General
What is dysphagia?
Difficulty or the inability to swallow
True/False: Aspiration is when food, liquid, or saliva enter the airway through the vocal folds.
True
What CN if damaged will likely lead to decreased chewing/mastication, decreased jaw movement and decreased sensation?
Trigeminal V
True/False: Dysphagia is a major health concern if a patient presents with this disorder.
True
True/False: A temperature spike after eating or drinking is not a sign of aspiration.
False
This CN if damaged will lead to decreased facial sensation, drooling and residuals in the oral cavity?
Facial nerve VII
Provide TWO symptoms of dysphagia.
Possible answers may include:
- Complaints of multiple or painful swallows
- Prolonged eating time
- Weight loss
- Dehydration
- Difficulty with secretions
- Drooling
- Choking
- Coughing during meals
- Wet, gurgly vocal quality
- Food avoidance
- Pocketing of food in cheeks
- Holding food or liquid in mouth
What evaluation technique allows you to visually see aspiration?
Videofluoroscopic Swallow Study (VFSS)/Modified Barium Swallow (MBS)
Disorder of this CN will cause delayed pharyngeal trigger, decreased laryngeal elevation, decreased velopharyngeal closure and possible aspiration.
Glossopharyngeal IX
What are the four phases of swallowing?
1. Oral preparatory phase
2. Orla transit
3. Pharyngeal phase
4. Esophageal phase
What is the primary characteristic of silent aspiration?
The body does not show outward signs of aspiration
Damage of this CN causes
Decreased palatal/pharyngeal/laryngeal
movement
Decreased vocal fold closure
Decreased pharyngeal sensation
Vagus X
What is one of the leading causes of hospitalization and death among the elderly who are hospitalized or in nursing homes?
Aspiration pneumonia
If you observe signs and symptoms of aspiration in a bedside swallow evaluation what may be appropriate for the patient?
Instrumental assessment
Damage to this Cranial nerve will
Decrease lingual ROM and strength
Decreased bolus consolidation
Decreased front to back movement of
bolus
Oral residue
Hypoglossal XII