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It is also advised that in future studies the compensatory swallowing techniques, which are consciously or unconsciously used by patients with glottal closure insufficiency, will be considered. Another fascinating finding was about some patients who complained about more coughing during water swallow after beginning of their dysphonia but did not show any laryngeal penetration or aspiration during VFSS. While swallowing is one of the most critical requirements of every human, the affected swallow could be the source of pain, nutritional incompetency, and loss of health [ 1 ]. The overall incidence of other patterns of GCI has been shown in Table 2. Finally, incomplete closure showed the highest incidence of laryngeal penetration-aspiration so that Introduction While swallowing is one of the most critical requirements of every human, the affected swallow could be the source of pain, nutritional incompetency, and loss of health [ 1 ]. Glottal closure during the pharyngeal phase of swallowing is one of the important steps in protecting the airway.

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Swallowing Kinematics And Factors Associated With Laryngeal

Unilateral paralysis of vocal cords is the subcategory of incomplete closure. Between January and September , patients with suspected dysphagia each were fed at least 2 out of 6 types of liquids or foods during VF in an upright posture without compensatory maneuvers. One SLP, who was professional in the field of voice pathology, diagnosed patients with GCI and then determined its types. Larger studies with detailed etiological categories and more participants in each category should be designed.

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Evaluation of airway protection

In conclusion, risk of aspiration is highest with the two-phase food, and multi-textured foods should be used with caution in individuals with dysphagia. Glottal closure is a vital step in the pharyngeal phase of swallowing and protection of the airway. The 6 types were pudding-thick barium of 4 ml PD , thin liquid barium of 4 ml LQ4 and 10 ml LQ10 , one swallow of thin liquid barium from a cup CUP , corned beef hash 8 g with barium CB , and a two-phase mixture of corned beef hash 4 g with barium and thin liquid barium of 5 ml MX. Another explanation is the effect of multiple swallows in this process.

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Description: While swallowing is one of the most critical requirements of every human, the affected swallow could be the source of pain, nutritional incompetency, and loss of health [ 1 ]. A posteriorly opening in the vocal folds refers to posterior chink. Unilateral paralysis of vocal cords is the subcategory of incomplete closure. Another explanation is the effect of multiple swallows in this process. Laryngeal closure will initiate with arytenoids adduction, glottal closure, and respiratory apnea and will be accompanied with laryngeal elevation and epiglottis inversion [ 4 , 5 ]. These events typically can be diagnosed by videofluoroscopy and fiberoptic endoscopy.
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