Movement of the hyoid bone and the epiglottis during swallowing in patients with dysphagia from different etiologies

Paik, Nam–Jong; Kim, Sang Jun; Lee, Ho Jun; Jeon, Jae Yong; Lim, Jae‐Young; Han, Tai Ryoon

doi:10.1016/j.jelekin.2006.09.011

Cited by 136 publications

(145 citation statements)

References 30 publications

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“…Compared to the data in the literature 14,[23][24][25][26][27][28][29] the measurement values of the hyoid bone displacement, maximum pharyngeal constriction and maximum UES opening were found to be higher, even when compared to nondysphagic individuals. Such a fact may result from different methods to take measurements, thus preventing a comparison of these data.…”

Section: Resultscontrasting

confidence: 86%

“…Quando comparados com dados da literatura 14,[23][24][25][26][27][28][29] os valores das medidas de máximo deslocamento do osso hióide, máxima constrição da faringe, e máxima abertura da TFE encontraram-se maiores, mesmo na comparação com indivíduos não disfágicos. Tal fato pode ser decorrente de metodologias diferentes na realização das promoting lower strength, and consequent less displacement, by the individual.…”

Section: Discussionunclassified

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Análise quantitativa da deglutição de parkinsonianos pré e pós-riboflavina

et al. 2014

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Objetivo verificar as mudanças quantitativas na dinâmica da deglutição em pacientes portadores da doença de Parkinson, submetidos à administração de riboflavina e restrição de carnes vermelhas e de aves, no período de um ano. Métodos participaram do estudo 16 pacientes com doença de Parkinson, com media de idade de 67,25 anos, media do nível de severidade da doença de II para III e com media de 3,5 anos de tempo de diagnóstico da doença. As avaliações videofluoroscópicas da deglutição foram realizadas antes e após um ano de administração de riboflavina e restrição de carne vermelha e de aves. Foram analisadas presença de queixas relacionadas à deglutição e análise quantitativa por meio de medidas computadorizadas do deslocamento do osso hióide e da cartilagem cricóidea, abertura da transição faringoesofágica (TFE) e da constrição da faringe. Resultados verificou-se redução no percentual de queixas relacionadas à deglutição no momento pós-administração de riboflavina. Com relação às medidas quantitativas, observou-se no momento pós um discreto aumento na abertura da TFE para todas as consistências oferecidas, aumento da constrição da faringe para a consistência líquido engrossado, discreta redução dos valores de deslocamento do osso hióide, e tanto discreta redução como discreto aumento dos valores de deslocamento da cartilagem cricóidea dependendo da consistência alimentar, sendo redução significante para o líquido. Conclusões as medidas quantitativas realizadas na movimentação dos órgãos relacionados à deglutição não demonstraram diferenças significantes entre os momentos pré e pós-riboflavina e a restrição de carne vermelha e de aves.

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Section: Resultscontrasting

confidence: 86%

Section: Discussionunclassified

Análise quantitativa da deglutição de parkinsonianos pré e pós-riboflavina

et al. 2014

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“…Paik et al [17] introduced a two-dimensional kinematic swallowing motion analysis used in patients with dysphagia from different etiologies, and demonstrated that the kinematic swallowing motion analysis could differentiate the etiology of the swallowing difficulty. This technique might prove clinically useful with the physiological establishment of normative data.…”

Section: Introductionmentioning

confidence: 99%

Influence of Aging on Movement of the Hyoid Bone and Epiglottis during Normal Swallowing: A Motion Analysis

Kang

Kim

et al. 2010

Gerontology

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Background: The age-related effects on various aspects of swallowing have been reported in studies on the temporal relationship between hyolaryngeal movement and bolus location, as well as the extent of hyolaryngeal movement. However, few studies have described the temporal and spatial relationships concurrently. Objective: The main purpose of this study was to define the kinematics of the hyoid bone and epiglottis, during swallowing, on the temporal and spatial relationships concurrently in healthy subjects, and to investigate the influence of aging on hyolaryngeal movement. Methods: We performed a two-dimensional motion analysis of the hyoid bone and epiglottis using videofluoroscopy images in 69 normal subjects. The trajectories of the hyolaryngeal movement and passage of a bolus were superimposed to form one plot. Temporal measurements included initiation and duration of the hyoid bone and epiglottis movement compared to their movement with the bolus. The spatial measurements included vertical and horizontal excursion of the hyoid bone, and the rotational angle of the epiglottis. Results: The duration of supraglottis closure, and the maximal vertical excursion of the hyoid bone were increased in older subjects, more than 65 years of age, compared to younger subjects (p < 0.05). Other temporal and spatial measurements were not statistically significant in the comparisons among the age groups. The vertical distance of the cervical vertebra was related to vertical excursion of the hyoid bone (p = 0.002), and the horizontal distance from the chin to the cervical vertebra was related to the horizontal excursion of the hyoid bone (p = 0.003). Conclusion: This paper describes a method for assessing temporal and spatial relationships of hyolaryngeal movement, and the passage of a bolus during swallowing. The two-dimensional kinematic swallowing motion analyses that were developed provided useful data that changed with age.

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“…During swallowing, the epiglottis could not cover the larynx completely in three patients, and two patients showed incomplete elevation of the hyoid bone. 5 Only one patient experienced choking during daily meals, but the VF study did not indicate delayed food movement as the cause of choking. Penetration or aspiration was not seen in any patient.…”

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confidence: 83%