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Effortful swallow — The patient is instructed to squeeze their muscles tightly while swallowing. This may be used when there is reduced posterior movement of the tongue base. Mendelsohn maneuver — The patient is taught how to hold their adam's apple up during a swallow. This technique may be used when there is reduced laryngeal movement or ...
Fatigue in the tongue muscles may contribute to incomplete food clearance (residue), prolonged time to complete a meal and reduced intake. Tongue exercise to increase the muscle tone is therefore an important part of the oral myology therapy of dysphagia. [4] [non-primary source needed]
It is now standard that when a sub-functional tongue is diagnosed, even in infants, the caregiver recommends tongue exercises, before a referral for a frenectomy, as well as after the procedure. This conditions the baby and the parent/caretaker, and begins to "fire and wire the muscles to help overall tone and strength” of the tongue.
Tongue thrusting is a type of orofacial myofunctional disorder, which is defined as habitual resting or thrusting the tongue forward and/or sideways against or between the teeth while swallowing, chewing, resting, or speaking. Abnormal swallowing patterns push the upper teeth forward and away from the upper alveolar processes and cause open bites.
Dysphagia is distinguished from other symptoms including odynophagia, which is defined as painful swallowing, [8] and globus, which is the sensation of a lump in the throat. A person can have dysphagia without odynophagia (dysfunction without pain), odynophagia without dysphagia (pain without dysfunction) or both together.
Eagle syndrome (also termed stylohyoid syndrome, [1] styloid syndrome, [2] stylalgia, [3] styloid-stylohyoid syndrome, [2] or styloid–carotid artery syndrome) [4] is an uncommon condition commonly characterized but not limited to sudden, sharp nerve-like pain in the jaw bone and joint, back of the throat, and base of the tongue, triggered by swallowing, moving the jaw, or turning the neck. [1]
Continuous swallowing appears with the spasms as the brain interprets the feeling as something stuck. The vagus nerves seems to play a role in the mother condition through a neurovegetative hyperactivity or dysautonomia. It innerves the inferior pharyngeal constrictor muscle where the cricopharyngeal spasms occur.
The sides of the tongue are inspected with a gloved hand holding a piece of gauze. The tongue is moved side to side and inspected; it should be pink, moist, smooth and glistening. Assessment of the ventral (bottom) surface of the tongue is done by having the patient touch the tip of their tongue against the roof of their mouth.