Exam 3 Flashcards
The process of swallowing
Deglutition
Pharyngeal constrictor function
Propel bolus to esophagus
Hyoid bone function
Upward and forward movement to mechanically elevate larynx
Epiglottis function
- Retroflexes with laryngeal elevation and tongue retraction
- Covers/protects laryngeal vestibule
- directs bolus down lateral pharynx
Cricopharyngeus (CP) function
Pinches shut to separate pharynx from esophagus to prevent backflow
-pharyngeal plexus of CN 9 and 10
Transmit time of esophagus and what wave?
- 8- 20 sec
- peristaltic wave
What extends form the opening of larynx down to ventricular(false) vocal folds?
Laryngeal vestibule
What does the Medulla do?
- holds CN IX, X, XI, and XII
- central planner for the swallow reflex
Which cranial nerves does the Pons hold?
CN V and VII
What is involved in smell and tase drive appetite? Also, what receptors are for taste buds?
- gustation
- chemicoreceptors
Oral prep
- mastication
- bolus formation
- voluntary
Oral phase
- velar elevation
- involuntary
- ends when bolus contacts sensory receptors
Pharyngeal phase
- valves close
- laryngeal elevation
- epiglottic retroflextion
- base of tongue retraction
- reflex phase
Esophageal phase
Bolus moves efficiently from the UES through the esophagus and LES through a series of peristaltic contractions
Dysphasia
Impairment in chewing/ swallowing
Swallow assessment of dysphasia.
Swallow treatment
- clinical/ bedside swallow evaluation
- instrumental evaluation
- behavioral strategies
- diet modification
Videofluoroscopy (MBS)
- Define the abnormalities in anatomy and physiology
- identify dysphagia symptoms
- evaluated potential treatment
Videoendoscopy (FEES)
-endoscopic image of pharynx
Outer third of the outer ear
Cartilaginous tube