Epiglottic dysfunction: abnormal epiglottic movement patterns.
Epiglottic movement patterns of 500 consecutive patients with varying etiologies were recorded during routine videofluoroscopic swallow evaluations. Seven distinct, commonly repeated, abnormal epiglottic patterns were identified. A multifactorial analysis of these seven abnormal epiglottic movement patterns was completed. Findings indicate that each of these seven distinct movement patterns have varying rates and amounts of aspiration. A description of each epiglottic movement pattern is given in conjunction with information regarding aspiration and other variables associated with the swallow process. A universal nomenclature is offered regarding these subtle abnormal epiglottic movement patterns to increase a verbal commonality in our descriptions of epiglottic function as it affects aspiration.
Garon
Bernard R
BR
Bethesda Rehabilitation Hospital, St Paul, Minnesota 55103, USA.
Huang
Zhen
Z
Hommeyer
Mteven
M
Eckmann
David
D
Stern
Greg A
GA
Ormiston
Charles
C
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003680:Deglutition Disorders / Q000175:diagnosis / Q000503:physiopathology*; D004825:Epiglottis / Q000503:physiopathology*; D005471:Fluoroscopy; D006801:Humans; D008875:Middle Aged; D012720:Severity of Illness Index