what is pharyngeal stasis

Inflammatory disorders of the pharynx or gastroesophageal reflux can alter pharyngeal elevation, epiglottic tilt, or closure of the vocal cords and laryngeal vestibule. Esophageal stasis was the most common finding regardless of complaint location. These webs are thought to be normal variants in the valleculae and piriform sinuses. 245 0 obj <>stream In patients with known pharyngeal cancer, a contrast examination is of value to assist in planning proper work-up and therapy. Inflammatory disorders of the pharynx or gastroesophageal reflux can alter pharyngeal elevation, epiglottic tilt, or closure of the vocal cords and laryngeal vestibule. 16-7 ) and do not empty as quickly after swallowing. A videofluoroscopic swallow study (VFSS) allows for visualization of the oral, pharyngeal, and esophageal phases of the swallow. Food or stomach acid backing up into the throat. Lateral view shows a smooth-surfaced hemispheric mass (, A smooth-surfaced, well-circumscribed mass (, (From Rubesin SE, Glick SN: The tailored double-contrast pharyngogram. cess. These tumors infiltrate deeply into the intrinsic and extrinsic muscles of the tongue. A referred earache may occur, especially when nasopharyngeal tumors block the eustachian tube. Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug ReferenceDisclosure: Received salary from Medscape for employment. The coordination of these simultaneously contracting muscle layers produces the motility pattern known as peristalsis. Reasons for the swallow study were bedside symptoms of desaturations during oral feeding at ~37 weeks PMA and a steady decline in his oral intake & feeding cues. These pouches and diverticula are relatively common and may be confused radiographically with Zenkers diverticulum. Muscle wall thickening has been described in patients who are asymptomatic and, conversely, has been absent in some patients with typical symptoms and manometric findings. Killian-Jamieson diverticula can be bilateral or unilateral. 144(4):718-25; quiz e13-4. Not an uncommon presentation that can go many directions as further data comes in. van Hoeij FB, Tack JF, Pandolfino JE, et al. The pharynx is the site of common illnesses, including sore throat and tonsillitis. 2015 Aug;37(8):1193-9. doi: 10.1002/hed.23735. Barium studies are contraindicated because they may exacerbate edema, triggering an episode of acute respiratory arrest.

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