Effect of a Tongue-Holding Maneuver on Posterior Pharyngeal Wall Movement During Deglutition

1996 ◽  
Vol 5 (1) ◽  
pp. 23-30 ◽  
Author(s):  
Masako Fujiu ◽  
Jeri A. Logemann
Keyword(s):  
Cervical Vertebra ◽  
Posterior Pharyngeal Wall ◽  
Normal Subjects ◽  
Easy Method ◽  
Pharyngeal Wall ◽  
The Past ◽  
Treatment Techniques ◽  
Wall Movement ◽  
Pharyngeal Swallow ◽  
New Treatment

Effects of a tongue-holding maneuver on anterior bulging of the posterior pharyngeal wall (PPW) during swallowing were investigated in 10 young adult normal subjects. Videofluorographic images of 3-ml liquid barium swallows were digitized to quantify the extent of anterior bulge of the PPW with and without the maneuver at the mid and the inferior levels of the second cervical vertebra. A significant increase in PPW bulging was seen with the maneuver at both pharyngeal levels. These findings indicate potential for developing new treatment techniques to facilitate compensatory anterior movement of the PPW, which has not been a target for direct treatment in the past. At present, the tongue-holding maneuver can be employed clinically as an easy method for testing the compliance of the PPW videofluorographically. However, the use of the maneuver per se, which inhibits posterior retraction of the base of tongue (BOT), resulted in increasing the pharyngeal (specifically vallecular) residue after the swallow. The results also indicate the importance of tongue movement in triggering the pharyngeal swallow.

Increased Postoperative Posterior Pharyngeal Wall Movement in Patients With Anterior Oral Cancer

1995 ◽  
Vol 4 (2) ◽  
pp. 24-30 ◽  
Author(s):  
Masako Fujiu ◽  
Jeri A. Logemann ◽  
Barbara Roa Pauloski
Keyword(s):  
Oral Cancer ◽  
Essential Element ◽  
Posterior Pharyngeal Wall ◽  
Pharyngeal Wall ◽  
Wall Movement ◽  
Postoperative Changes ◽  
Oral Cancer Patients ◽  
Pharyngeal Swallow ◽  
Notable Increase ◽  
Base Of The Tongue

Anterior bulging of the posterior pharyngeal wall (PPW) and its contact with the base of the tongue (BOT) is an essential element of the pharyngeal stage of swallowing. Postoperative changes in the extent of anterior bulge of the PPW during the pharyngeal swallow were documented in 11 oral cancer patients who underwent surgical resections of the anterior tongue and/or floor of the mouth. Seven subjects demonstrated approximately a 30% or more increase in anterior bulge of the PPW during liquid and/or paste swallows at 3 months postoperatively relative to their preoperative values. The other four subjects demonstrated no change or a decrease in anterior bulge of the PPW postoperatively. No notable increase or decrease in anterior bulge of the PPW was observed between the 3- and 6-month postoperative evaluations of the six subjects whose 6-month post-operative data were available. PPW bulge tended to increase more in subjects with poor oropharyngeal swallow efficiency, which was likely to be related to greater extent of tongue resection. These results suggest the potential for compensatory movement of the PPW when the BOT is positioned more anteriorly, and a possible treatment approach to increasing PPW contraction in dysphagic individuals with reduced BOT-to-PPW contact during the pharyngeal swallow.

Client Information Handout Reprinted from Pet Focus, with Permission

1991 ◽  
Vol 8 (2) ◽  
pp. 26-30 ◽  
Author(s):  
Kenneth F. Lyon
Keyword(s):  
Health Care ◽  
Dental Care ◽  
The Past ◽  
Treatment Techniques ◽  
Recent Developments ◽  
New Treatment

Today, it is recognized that our pets have dental problems that went unrecognized and untreated in the past. Recent developments in the field of veterinary dentistry, increased owner awareness, and new treatment techniques make dental care an indispensable part of pet health care. Routine preventative procedures such as brushing the teeth should be a regular aspect of the care we extend to our pets. J. Vet. Dent., 1991; 8(2): 26–30.

Posterior Pharyngeal Wall Movement in Normals

1958 ◽  
Vol 1 (3) ◽  
pp. 203-210 ◽  
Author(s):  
Robert F. Hagerty ◽  
Milton J. Hill ◽  
Harold S. Pettit ◽  
John J. Kane
Keyword(s):  
Posterior Pharyngeal Wall ◽  
Pharyngeal Wall ◽  
Wall Movement

The Submentovertical Projection in the Radiographic Analysis of Velopharyngeal Dynamics

1973 ◽  
Vol 38 (4) ◽  
pp. 473-477 ◽  
Author(s):  
Daniel H. Zwifman ◽  
Michael T. Gyepes ◽  
Frederick Sample
Keyword(s):  
Normal Subjects ◽  
Radiographic Analysis ◽  
Lateral Pharyngeal Wall ◽  
Pharyngeal Wall ◽  
Lateral Projection ◽  
Wall Movement ◽  
Normal Individuals ◽  
Pharyngeal Flap ◽  
Surrounding Areas

In assessing lateral pharyngeal wall movement during routine cinefluorographic examination for velopharyngeal adequacy, the inclusion of submentovertical projection is important to the lateral projection of the velum. The main structures of the nasopharynx and surrounding areas are defined, and a method to obtain visualization of this area in normal subjects is described. The degree of lateral pharyngeal wall movement varies among normal individuals and may affect the success of pharyngeal flap operations in patients with velopharyngeal inadequacy.

S194 – Pharyngeal Thickness in Young and Elderly Normal Subjects

2008 ◽  
Vol 139 (2_suppl) ◽  
pp. P140-P141
Author(s):  
Shervin Aminpour ◽  
Scott Fuller ◽  
Leonard Rebecca ◽  
Peter C Belafsky
Keyword(s):  
Wall Thickness ◽  
Posterior Pharyngeal Wall ◽  
Normal Subjects ◽  
The Elderly ◽  
Elderly Subjects ◽  
Elderly Persons ◽  
Pharyngeal Wall ◽  
Posterior Pharyngeal Wall Thickness ◽  
Normal Adults ◽  
Anterior Posterior

Objectives Previous research has demonstrated pharyngeal size and constriction differences between normal young and elderly adults. Evidence suggests that the pharynx of elderly subjects dilates and does not constrict as well as younger persons. The distance between the larynx and the hyoid at rest is greater in the elderly, as is the anterior-posterior width of the pharynx maximally expanded. We have noticed that the pharynx of elderly persons appears to atrophy with age. The purpose of this investigation was to compare pharyngeal wall thickness in young vs. elderly persons. Methods Videofluoroscopic swallow studies were performed on 82 normal adults under the age of 65 years and on 89 normal adults over the age of 65. Measures of posterior pharyngeal wall thickness (PWT) were determined at rest and at the same point during maximum constriction of the pharynx on a 20-cc bolus swallow. Data were compared with the independent samples t-test. Results No gender differences were identified for the younger or elderly groups. Mean PWT at rest was .40cm (± .08) for the younger group and 30cm (± .08) for the elderly (p <0.01). Pharyngeal wall thickness measured at the same point during maximum constriction was 1.08cm (±38) for the younger group and .92cm (±36) for the elderly (p <0.01). Conclusions Data from the current study suggest that the posterior pharyngeal wall is thinner in elderly individuals older than 65 as compared to younger adults. These differences may help explain differences in pharyngeal strength, swallowing efficiency, and safety in the elderly.

scholarly journals Craniovertebral Junction Koch spine – an unusual presentation treated with a novel approach: case report and review of literature

2019 ◽  
Vol 5 (3) ◽  
pp. 529
Author(s):  
Bipul Kumar Garg ◽  
Shrikant Pradeep Savant ◽  
Sumit Maheshwari
Keyword(s):  
Spinal Tuberculosis ◽  
Tertiary Care ◽  
Cervical Vertebra ◽  
Posterior Pharyngeal Wall ◽  
Craniovertebral Junction ◽  
Clinical Findings ◽  
Acute Onset ◽  
Retropharyngeal Abscess ◽  
Retropharyngeal Space ◽  
Pharyngeal Wall

<p class="abstract">The retropharyngeal space lies in the posterior pharyngeal wall between the middle and deep layers of the deep cervical fascia. It extends from the base of the skull to the mediastinum and frequently serves as a conduit for spread of disease from the neck into the chest. Spinal tuberculosis is the commonest extra pulmonary manifestation of tuberculosis. Clinical findings of cervical tuberculosis includes neck pain, restricted neck movements, quadriparesis, radicular manifestations, kyphosis, and sensory disturbance. It should be suspected in an adult person who presents with a destructive lesion of the cervical vertebra and retro-pharyngeal mass. Early diagnosis and treatment are necessary to prevent the serious complications of the disease. We present here a 46 years old female who presented to a tertiary care setup with acute onset dyspnea and quadriplegia with bladder bowel involvement managed with trans oral incision and drainage of retropharyngeal abscess followed by posterior occipitocervical fusion supplemented with Anti Koch Therapy with a good follow up.</p>

Multicenter Interrater Reliability in the Endoscopic Assessment of Velopharyngeal Function Using a Video Instruction Tool

2019 ◽  
Vol 160 (4) ◽  
pp. 720-728 ◽  
Author(s):  
Craig Miller ◽  
Randall Bly ◽  
Shelagh Cofer ◽  
John P. Dahl ◽  
Lianne de Serres ◽  
...  
Keyword(s):  
Posterior Pharyngeal Wall ◽  
Interrater Agreement ◽  
Categorical Variables ◽  
Gap Size ◽  
Lateral Pharyngeal Wall ◽  
Video Instruction ◽  
Pharyngeal Wall ◽  
Wall Movement ◽  
Before And After ◽  
Endoscopic Assessment

Objective Assess interrater agreement of endoscopic assessment of velopharyngeal (VP) function before and after viewing the video instruction tool (VIT). We hypothesized improvement in interrater agreement using the Golding-Kushner scale (GKS) after viewing the VIT. Study Design Prospective study. Setting Multi-institutional. Methods Sixteen fellowship-trained pediatric otolaryngologists who treat velopharyngeal insufficiency (VPI) rated 50 video segments using the GKS before and after watching the VIT. Raters assessed gap size percentage and lateral pharyngeal wall (LPW), soft palate (SP), and posterior pharyngeal wall (PPW) movement. Intraclass correlation coefficient was estimated for these continuous measures. Raters also indicated the presence of a palatal notch, Passavant’s ridge, and aberrant pulsations (categorical variables). Fleiss κ coefficient was used for categorical variables. Wilcoxon signed-rank test was performed on the difference between the pre/post individual video ratings. Results Reliability improved for all continuous variables after watching the instructional video. The improvement was significant for PPW (0.22-0.30, P < .001), SP (left: 0.63-0.68, P < .001 and right: 0.64-0.68, P = .001), and LPW (left: 0.49-0.54, P = .01 and right: 0.49-0.54, P = .09) but not significant for gap size (0.65-0.69, P = .36). Among categorical variables, agreement on Passavant’s ridge significantly improved (0.30-0.36, P = .03). Conclusion Exposure to a video instruction tool improves interrater agreement of endoscopic assessment of VP function. Significant improvement was observed in our primary end points, specifically posterior pharyngeal wall movement, soft palate movement, and lateral pharyngeal wall movement. There was less impact of the VIT on the interrater agreement of the categorical variables, palatal notch, Passavant’s ridge, and aberrant pulsations.

Schwannoma of the posterior pharyngeal wall

1995 ◽  
Vol 109 (9) ◽  
pp. 883-885 ◽  
Author(s):  
Bharath Singh ◽  
Shanil Ramjettan ◽  
Tej Prakash J. Maharaj ◽  
Reena Ramsaroop
Keyword(s):  
Male Patient ◽  
Cervical Vertebra ◽  
Posterior Pharyngeal Wall ◽  
The Body ◽  
Pharyngeal Wall ◽  
The Third ◽  
Large Size

AbstractSchwannoma of the posterior pharyngeal wall, in a 36-year-old male patient is presented demonstrating the asymptomatic nature of the tumour (which is peculiar to schwannomas). The tumour gradually increased in size, destroyed the body of the third cervical vertebra but remained asymptomatic. The patient only presented to hospital when the tumour obstructed the airway, because of its large size.

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