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Epiglottic Dysfunction During Deglutition in Patients With Dysphagia
Olle Ekberg, MD
Arch Otolaryngol. 1983;109(6):376-380.
Abstract
Among 250 patients with dysphagial complaints, 83 had dysfunction of the epiglottis as revealed by high-speed cineradiography. Nineteen patients had a totally immobile epiglottis and of these 11 had concomitant pharyngeal constrictor paresis. Sixteen of the patients with immobile epiglottis had misdirected swallowing. An absence of the second movement of the epiglottis during deglutition was registered in 53 patients. Thirteen of these had pharyngeal constrictor paresis and 45 had misdirected swallowing. In 11 patients the epiglottis attained an obliquity of 30° to 90° as seen in the anteroposterior projection during its second movement. One of these had a pharyngeal constrictor paresis, while four had misdirected swallowing. The results of this study indicate that epiglottic dysfunction is common among patients with dysphagia and is often accompanied by other functional abnormalities.
(Arch Otolaryngol 1983;109:376-380)
Author Affiliations
From the Department of Diagnostic Radiology, University of Lund, Malmö (Sweden) General Hospital.
Footnotes
Accepted for publication Aug 18, 1982.
Reprint requests to Department of Diagnostic Radiology, Malmö General Hospital, S-214 01 Malmö, Sweden (Dr Ekberg).
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