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Cited by 31Dysphagia Assessment and ManagementVoice and Speech DisordersEsophageal and GI Pathology

Impaired Opening of the Upper Esophageal Sphincter in Patients with Medullary Infarctions

Bian, Ren-Xiu, Choi, In-Sung, Kim, Jae-Hyung, Han, Jae-Young, Lee, Sam-Gyu·2009·Dysphagia
DOI 10.1007/s00455-008-9179-7
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Abstract

The aim of this study was to report on nine dysphagic patients with medullary infarction and to evaluate swallowing characteristics based on the location of the lesions.We retrospectively reviewed the medical records of these nine patients. The medullary lesions were midlateral (three patients), dorsolateral (one patient), inferodorsolateral (four patients), and paramedian (one patient). The levels of the lesions were upper (four patients), middle (two patients), upper and middle (two patients), and middle and lower medulla (one patient). Dysphagia after medullary infarction was more common in patients with upper or middle medullary level and dorsolateral medullary level lesions. The common findings on videofluoroscopic swallowing studies in patients with lateral medullary infarctions were impaired upper esophageal sphincter opening, aspiration from pyriform sinuses' residue caused by pharyngeal weakness, and multiple swallowing to clear boluses from the pharynx to the esophagus. In patients with medullary infarctions, the lesion levels and loci and their related clinical findings can be useful in predicting dysphagia and aspiration. Because severe dysphagia with serious complication is very common in patients with medullary infarctions, active diagnostic and therapeutic approaches are needed.

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Crossref · 10.1007/s00455-008-9179-7

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33 of 33 references verified0 citation errors · 0 not checkable

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  • Manometric parameters describing UES muscular activity are strong predictors of pharyngeal function.

    “Manometric parameters describing the muscular activity in this region are strong predictors of pharyngeal function, as an inability to pass the bolus through the UES due to poorly controlled muscular activity can result in penetration and aspiration of materials retained in the pharynx.26-27”

    From Artificial neural network classification of pharyngeal high‐resolution manometry with impedance data (2013) · cites this paper as [27]

  • An inability to pass the bolus through the UES due to poorly controlled muscular activity can result in penetration and aspiration of materials retained in the pharynx.

    “Manometric parameters describing the muscular activity in this region are strong predictors of pharyngeal function, as an inability to pass the bolus through the UES due to poorly controlled muscular activity can result in penetration and aspiration of materials retained in the pharynx.26-27”

    From Artificial neural network classification of pharyngeal high‐resolution manometry with impedance data (2013) · cites this paper as [27]

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Authors
Bian, R.-X., Choi, I.-S., Kim, J.-H., Han, J.-Y., & Lee, S.-G.
Affiliations
Chonnam National University (KR)
Corresponding author
Lee, Sam-Gyu
ORCID
Venue
Dysphagia
Publisher
Springer Science and Business Media LLC
Published
2008-09-13
Volume
24
Issue
2
Pages
238-245
ISSN
  • 0179-051X (ISSN-L)
  • 1432-0460
DOI
10.1007/s00455-008-9179-7
OpenAlex
W2073067016
Cited by
31
References
33
Citations by year
2025: 1 · 2024: 1 · 2023: 2 · 2022: 1 · 2021: 6 · 2020: 3 · 2019: 2 · 2018: 1 · 2017: 3 · 2016: 2 · 2014: 2 · 2013: 2 · 2012: 4
FWCI
0.92
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (tdm)
Locations
  • Dysphagia (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Research Foundation
  • Chonnam National University
Topics
  • Health Sciences › Health Professions › Speech and Hearing › Dysphagia Assessment and Management
  • Health Sciences › Medicine › Physiology › Voice and Speech Disorders
  • Health Sciences › Medicine › Surgery › Esophageal and GI Pathology
Keywords
medullary infarction, upper esophageal sphincter, aspiration, lateral medulla, injury level, lesion localization, videofluoroscopic swallowing study, stroke complications
MeSH terms
Adult, Aged, Aged, 80 and over, Deglutition, Deglutition Disorders, Female, Humans, Male, Medulla Oblongata, Middle Aged, Retrospective Studies, Time Factors, Brain Infarction, Stroke, Esophageal Sphincter, Upper

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