causes of dysphagia Flashcards
mechanical causes
cervical osteophytes
cervical osteophytes
bony structure outgrows from cervical vertebrae
- due to trauma to cranial nerves
- narrows pharynx, directs bolus away
Surgical causes
cancers
head and neck cancers
partial/total glossectomies, hard/soft palate surgery, laryngectomy
oral cavity carcinoma
-mastication difficulty, bolus transport difficulty, itraoral sensory loss
laryngeal cancer
dysphagia common regarding airway protection, UES impairment
Neurological
stroke, hunting tons, parkinson, cp, etc.
cva
-depends on size and region
left side- oral phase prob
right side- pharyngeal function
parkinsons
rigidity underlie VOLUNTARY stage of swallow
MS
affects motor and sensory
ataxic-spastic most common
ALS
only motor function affected
-swallowing disorder secondary to weakness
latrogenic causes
-radiation, drying effect on mucosa
pharmacologic/psychiatric causes
drug that depresses consciousness can affect swallowing safety
-can cause xerostomia
Respiratory complications
COPD, tracheotomy