Structural displacements in normal swallowing:: A videofluoroscopic study

Structural displacements in normal swallowing:: A videofluoroscopic study
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DOI:
10.1007/s004550010017
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发表时间:
2000-06-01
期刊:
影响因子:
2.6
通讯作者:
Walker, A
Walker, A
中科院分区:
医学3区
文献类型:
--
作者:
Leonard, RJ;Kendall, KA;Walker, A

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对 60 名正常成年志愿者进行动态视频荧光吞咽研究,以建立吞咽过程中上呼吸消化道结构位移的规范数据。评估的变量包括舌骨位移、喉部到舌骨的接近度、咽部收缩以及吞咽 1、3 和 20 cc 液体时咽食管括约肌 (PES) 打开的程度。结果显示,丸剂大小与舌骨位移、丸剂大小与 PES 开口之间以及丸剂大小与咽部收缩之间存在直接关系。只有舌骨到喉部的近似值在不同丸剂大小之间保持不变。除 PES 开放外,所有变量均存在性别差异。大多数测量变量的可靠性都非常好。据我们所知,以前没有描述过咽部收缩和喉部到舌骨近似的规范数据。
Dynamic videofluoroscopic swallow studies were performed on 60 normal adult volunteers to establish normative data for displacement of upper aerodigestive tract structures during deglutition. Variables evaluated included hyoid bone displacement, larynx-to-hyoid bone approximation, pharyngeal constriction, and the extent of pharyngoesophageal sphincter (PES) opening during liquid swallows of 1, 3, and 20 cc. Results showed direct relationships between bolus size and hyoid displacement, between bolus size and PES opening, and between bolus size and pharyngeal constriction. Only hyoid-to-larynx approximation remained unchanged across bolus sizes. Sex differences were noted for all variables except PES opening. Reliability for most measurement variables was excellent. To our knowledge, normative data for pharyngeal constriction and larynx-to-hyoid approximation have not previously been described.