Accommodation to changes in bolus viscosity in normal deglutition: A videofluoroscopic study

K. A. Kendall, Rebecca J Leonard, S. W. McKenzie

Research output: Contribution to journalArticle

25 Scopus citations

Abstract

Videofluoroscopic swallow studies were performed on 60 normal adult volunteers. Swallowing variables were measured during swallows of a 3-cm3 paste bolus and a 3-mL liquid bolus and were compared to identify changes in swallow gesture displacement and timing, as well as changes in bolus movement timing. The study revealed that some differences measured by videofluoroscopy appear to be the result of the inherent bolus characteristics, while others likely represent changes in swallow gestures needed to accommodate variations in bolus viscosity. The overall timing of pharyngeal transit did not vary between bolus types. Oropharyngeal transit trended toward being faster for a liquid bolus with a concurrent early elevation of the aryepiglottic folds. The hyoid bone elevated at the same time, at the same rate, and to the same extent irrespective of bolus viscosity. During a liquid bolus swallow, the hyoid bone trended toward a more prolonged elevation, corresponding to prolonged pharyngoesophageal sphincter opening. The pharyngoesophageal sphincter, however, opened to a greater extent with a paste bolus.

Original languageEnglish (US)
Pages (from-to)1059-1065
Number of pages7
JournalAnnals of Otology, Rhinology and Laryngology
Volume110
Issue number11
StatePublished - 2001

Keywords

  • Bolus viscosity
  • Deglutition
  • Swallowing

ASJC Scopus subject areas

  • Otorhinolaryngology

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