Disorders of Deglutition_Lateral

Question 1

Cannot hold food in mouth anteriorly

Answer 1

Reduced lip closure

Question 2

Cannot form bolus

Answer 2

Reduced tongue movement range or coordination

Question 3

Cannot hold bolus–premature bolus loss

Answer 3

Reduced tongue shaping/coordination; reduced velar movement

Question 4

Material falls into anterior sulcus

Answer 4

Reduced labial tension

Question 5

Material falls in to the lateral sulcus

Answer 5

Reduced buccal tension

Question 6

Abnormal hold position

Answer 6

Tongue thrust, reduced tongue control

Question 7

Delayed oral onset of swallow

Answer 7

Apraxia of swallow; reduced oral sensation

Question 8

Searching tongue movements

Answer 8

Apraxia of swallow

Question 9

Tongue moves forward to start swallow

Answer 9

Tongue thrust

Question 10

Residue in anterior sulcus

Answer 10

Reduced labial tension; reduced lingual control

Question 11

Residue in lateral sulcus

Answer 11

Reduced buccal tension

Question 12

Residue on floor of mouth

Answer 12

Reduced tongue shaping or coordination

Question 13

Residue in mid-tongue depression

Answer 13

Tongue scarring

Question 14

Residue on tongue

Answer 14

Reduced tongue movement; reduced tongue strength

Question 15

Disturbed lingual contraction

Answer 15

Disorganized A-P tongue movement

Question 16

Incomplete tongue-palate contact

Answer 16

Reduced tongue elevation

Question 17

Residue on hard palate

Answer 17

Reduced tongue elevation; reduced tongue strength

Question 18

Reduced A-P tongue movement

Answer 18

Reduced A-P lingual coordination

Question 19

Repetitive lingual rolling actions

Answer 19

Parkinson’s disease

Question 20

Uncontrolled bolus/ premature swallow

Answer 20

Reduced tongue control; reduced linguavelar seal

Question 21

Nasal penetration

Answer 21

Reduced velopharyngeal closure

Question 22

Pseudo-epiglottis (total laryngectomy)

Answer 22

Fold of mucosa at base of tongue

Question 23

Bony outgrowth from cervical vertebrae

Answer 23

Cervical osteophytes

Question 24

Coating on pharyngeal walls after swallow

Answer 24

Reduced pharyngeal contraction

Question 25

Residue at top of airway

Answer 25

Reduced laryngeal elevation

Question 26

Penetration into airway entrance

Answer 26

Reduced laryngeal elevation/reduced closure of airway entrance

Question 27

Reduced laryngeal closure

Answer 27

Reduced closure of the airway entrance

Question 28

Aspiration during swallow

Answer 28

Reduced laryngeal closure

Question 29

Residue in both pyriform sinuses

Answer 29

Reduced anterior laryngeal motion; cricopharyngeal dysfunction, stricture

Question 30

Residue throughout the pharynx

Answer 30

Generalized reduce pressure during swallow

Question 31

Esophageal-to-pharyngeal backflow

Answer 31

Esophageal abnormality–further assessment needed

Question 32

Tracheoesophageal fistula

Answer 32

Tracheoesophageal fistula

Question 33

Zenker’s diverticulum

Answer 33

Zenker’s diverticulum