Garber - Swallowing

Question 1

Swallowing Phases

Answer 1

Oral
Pharyngeal
Esophageal

Question 2

Oral Phase of Swallowing

Answer 2

Formation of initial bolus
Mixing with saliva
Propelling bolus into pharynx
CN V, VII, XII

Question 3

Pharyngeal Phase of Swallowing

Answer 3

Airway protection
Transit to esophagus

• Nasopharyngeal Closure (Levator veli palatini)
• BOT posterior pharyngeal wall closure
• Laryngeal elevation and closure
• Pharyngeal contractions
• UES opening

CN V, IX, X, XII

Question 4

Esophageal

Answer 4

Passive swallowing phase

CN X

Question 5

Oral Causes of Dysphagia

Answer 5

Lip competency
Dentition
Infection (ulcers)
Xerostomia
Tongue weakness
Facial weakness

Question 6

Oropharyngeal Dysphagia

Answer 6

Difficulty initiating a swallow
Nasopharyngeal regurg
Aspiration
Food remaining in pharynx

Question 7

Structural causes of oropharyngeal dysphagia

Answer 7

Neoplasm
Infection
Zenker's
Vertebral osteophytosis
Post-surgical