Physiol 258:G173–G178

    PubMed  CAS  Google Scholar 

  • Castell JA, Castell DO, Schultz AR, Georgeson S (1993) Effect of head position on the dynamics of the upper esophageal sphincter and pharynx. Dysphagia 8:1–6

    Article  PubMed  CAS  Google Scholar 

  • Cerenko D, McConnel FMS, Jackson RT (1989) Quantitative assessment of pharyngeal bolus driving forces. Otolaryngol Head Neck Surg 100:57–63

    PubMed  CAS  Google Scholar 

  • Cook IJ, Dodds WJ, Dantas RO, Kern MK, Massey BT, Shaker R, Hogan WJ (1989) Timing of videofl uoroscopic, manometric events, and bolus transit during the oral and pharyngeal phases of swallowing. Dysphagia 4:8–15

    Article  PubMed  CAS  Google Scholar 

  • Dantas RO, Dodds WJ, Massey BT, Kern MK (1989) The effect of high-vs. low-density barium preparations on the quantitative features of swallowing. AJR 153:1191–1195

    PubMed  CAS  Google Scholar 

  • Dantas RO, Cook IJ, Dodds WJ, Kern MK, Lang IM, Brasseur JG (1990) Biomechanics of cricopharyngeal bars. Gastroenterology 99:1269–1274

    PubMed  CAS  Google Scholar 

  • Dejaeger E, Pelemans W, Bibau G, Ponette E (1994) Manofl uorographic analysis of swallowing in the elderly. Dysphagia 9:156–161

    Article  PubMed  CAS  Google Scholar 

  • Dent J (1976) A new technique for continuos sphincter pressure measurement. Gastroenterology 71:263–267

    PubMed  CAS  Google Scholar 

  • Dodds WJ, Logemann JA, Stewart ET (1990) Radiologic assessment of abnormal oral and pharyngeal phases of swallowing. AJR 154:965–974

    PubMed  CAS  Google Scholar 

  • Ekberg O (1987) Dysfunction of the pharyngo-esophageal segment in patients with normal opening of the upper esophageal sphincter: a cineradiographic study. Br J Radiol 60:637–644

    Article  PubMed  CAS  Google Scholar 

  • Ekberg O, Nylander G (1982) Cineradiography of the pharyngeal stage of deglutition in 150 individuals without dysphagia. Br J Radiol 55:253–257

    Article  PubMed  CAS  Google Scholar 

  • Ekberg O, Wahlgren O (1985) Dysfunction of pharyngeal swallowing. A cineradiographic investigation in 854 dysphagial patients. Acta Radiol Diagn 26:389–395

    CAS  Google Scholar 

  • Ergun GA, Kahrilas PJ, Logemann JA (1993) Interpretation of pharyngeal manometric recordings: limitations and variability. Dis Esophagus 6:11–16

    Google Scholar 

  • Fyke FE, Code CF (1955) Resting and deglutition pressures in the pharyngo-esophageal region. Gastroenterology 29: 24–34

    PubMed  Google Scholar 

  • Gordon C, Hewer RL, Wade DT (1987) Dysphagia in acute stroke. BMJ 295:411–414

    Article  PubMed  CAS  Google Scholar 

  • Groher ME, Bukatman R (1986) The prevalence of swallowing disorders in two teaching hospitals. Dysphagia 1:3–6

    Article  Google Scholar 

  • Isberg A, Nilsson ME, Schiratzki H (1985) Movement of the upper esophageal sphincter and a manometric device during deglutition. Acta Radiol Diagn 26:381–388

    CAS  Google Scholar 

  • Jacob P, Kahrilas PJ, Logemann JA, Shah V, Ha T (1989) Upper esophageal sphincter opening and modulation during swallowing. Gastroenterology 97:1469–1478

    PubMed  CAS  Google Scholar 

  • Kronecker H, Meltzer S (1883) Der Schluckmechanismus, seine Erregung und seine Hemmung. Arch Anat Phys (Suppl) 7: 328

    Google Scholar 

  • Lindgren S, Janzon L (1991) Prevalence of swallowing complaints and clinical fi ndings among 50-79-year-old men and women in an urban population. Dysphagia 6:187–192

    Article  PubMed  CAS  Google Scholar 

  • McConnel FMS, Cerenko D, Jackson RT, Hersh T (1988) Clinical application of the manofl uorogram. Laryngoscope 98: 705–711

    PubMed  CAS  Google Scholar 

  • Mendelsohn MS, McConnel FMS (1987) Function in the pharyngoesophageal segment. Laryngoscope 97:483–489

    Article  PubMed  CAS  Google Scholar 

  • Miller AJ (1986) Neurophysiological basis of swallowing. Dysphagia 1:91–100

    Article  Google Scholar 

  • Olsson R, Ekberg O (1995) Videomanometry of the pharynx in dysphagic patients with a posterior cricopharyngeal indentation. Acad Radiol 2:597–601

    Article  PubMed  CAS  Google Scholar 

  • Olsson R, Nilsson H, Ekberg O (1994a) Pharyngeal solid state manometry catheter movement during swallowing. A simultaneous videoradiographic and manometric study in 20 dysphagic patients and 20 nondysphagic volunteers. Acad Radiol 1:339–344

    PubMed  CAS  Google Scholar 

  • Olsson R, Nilsson H, Ekberg O (1994b) An experimental manometric study simulating upper esophageal sphincter narrowing. Invest Radiol 29:630–635

    Article  PubMed  CAS  Google Scholar 

  • Olsson R, Nilsson H, Ekberg O (1995a) Simultaneous videoradiography and pharyngeal solid state manometry in 25 nondysphagic volunteers. Dysphagia 10:36–41

    Article  PubMed  CAS  Google Scholar 

  • Olsson R, Castell JA, Castell DO, Ekberg O (1995b) Solid-state computerized manometry improves diagnostic yield in patients with pharyngeal dysphagia: simultaneous videoradiography and manometry in dysphagia patients with normal barium swallows. Abdom Imaging 20:230–235

    Article  PubMed  CAS  Google Scholar 

  • Olsson R, Castell J, Johnston B, Ekberg O, Castell DO (1997) Combined videomanometric identifi cation of abnormalities related to pharyngeal retention. Acad Radiol 4:349–354

    Article  PubMed  CAS  Google Scholar 

  • Olsson R, Castell J, Ekberg O, Castell DO (1998) Videomanometry of the pharynx in dysphagic patients with laryngeal barium penetration during swallowing. Acta Radiol 39: 405–409

    PubMed  CAS  Google Scholar 

  • Orlowski J, Dodds WJ, Linehan JH, Dent J, Hogan WJ, Arndorfer RC (1982) Requirements for accurate manometric recording of pharyngeal and esophageal peristaltic pressure waves. Invest Radiol 17:567–572

    Article  PubMed  CAS  Google Scholar 

  • Ren J, Massey BT, Dodds WJ, Kern MK, Brasseur JG, Shaker R, Harrington SS, Hogan WJ, Arndorfer RC (1993)Determinants of intrabolus pressure during esophageal peristaltic bolus transport. Am J Physiol 264:G407–G413

    PubMed  CAS  Google Scholar 

  • Shaker R, Dodds WJ, Ren J, Hogan WJ, Arndorfer RC (1992) Esophagoglottal closure refl ex: a mechanism of airway protection. Gastroenterology 102:857–861

    PubMed  CAS  Google Scholar 

  • Sokol EM, Heitman P, Wolf BS, Cohen BR (1966) Simultaneous cineradiographic and manometric study of the pharynx, hypopharynx, and cervical esophagus. Gastroenterology 51:960–973

    PubMed  CAS  Google Scholar 

  • Stef JJ, Dodds WJ, Hogan WJ, Linehan JH, Stewart ET (1974) Intraluminal esophageal manometry: an analysis of variables affecting recording fi delity of peristaltic pressures. Gastroenterology 67:221–230

    PubMed  CAS  Google Scholar 

  • Welch RW, Luckmann K, Ricks PM, Drake ST, Gates GA (1979) Manometry of the normal upper esophageal sphincter and its alterations in laryngectomy. J Clin Invest 63:1036–1041

    Article  PubMed  CAS  Google Scholar 

  • Winans CS (1972) The pharyngoesophageal closure mechanism: a manometric study. Gastroenterology 63:768–777

    PubMed  CAS  Google Scholar 

References

  • Bergeron RT, Osborn AG, Sam PM (1984) Head and neck imaging. CV Mosby, St Louis, USA

    Google Scholar 

  • Blitzer A (1985) Evaluation and management of chronic aspiration. Am Arch ENT

    Google Scholar 

  • Bosma JF, Truby HM, Lind J (1966) Distortions of the upper respiratory and swallowing motions in infant having anomalies of the upper pharynx. Acta Paediatr Scand 163:111–128

    Google Scholar 

  • Cantarella G (1998) Defi nizione ed epidemiologia dei disturbi della deglutizione. Centro Richerce e Sudi Amplifon, Raccolta bibliografi ca Seminario Turbe della deglutizione: attualità diagnostiche e terapeutiche: 12–17

    Google Scholar 

  • Croft CB et al. (1981) Patterns of velopharyngeal valving in normal and cleft palate subjects: A multi view videofl uoroscopic and nasoendoscopic study. Laryngoscope 91:265–271

    Article  PubMed  CAS  Google Scholar 

  • Dalston RM et al. (1985) The diagnosis of velopharyngeal insuffi ciency. Clin Plastic Surg 12:685–695

    CAS  Google Scholar 

  • Denk DM, Swoboda H, Schima W, Eibenberger K (1997) Prognostic factors for swallowing rehabilitation following head and neck cancer surgery. Acta Otolaryngol 117: 769–774

    Article  PubMed  CAS  Google Scholar 

  • Di Santis DJ, Balfe DM, Koehler RE, Lee KT (1983) Barium examination on the pharynx after vertical hemilaryngectomy. AJR 141:335–339

    Google Scholar 

  • Dodds WJ, Hogan WJ, Lynden SB, Stewart ET, Stef JJ, Arndorfer RC (1975) Quantitation of pharyngeal motor function in normal human subjects. J Appl Physiol 39:692–696

    PubMed  CAS  Google Scholar 

  • Eisbruch A, Lyden T, Bradford CR, Dawson LA, Haxer MJ, Miller AE, Teknos TN, Chepeha DB, Hogikyan ND, Terrell JE, Wolf GT (2002) Objective assessment of swallowing dysfunction and aspiration after radiation concurrent with chemotherapy for head-and-neck cancer. Int J Radiati Oncol Biol Phys 53:23–28

    Article  Google Scholar 

  • Engelke W (1994) Videoendoskopische Untersuchungen des velopharyngealen Sphinkters bei Gesunden und bei Gaumenspaltpatienten. Dtsch Z Mund Kiefer Gesichtschir 18:190–195

    Google Scholar 

  • Engelke W, et al. (1991) Elektromagnetische Artikulographie: Eine neue Methode zur Untersuchung von Bewegungsfunktionen des Gaumensegels. Folia Phoniatr 43: 147–152

    Article  CAS  Google Scholar 

  • Furia CL, Carrara-de Angelis E, Martins NM, Barros AP, Carneiro B, Kowalski LP (2000) Video fluoroscopic evaluation after glossectomy. Arch Otolaryngol Head Neck Surg 126: 378–383

    PubMed  CAS  Google Scholar 

  • Gates GA (1980) Upper esophageal sphincter: pre-and postlaryngectomy — a normative study. Laryngoscope 90:454–464

    Article  PubMed  CAS  Google Scholar 

  • Gay I, Crisin R, Elidan J (1984) Myotomy of the cricopharyngeal muscle. A treatment for dysphagia and aspiration in neurological disorders. Rev Laryngol Otol Rhinol (Bord) 105:271–274

    CAS  Google Scholar 

  • Groher M (1992) Dysphagia — diagnosis and management, 2nd edn. Butterworth-Heinemann, Boston

    Google Scholar 

  • Hannig C (1995) Functional fl uoroscopic diagnosis of pharynx and esophagus Springer, Berlin

    Google Scholar 

  • Hannig C, Wuttge-Hannig A (1987) Stellenwert der Hochfrequenzkinematographie in der Diagnostik des Pharynx und ösophagus. Röntgenpraxis 40:358–377

    Google Scholar 

  • Hannig C, Wuttge-Hannig A (1992) Cineradiography in preand postoperative evaluation of cleft patients. 6th Annual Meeting of the European Society of Head and Neck Radiology. Karlsruhe, Oct. 7–10, 1992

    Google Scholar 

  • Hannig C, Wuttge-Hannig A (1999) Radiological functional diagnosis of swallowing disorders in neuological diseases and in posttherapeutic oncological ENT-diseases. In: Bartologme G, Buchholz DW, Feussner H, Hannig C, Neumann S, Prosiegel M, Schöter-Morasch H, Wuttge-Hannig A (eds) Schluckstörungen Diagnostik und Rehabilitation Hrsg, 2. Aufl age. Urban und Fischer Verlag, Germany, pp 65–110

    Google Scholar 

  • Hannig C, Wuttge-Hannig A, Hörmann M, Herrmann IF (1989) Kinematographische Untersuchungen des Pathomechanismus der Aspirationspneumonie. ROFO Fortschr Geb Rontgenstr Nuklearmed 150:260–267

    Article  PubMed  CAS  Google Scholar 

  • Hannig C, Wuttge-Hannig A, Clasen B, Kellermann S, Volkmer C (1991) Dysphagia of the treated laryngeal cancer — detection of functional and morphological changes by cineradiography. Bildgebung Imaging 58:141–145

    PubMed  CAS  Google Scholar 

  • Hannig C, Feussner H, Stein H (1993a) Cineradiography and radiomanometry in the pre-and postoperative evaluation of cricopharyngeal dysfunction. Scientifi c Programme and Abstracts, ECR 93, Springer International 1993:111

    Google Scholar 

  • Hannig C, Wuttge-Hannig A, Daschner H, Sader R (1993b) Pre-and postoperative evaluation of cleft-patients by cineradiographic imaging. Scientific Programme and Abstracts, ECR 93. Springer International 273

    Google Scholar 

  • Hannig C, Stein H, Wuttge-Hannig A, Hess U (1994) Diagnosis of cricopharyngeal dysfunction using simultaneous videomanometry and cinemanometry. 3rd Annual Dysphagia Research Society Meeting, Oct 14–16, 1994 McLean, Virginia, USA

    Google Scholar 

  • Hannig C, Hess U, Sader R, Sinz J (1995a) Einfl uss des velopharyngealen Abschlusses auf die OP-planung. Symposium „Moderne Chirurgi der Kieferfehlstellungen“. Klinik und Poliklinik für Mund-Kiefer-Gesichtschirurgie, Technische Universität München, März 24–25, 1995

    Google Scholar 

  • Hannig C, Hess U, Wuttge-Hannig A, Volkmer C (1996)Dysphagie nach Laryngektomie — morphologische versus funktionelle Veränderungen. ROFO Fortschr Geb Rontgenstr Nuklearmed Suppl 164:95

    Article  Google Scholar 

  • Hannig C, Wuttge-Hannig A, Hess U (1995b) Analyse und radiologisches Staging des Typs und Schweregrades einer Aspiration. Der Radiologe 35:741–746

    PubMed  CAS  Google Scholar 

  • Hartmann H et al. (1972) Zur Frage der Intelligenz und sozialen Entwicklung von Kindern mit Lippen-, Kiefer-Gaumenspalten. Prax Kinderpsychol Kinderpsychiatr 21: 1–10

    PubMed  CAS  Google Scholar 

  • Herzog M et al. (1993) Röntgenbefunde nach sekundärer bzw tertiärer Osteoplastik bei Lippen-Kiefer-Gaumen-Spalten. Fortschr Kiefer Gesichtschir 38:64–66

    PubMed  CAS  Google Scholar 

  • Hess U, Hannig C, Sader R, Cavallaro A, Wuttge-Hannig A, Zeilhofer H (1994) Assessment of the velopharyngeal closure with high-frequence-cineradiography for preoperative planning of maxillary advancement, June 15–19, 1994, ICHNR, Washington DC

    Google Scholar 

  • Hess U, Hannig C, Weiss W, Sader R, Zeilhofer H, Wuttge-Hannig A, Merl T (1995a) Die Videokinematographie in der prä-und postoperativen Diagnostik der Lippen-Kiefer-Gaumen-Spalte. Radiologe 35:712–715

    PubMed  CAS  Google Scholar 

  • Hess U, Hannig C, Weiss W, Sader R, Zeilhofer HF, Wuttge-Hannig A, Merl T (1995b) Die Videokinematographie in der prä-und postoperativen Diagnostik der Lippen-Kiefer-Gaumenspalten. Radiologe 35:712–715

    PubMed  CAS  Google Scholar 

  • Hess U, Hannig C, Cavallaro A, Sader R (1996a) Die postoperative Kontrolle der seskundären Velopharyngoplastik mit Hilfe der Kinematographie. 77. Deutscher Röntgenkongress, Mai 15–18, 1996, Wiesbaden. ROFO Fortschr Geb Rontgenstr Nuklearmed 164:95

    Google Scholar 

  • Hess U, Hannig C, Sader R, Cavallaro A, Wuttge-Hannig A, Zeilhofer H (1996b) Die Bewertung des velopharyngealen Verschlusses zur präoperativen Planung der Oberkiefervorverlagerung. Röntgenpraxis 49:25–26

    PubMed  CAS  Google Scholar 

  • Horch HH et al. (1993) Klinische Ergebnisse nack sekundärer Kieferspaltosteoplastik im Wechselgebiss für Lippen-Kiefer-Gaumenspalten. Fortschr Kiefer Gesichtschir 38: 61–64

    PubMed  CAS  Google Scholar 

  • Isberg A et al. (1990) Radiographic examination of velopharyngeal function. In: Delbaso A (ed) Maxillofacial imaging. Saunders, Philadelphia

    Google Scholar 

  • Jung TK, Adams GL (1980) Dysphagia in laryngectomised patients. Otolaryngol Head Neck Surg 88:25–33

    PubMed  CAS  Google Scholar 

  • Kennedy JG, Kent RD (1988) Physiological substrates of normal deglutition. Dysphagia 3:24–38

    Article  PubMed  Google Scholar 

  • Lazarus CL, Logemann JA, Pauloski BR, Rademaker AW, Larson CR, Mittal BB, Pierce M (2000) Swallowing and tongue function treatment for oral and oropharyngeal cancer. J Speech Lang Hear Res 43:1011–1023

    PubMed  CAS  Google Scholar 

  • Leonard JR, Kendall KA, Johnson R, McKenzie S (2001) Swallowing in myotonic muscular dystrophy: a videofl uoroscopic study. NY State Dent J 82:979–985

    CAS  Google Scholar 

  • Logemann JA, Bytell DE (1979) Swallowing disorders in three types of head and neck surgical patients. Cancer 44:1095–1105

    Article  PubMed  CAS  Google Scholar 

  • Logemann JA, Gibbons P, Rademaker AW, Pauloski BR, Kahrilas PJ, Bacon M, Bowman J, McCracken E (1994) Mechanism of recovery of swallow after supraglottic laryngectomy. J Speech Hear Res 37:965–974

    PubMed  CAS  Google Scholar 

  • Mahieu HF (1996) Aspiration in the late pharyngeal phase: UES dysfunction or defective laryngeal mobility? 2nd International Symposium on Laryngeal and Tracheal Reconstruction, Mai 22-26, 1996, Monte Carlo Proceedings 33

    Google Scholar 

  • Martin BJ, Schleicher MA, O’Connor A (1993) Management of dysphagia following supraglottic laryngectomy. Clin Commun Disord 3:27–36

    PubMed  CAS  Google Scholar 

  • Mills CP (1973) Dysphagia in pharyngeal paralysis treated by cricopharyngeal sphincterotomy. Lancet 1:455–457

    Article  PubMed  CAS  Google Scholar 

  • Pastore A, Marchese Ragona R, De Grandis D (1997) Il ruolo della tossina botulinica nelle turbe dello sfi ntere esofageo superiore. Corso intensivo teorico-pratico: Diagnostica e terapia die disturbi della deglutitzione. (Abstract book pp 20-25) Milano 30-31.10.1997.

    Google Scholar 

  • Pauloski BR, Rademaker AW, Logemann JA, Lazarus CL, Newman L, Hamner A, MacCracken E, Gaziano J, Stachowiak L (2002) Swallow function and perception of dysphagia in patients with head and neck cancer. Head Neck 24:555–565

    Article  PubMed  Google Scholar 

  • Ren YF, Isberg A, Henningsson G (1993) Interactive infl uence of a pharyngeal fl ap and adenoid on maxillofacial growth in cleft lip and palate patients. Cleft Palate Craniofac J 30:144–149

    Article  PubMed  CAS  Google Scholar 

  • Rosen A, Rhee TH, Kaufman R (2001) Prediction of aspiration in patients with newly diagnosed untreated advanced head and neck cancer. Arch Otolaryngol Head Neck Surg 127:975–979

    PubMed  CAS  Google Scholar 

  • Rubesin SE, Jones B, Donner MW (1987) Radiology of the adult soft palate. Dysphagia 2:8–17

    Article  PubMed  CAS  Google Scholar 

  • Sader R, Horch HH, Herzog M, Zeilhofer HF, Hannig C, Hess U, Bünte E, Böhme G (1994) Hochfrequenz-Videokinematographie zur objektiven Darstellung des velopharyngealen Verschlussmechanismus bei Gaumenspaltenpatienten. Fortschr Kieferorthop 55:169–175

    Article  PubMed  CAS  Google Scholar 

  • Sader R, Horch HH, Zeilhofer HF, Deppe H, Hannig C, Hess U (1995) High-frequency cineradiography for objective three dimensional rendering of velopharyngeal closure in cleft patients. In: Functional surgery of the head and neck. Kärcher H (ed) RM-Druck u Verl, Graz 31–36

    Google Scholar 

  • Sader R, Zeilhofer HF, Horch HH (1997) Maxillary advancement and velopharyngeal closure in cleft patients. In: Lee ST, Huang M (eds) Transaction 8th International Congress on Cleft Palate and Related Anomalies, Stamford Press Pte Ltd, Singapore, pp 651–654

    Google Scholar 

  • Sader R, Zeilhofer HF, Dietz M, Bressmann T, Hannig C, Putz R, Horch HH (2001) Levatorplasty, a new technique to treat hypernasality: anatomical investigations and preliminary clinical results. J Craniomaxillofac Surg 29: 143–149

    PubMed  CAS  Google Scholar 

  • Skolnick ML et al. (1989) Videofl uoroscopic studies of speech in patients with cleft palate. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Thumfarth WF, Potoschnig C, Dapunt U, Nekahm D (1996) Diagnostic and surgical systems for management of aspiration and swallowing disturbances. 2nd International Symposium on Laryngeal and Tracheal Reconstruction, Monte Carlo Proceedings 31

    Google Scholar 

  • Walther EK, Rodel R, Deroover M (1990) Rehabilitation of deglutition in patients with pharyngeal carcinoma. Laryngorhinootologie 69:360–368

    Article  PubMed  CAS  Google Scholar 

  • Wuttge-Hannig A, Hannig C (1995) Radiologische Differentialdiagnose neurologisch bedingter Schluckstörungen. Der Radiologe 35:733–740

    Google Scholar 

  • Wuttge-Hannig A, Hannig C (1999) Anatomy of swallowing In: Bartologme G, Buchholz DW, Feussner H, Hannig C, Neumann S, Prosiegel M, Schöter-Morasch H, Wuttge-Hannig A (eds) Schluckstörungen Diagnostik und Rehabilitation Hrsg. (2. Aufl age) Urban und Fischer Verlag, Germany, pp 1–11

    Google Scholar 

  • Wuttge-Hannig A, Beer A, Gebhardt A, Hellerhoff P, Wuttge R, Hannig C (2001) Alternative methods for the diagnostic of deglutition. In: Schindler O, Ruoppolo G, Schindler A (eds) Deglutologie. Omega Edizioni

    Google Scholar 

  • Zuydam AC, Rogers SN, Brown JS, Vaughan ED, Magennis R (2000) Swallowing rehabilitation after oro-pharyngeal resection for squamous cell carcinoma. Br J Oral Maxillofac Surg 38:513–518

    Article  PubMed  CAS  Google Scholar 

References

  • Adnerhill I, Ekberg O, Groher ME (1989) Determining normal bolus size for thin liquids. Dysphagia 4:1

    Article  PubMed  CAS  Google Scholar 

  • Bülow M, Olsson R, Ekberg O (1999) Videomanometric analysis of supraglottic swallow, effortful swallow and chin tuck in healthy volunteers. Dysphagia 14:67–72

    Article  PubMed  Google Scholar 

  • Bülow M, Olsson R, Ekberg O (2001) Videomanometric analysis of supraglottic swallow, effortful swallow and chin tuck in patients with pharyngeal dysfunction. Dysphagia 16: 190–195

    Article  PubMed  Google Scholar 

  • De Pippo KL, Holas MA, Reding MJ (1992) Validation of the 3-ounce water swallow test for aspiration following stroke. Arch Neurol 49:1259–1261

    Google Scholar 

  • Dodds WJ, Logemann JA, Stewart ET (1990a) Radiological assessment of abnormal oral and pharyngeal phases of swallow. AJR Am J Roentgenol 154:965–974

    PubMed  CAS  Google Scholar 

  • Dodds WJ, Stewart ET, Logemann J (1990b) Physiology and radiology of the normal oral and pharyngeal phases of swallowing. AJR Am J Roentgenol 154:993–963

    Google Scholar 

  • Donner M (1988) The evaluation of dysphagia by radiography and other methods of imaging. Dysphagia 1:49–50

    Article  Google Scholar 

  • Ekberg O (1986) Posture of the head and pharyngeal swallow. Acta Radiol Diagn 27:691–696

    CAS  Google Scholar 

  • Ekberg O (1990) The role of radiology in evaluation and treatment of neurologically-impaired patients with dysphagia. J Neurol Rehabil 4:65–73

    Google Scholar 

  • Ekberg O (1992) Radiologic evaluation of swallowing. In: Groher ME (ed) Dysphagia. Diagnosis and Management, 2nd edn. Butterworth-Heineman, Boston, pp 163–195

    Google Scholar 

  • Jones B, Donner MW (1989) How I do it: examination of the patient with dysphagia. Dysphagia 4:162–172

    Article  PubMed  CAS  Google Scholar 

  • Kahrilas PJ, Logemann JA, Gibbons P (1992) Food intake by maneuver: an extreme compensation for impaired swallowing. Dysphagia 7:155–159

    Article  PubMed  CAS  Google Scholar 

  • Lazarus CL, Logemann JA, Gibbons P (1993) Effects of manoeuvres on swallowing function in a dysphagic oral cancer patient. Head Neck 15:419–424

    Article  PubMed  CAS  Google Scholar 

  • Lazzara G, Lazarus C, Logemann J (1986) Impact of thermal stimulation on the triggering of the swallow reflex. Dysphagia 1:73–77

    Article  Google Scholar 

  • Linden P, Sibens A (1983) Dysphagia: Predicting laryngeal penetration. Arch Phys Med Rehabil 64:281–283

    PubMed  CAS  Google Scholar 

  • Logemann J (1998) Evaluation and treatment of swallowing disorders. Pro-Ed, Austin, Texas

    Google Scholar 

  • Logemann JA (1983) Evaluation and treatment of swallowing disorders. Pro-Ed, Austin, Texas

    Google Scholar 

  • Logemann JA (1986) A manual for the videofl uoroscopic evaluation of swallowing. College-Hill Press, Boston

    Google Scholar 

  • Logemann JA (1995) Dysphagia: evaluation and treatment. Folia Phoniatr Logop 47(3):140–164

    Article  PubMed  CAS  Google Scholar 

  • Logemann JA, Kahrilas PJ (1990) Relearning to swallow post-CVA: application of maneuvers and indirect biofeedback. A case study. Neurology 40:1136–1138

    PubMed  CAS  Google Scholar 

  • Logemann JA, Kahrilas PJ, Kobara M, Vakil NB (1989) The benefi t of head rotation on pharyngoesophageal dysphagia. Arch Phys Med Rehabil 70:767–771

    PubMed  CAS  Google Scholar 

  • Logemann JA, Lazarus CL, Phillips Keely S, Sanches A, Rademaker AW (2000). Effectiveness of four hours of education in interpretation of radiographic studies. Dysphagia 15: 180–183

    Article  PubMed  CAS  Google Scholar 

  • Martin BJW (1994) Treatment of dysphagia in adults. In: Reiff Cherney L (ed) Clinical managements of dysphagia in adults and children. Aspen Publishers, Inc. Gaithersburg, Maryland, chap. 6, pp 153–183

    Google Scholar 

  • Martin BJW, Logemann JA, Shaker R, Dodds WJ (1993) Normal laryngeal valving patterns during three breath-hold manoeuvres: a pilot investigation. Dysphagia, 8:11–20

    Article  PubMed  CAS  Google Scholar 

  • Martin-Harris B, Logemann JA, McMahon S, Schleicher MA, Sandidge J (2000) Clinical utility of the modifi ed barium swallow. Dysphagia 15: 136–141

    PubMed  CAS  Google Scholar 

  • Murray J (1999) Videofl uoroscopic examination. In: Manual of dysphagia assessment in adults. Singular Publishing Group, Inc. San Diego, London, chap. 3, pp 113–151

    Google Scholar 

  • Nathadwarawala KM, Nicklin J, Wiles CM (1992) A timed test of swallowing capacity for neurological patients. J Neurol Neurosurg Psych 55:822–825

    Article  CAS  Google Scholar 

  • Nathadwarawala KM, Mc Groary A, Wiles CM (1994) Swallowing in neurological outpatients. use of a timed test. Dysphagia 9:120–129

    Article  PubMed  CAS  Google Scholar 

  • Rosenbek JC, Roecker EB, Wood JL, Robbins J (1996) Thermal application reduces the duration of stage transition in dysphagia after stroke. Dysphagia 11:225–233

    Article  PubMed  CAS  Google Scholar 

  • Shaker R, Kern M, Bardan E, Taylor A, Stewart ET, Hoffamnn RG, et al. (1997) Augmentation of deglutitive upper esophagel sphincter opening in the elderly by exercise. Am J Physiol G1518–G1522

    Google Scholar 

  • Shanahan TK, Logemann JA, Rademaker AW, Pauloski BR, Kahrilas PJ (1993) Chin-down posture effect on aspiration in dysphagic patients. Arch Phys Med Rehabil 74:736–739

    Article  PubMed  CAS  Google Scholar 

  • Sonies BC (1993) Remediation challenges in treating dysphagia post head/neck cancer. A problem-oriented approach. Clinics in communication disorders 3(4):21–26, fall

    PubMed  CAS  Google Scholar 

  • Splaingard ML, Hutchins B, Sulton LD, and Chauhuri G (1988) Aspiration in rehabilitation patients: videofl uoroscopy vs. bedside clinical assessment. Arch Phys Med Rehabil 69: 637–640

    PubMed  CAS  Google Scholar 

  • Welch MV, Logemann JA, Rademaker AW, Kahrilas PJ (1993) Changes in pharyngeal dimensions effected by chin tuck. Arch Phys Med Rehabil 74:178–181.

    PubMed  CAS  Google Scholar 

  • Zenner PM, Losinski DS, Mills RH (1995) Using cervical auscultation in the clinical dysphagia examination in longterm care. Dysphagia 10(1): 27–31

    Article  PubMed  CAS  Google Scholar 

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Ekberg, O. et al. (2004). Pharynx. In: Ekberg, O. (eds) Radiology of the Pharynx and the Esophagus. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-18838-1_4

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  • DOI: https://doi.org/10.1007/978-3-642-18838-1_4

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-41509-1

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