S119 – Tongue-holding Maneuver Studied by High-resolution Manometry

2008 ◽  
Vol 139 (2_suppl) ◽  
pp. P117-P117
Author(s):  
Hiroshi Umeki ◽  
Kenji Takasaki ◽  
Kaori Enatsu ◽  
Fujinobu Tanaka ◽  
Hidetaka Kumagami ◽  
...  
Keyword(s):  
Standard Deviation ◽  
High Resolution ◽  
Mean Value ◽  
Upper Esophageal Sphincter ◽  
Mean Values ◽  
High Resolution Manometry ◽  
Maximum Value ◽  
Asymptomatic Adult ◽  
The Mean ◽  
Esophageal Sphincter

Objectives This study aimed to investigate the effects of a tongue-holding maneuver (THM) during swallowing, using a novel high-resolution manometry (HRM) system. Methods 27 asymptomatic adult Japanese controls were studied. A solid-state HRM assembly with 36 circumferential sensors spaced 1 cm apart was positioned to record pressures during swallowing from the velopharynx to the upper esophagus. The maximum values of the dry swallowing pressures at meso-hypopharynx, the upper esophageal sphincter (UES) and the mean values at meso-hypopharynx with and without THM were measured. Results The maximum values of dry swallowing pressures with and without THM were 195.0±77.2 (mmHg, mean ± standard deviation), and 178.1±53.0 at the meso-hypopharynx, and 213.4±74.0 and 190.0±95.0 at the UES, respectively. The mean values with and without THM at meso-hypopharynx were 47.4±11.9, and 44.0±11.2, respectively. The maximum value at UES (p=0.0347), and the mean value at the meso-hypopharynx (p=0.0124) of dry swallowing pressures with THM were significantly higher than those without THM. Conclusions These findings indicate that the THM has a potential to facilitate compensatory swallowing power at the pharynx and upper esophagus. HRM will provide us with important information about the swallowing physiology, and pathophysiology along the velopharynx, and upper esophagus.

S118 – Study of Pharyngeal Swallowing by High-resolution Manometry

2008 ◽  
Vol 139 (2_suppl) ◽  
pp. P116-P117
Author(s):  
Kenji Takasaki ◽  
Umeki Hiroshi ◽  
Kaori Enatsu ◽  
Fujinobu Tanaka ◽  
Hidetaka Kumagami ◽  
...  
Keyword(s):  
High Resolution ◽  
Normal Values ◽  
Upper Esophageal Sphincter ◽  
Cervical Esophagus ◽  
High Resolution Manometry ◽  
Maximum Value ◽  
Physiological Information ◽  
Asymptomatic Adult ◽  
Esophageal Sphincter ◽  
Pharyngeal Swallowing

Objectives This study aimed to demonstrate the feasibility of a novel high-resolution manometry (HRM) system, and to establish normal values of swallowing pressures along the velopharynx and upper esophagus. Methods 33 asymptomatic adult Japanese controls were studied. A solid-state HRM assembly with 36 circumferential sensors spaced 1 cm apart was positioned to record pressures during swallowing from the velopharynx to the upper esophagus. The maximum values of the swallowing (dry and 5 ml of water) pressures at velo, meso-hypopharynx, and at the upper esophageal sphincter (UES) were measured. The resting UES pressure, the length of the part in the cervical esophagus showing the resting UES pressure, and the distance from the nostril to the above-mentioned points of pressure were also measured. Results The maximum value of dry and water swallowing pressures at the velopharynx, meso-hypopharynx and UES, and the distances from the nasal vestibulum to each point were 132.3±61.3 (mmHg, mean ± standard deviation), and 146.5±77.5, 171.6±52.0, and 176.3±74.4, 163.5±70.6, and 239.3±80.1, and 9.8±1.2 (cm), and 9.8±1.3, 13.6±1.6, and 13.7±1.5, 17.0±1.9 and 17.1±1.6, respectively. The maximum value of the resting USE pressure, the length of the part in the cervical esophagus showing the resting USE pressure, and the distance from the nostril to the mid-point of the length of the resting UES pressure were 66.6±28.1 mmHg, 3.8±0.7 cm, and 18.2±1.6 cm, respectively. Conclusions The present study provides anatomical and physiological information about normal swallowing along the velopharynx and upper esophagus, which will be an aid to future clinical and investigative studies.

The upper esophageal sphincter in the high-resolution manometry era

2021 ◽  
Author(s):  
Pedro Norton ◽  
Fernando A. M. Herbella ◽  
Francisco Schlottmann ◽  
Marco G. Patti
Keyword(s):  
High Resolution ◽  
Upper Esophageal Sphincter ◽  
High Resolution Manometry ◽  
Esophageal Sphincter

scholarly journals Adequate Number of Swallows for Pharyngeal Pressure Measurement of a Subject using High-resolution Manometry

2020 ◽  
Author(s):  
Matsusato Tsuyumu ◽  
Takanori Hama ◽  
Takakuni Kato ◽  
Hiromi Kojima
Keyword(s):  
High Resolution ◽  
Major Change ◽  
Upper Esophageal Sphincter ◽  
Rate Of Change ◽  
Sphincter Pressure ◽  
High Resolution Manometry ◽  
Average Value ◽  
Pharyngeal Pressure ◽  
Single Person ◽  
The Mean

Abstract Introduction The number of pressure measurements that need to be recorded using high-resolution manometry (HRM) for the accurate evaluation of pharyngeal function is not well established. Objective The purpose of this study is to clarify the number of swallows required to obtain an accurate pharyngeal manometric profile of a person. Methods Forty healthy adults performed a dry swallow and bolus swallows using 3-, 5-, or 10 ml of water and underwent measurements using the Starlet HRM system. Each subject underwent 10 swallows for each of the four bolus volume conditions. Results The mean of up to seven measurements of maximum pre-swallow upper esophageal sphincter pressure with 10 ml of swallow was close to the mean of up to eight measurements in 95% of the subjects. Similarly, the rate of change of the average for the eighth and ninth measurements and the rate of change for the average of the ninth and tenth measurements were less than 5%. When the other parameters were similarly measured up to the sixth measurement, no major change in the average value was observed even if more measurements were taken. Conclusion A minimum of six measurements are required, and seven swallows are sufficient for evaluating the pharyngeal manometric profile of a single person. This number of measurements can be a useful criterion when performing HRM measurements on individual subjects.

scholarly journals Assessment of the TMJ Dysfunction Using the Computerized Facebow Analysis of Selected Parameters

2015 ◽  
Vol 2015 ◽  
pp. 1-9 ◽  
Author(s):  
Edward Kijak ◽  
Danuta Lietz-Kijak ◽  
Bogumiła Frączak ◽  
Zbigniew Śliwiński ◽  
Jerzy Margielewicz
Keyword(s):  
Age Groups ◽  
Mouth Opening ◽  
Mean Value ◽  
Qualitative And Quantitative Analysis ◽  
Temporomandibular Joint Dysfunction ◽  
Mean Values ◽  
Qualitative And Quantitative ◽  
Maximum Value ◽  
Function Test ◽  
The Mean

The Purpose of the Paper.Qualitative and quantitative analysis of selected parameters of mandible movements, electronically registered in patients with temporomandibular joint dysfunction and healthy ones.Material. Function test of the mandible movements was conducted in 175 patients. Gender distribution was 143 women and 32 men, aged 9 to 84.Methods. The studied population, after accurate clinical examination, was divided into age groups with the range of five years. All the patients had Zebris JMA computerized facebow examination done, according to the generally accepted principles and procedures.Results.Mean values of mouth opening calculated to 45.6 mm in healthy group and 37.6 mm in TMJ dysfunction group. Mean length of condylar path amounted to39±7% of the maximum value of mouth opening in the group of healthy people,44±11% in the case of muscle-based disorders, and35±11% with joint-based. The mean value of the condylar path inclination oscillated in the range of 25° to 45°.Conclusions. The ratio of length of the condylar path to the size of mouth opening may be a significant value characterising the type and degree of intensification of the TMJ dysfunctions.

Upper Esophageal Sphincter Evaluation of High Resolution Manometry in Patients with Muscle Tension Dysphagia

2016 ◽  
Vol 111 ◽  
pp. S1246-S1247
Author(s):  
Jennifer Horsley-Silva ◽  
Hassan Siddiki ◽  
Christina Kang ◽  
David Lott ◽  
Joseph Hentz ◽  
...  
Keyword(s):  
High Resolution ◽  
Muscle Tension ◽  
Upper Esophageal Sphincter ◽  
High Resolution Manometry ◽  
Esophageal Sphincter
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