Increased Postoperative Posterior Pharyngeal Wall Movement in Patients With Anterior Oral Cancer

1995 ◽  
Vol 4 (2) ◽  
pp. 24-30 ◽  
Author(s):  
Masako Fujiu ◽  
Jeri A. Logemann ◽  
Barbara Roa Pauloski
Keyword(s):  
Oral Cancer ◽  
Essential Element ◽  
Posterior Pharyngeal Wall ◽  
Pharyngeal Wall ◽  
Wall Movement ◽  
Postoperative Changes ◽  
Oral Cancer Patients ◽  
Pharyngeal Swallow ◽  
Notable Increase ◽  
Base Of The Tongue

Anterior bulging of the posterior pharyngeal wall (PPW) and its contact with the base of the tongue (BOT) is an essential element of the pharyngeal stage of swallowing. Postoperative changes in the extent of anterior bulge of the PPW during the pharyngeal swallow were documented in 11 oral cancer patients who underwent surgical resections of the anterior tongue and/or floor of the mouth. Seven subjects demonstrated approximately a 30% or more increase in anterior bulge of the PPW during liquid and/or paste swallows at 3 months postoperatively relative to their preoperative values. The other four subjects demonstrated no change or a decrease in anterior bulge of the PPW postoperatively. No notable increase or decrease in anterior bulge of the PPW was observed between the 3- and 6-month postoperative evaluations of the six subjects whose 6-month post-operative data were available. PPW bulge tended to increase more in subjects with poor oropharyngeal swallow efficiency, which was likely to be related to greater extent of tongue resection. These results suggest the potential for compensatory movement of the PPW when the BOT is positioned more anteriorly, and a possible treatment approach to increasing PPW contraction in dysphagic individuals with reduced BOT-to-PPW contact during the pharyngeal swallow.

Effect of a Tongue-Holding Maneuver on Posterior Pharyngeal Wall Movement During Deglutition

1996 ◽  
Vol 5 (1) ◽  
pp. 23-30 ◽  
Author(s):  
Masako Fujiu ◽  
Jeri A. Logemann
Keyword(s):  
Cervical Vertebra ◽  
Posterior Pharyngeal Wall ◽  
Normal Subjects ◽  
Easy Method ◽  
Pharyngeal Wall ◽  
The Past ◽  
Treatment Techniques ◽  
Wall Movement ◽  
Pharyngeal Swallow ◽  
New Treatment

Effects of a tongue-holding maneuver on anterior bulging of the posterior pharyngeal wall (PPW) during swallowing were investigated in 10 young adult normal subjects. Videofluorographic images of 3-ml liquid barium swallows were digitized to quantify the extent of anterior bulge of the PPW with and without the maneuver at the mid and the inferior levels of the second cervical vertebra. A significant increase in PPW bulging was seen with the maneuver at both pharyngeal levels. These findings indicate potential for developing new treatment techniques to facilitate compensatory anterior movement of the PPW, which has not been a target for direct treatment in the past. At present, the tongue-holding maneuver can be employed clinically as an easy method for testing the compliance of the PPW videofluorographically. However, the use of the maneuver per se, which inhibits posterior retraction of the base of tongue (BOT), resulted in increasing the pharyngeal (specifically vallecular) residue after the swallow. The results also indicate the importance of tongue movement in triggering the pharyngeal swallow.

Posterior Pharyngeal Wall Movement in Normals

1958 ◽  
Vol 1 (3) ◽  
pp. 203-210 ◽  
Author(s):  
Robert F. Hagerty ◽  
Milton J. Hill ◽  
Harold S. Pettit ◽  
John J. Kane
Keyword(s):  
Posterior Pharyngeal Wall ◽  
Pharyngeal Wall ◽  
Wall Movement

Multicenter Interrater Reliability in the Endoscopic Assessment of Velopharyngeal Function Using a Video Instruction Tool

2019 ◽  
Vol 160 (4) ◽  
pp. 720-728 ◽  
Author(s):  
Craig Miller ◽  
Randall Bly ◽  
Shelagh Cofer ◽  
John P. Dahl ◽  
Lianne de Serres ◽  
...  
Keyword(s):  
Posterior Pharyngeal Wall ◽  
Interrater Agreement ◽  
Categorical Variables ◽  
Gap Size ◽  
Lateral Pharyngeal Wall ◽  
Video Instruction ◽  
Pharyngeal Wall ◽  
Wall Movement ◽  
Before And After ◽  
Endoscopic Assessment

Objective Assess interrater agreement of endoscopic assessment of velopharyngeal (VP) function before and after viewing the video instruction tool (VIT). We hypothesized improvement in interrater agreement using the Golding-Kushner scale (GKS) after viewing the VIT. Study Design Prospective study. Setting Multi-institutional. Methods Sixteen fellowship-trained pediatric otolaryngologists who treat velopharyngeal insufficiency (VPI) rated 50 video segments using the GKS before and after watching the VIT. Raters assessed gap size percentage and lateral pharyngeal wall (LPW), soft palate (SP), and posterior pharyngeal wall (PPW) movement. Intraclass correlation coefficient was estimated for these continuous measures. Raters also indicated the presence of a palatal notch, Passavant’s ridge, and aberrant pulsations (categorical variables). Fleiss κ coefficient was used for categorical variables. Wilcoxon signed-rank test was performed on the difference between the pre/post individual video ratings. Results Reliability improved for all continuous variables after watching the instructional video. The improvement was significant for PPW (0.22-0.30, P < .001), SP (left: 0.63-0.68, P < .001 and right: 0.64-0.68, P = .001), and LPW (left: 0.49-0.54, P = .01 and right: 0.49-0.54, P = .09) but not significant for gap size (0.65-0.69, P = .36). Among categorical variables, agreement on Passavant’s ridge significantly improved (0.30-0.36, P = .03). Conclusion Exposure to a video instruction tool improves interrater agreement of endoscopic assessment of VP function. Significant improvement was observed in our primary end points, specifically posterior pharyngeal wall movement, soft palate movement, and lateral pharyngeal wall movement. There was less impact of the VIT on the interrater agreement of the categorical variables, palatal notch, Passavant’s ridge, and aberrant pulsations.

Computer-based videofluorographic analysis of posterior pharyngeal wall movement during swallowing in patients with head-and-neck cancer

2009 ◽  
Vol 25 (2) ◽  
pp. 123-128
Author(s):  
Masakazu Gotoh ◽  
Satoshi Watanabe ◽  
Hideo Ohshige ◽  
Masahiro Izumi ◽  
Munetaka Naitoh ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Posterior Pharyngeal Wall ◽  
Pharyngeal Wall ◽  
Wall Movement ◽  
Computer Based

Pharyngeal and Pharyngolaryngeal Bands: Report of An Unusual Combination of Congenital Anomalies

1995 ◽  
Vol 104 (8) ◽  
pp. 653-654 ◽  
Author(s):  
C. A. J. Prescott
Keyword(s):  
Pulmonary Fibrosis ◽  
Soft Palate ◽  
Posterior Pharyngeal Wall ◽  
Posterior Wall ◽  
Pharyngeal Wall ◽  
Interstitial Pulmonary Fibrosis ◽  
Adenoid Tissue ◽  
Unusual Combination ◽  
The Right ◽  
Base Of The Tongue

Multiple abnormal pharyngeal and pharyngolaryngeal bands were present in a child presenting with diffuse interstitial pulmonary fibrosis. The soft palate was fused to the posterior pharyngeal wall. Instead of there being faucial pillars, a muscular band on either side extended from the base of the tongue to the lateral pharyngeal walls. There was neither tonsil nor adenoid tissue present. The epiglottis was tethered to the posterior pharyngeal wall by bands from its lateral aspects. The right arytenoid mound was tethered to the posterior wall of the hypopharynx. It is postulated that these arose from a failure of development of the second branchial pouch.

Compensatory Tongue-Palate-Posterior Pharyngeal Wall Relationships in Cleft Palate

1965 ◽  
Vol 30 (2) ◽  
pp. 166-173 ◽  
Author(s):  
Alta R. Brooks ◽  
Ralph L. Shelton ◽  
Karl A. Youngstrom
Keyword(s):  
Cleft Palate ◽  
Posterior Pharyngeal Wall ◽  
Pharyngeal Wall
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