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Chronic aspiration and laryngeal competence

Published online by Cambridge University Press:  29 June 2007

K. Bevan  and
M. V. Griffiths
K. Bevan*
Affiliation:
From the Department of Otolaryngology, Bristol Royal Infirmary, Bristol BS2 8HW
M. V. Griffiths
Affiliation:
From the Department of Otolaryngology, Bristol Royal Infirmary, Bristol BS2 8HW
*
K. Bevan, F.R.C.S., 70 Swallow Park, Thornbury, Bristol BS12 1LU
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Abstract

Aspiration into the lower respiratory tract can be detrimental to life. Ten patients, suffering from neurological dysphagia with aspiration, were studied. Neurological disorders can cause inadequate glottic closure resulting in aspiration. It has not been well recognized however, that even patients who have full glottic closure are still capable of aspirating in the pre- and post-deglutition stages of swallowing. The combined techniques of videofibrolaryngoscopy and videofluoroscopy are found to be the best methods for demonstrating these abnoralities. Development of new techniques, in the prevention of aspiration, should also take into account silent, pre- and post-deglutitional aspiration.

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 103 , Issue 2 , February 1989 , pp. 196 - 199
Copyright
Copyright © JLO (1984) Limited 1989

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References

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