No abstract available.
Deglutition Disorders*

No abstract available.
Deglutition Disorders*

No abstract available.
Deglutition Disorders*

There were critical limitations to dysphagia services in Malaysia with speech-language pathologists’ (SLPs) reported lacking skills and confidence in managing the disorder. This study examined the impact of providing professional development training in dysphagia management. Aims were to determine if: (1) delivery of a training series enhances SLPs knowledge in dysphagia management, (2) knowledge translated into improved clinical skills and (3) clinicians’ perception of their knowledge, skills and confidence improved post-training. The study used a single cohort pre- and post-test research design and involved nine Malaysian SLPs. Participants underwent assessment at pre- and immediately post-training and again at one month post-training. At each assessment level, knowledge and skills were assessed via a written examination and observational assessment of clinical performance respectively. Visual analogue scales were used to measure clinician’s perceptions of knowledge, skills and confidence. The training model involved four consecutive; 4-hour week-end workshops with opportunity to apply new knowledge and develop networking in clinical practice in the weekdays between each session. Significant (p < 0.05) improvements in knowledge and clinical skills were observed immediately post- and at one month after training. Clinician’s perceptions of knowledge, skills and confidence were also significantly higher immediately post- and at one month post-training. The current 4-week structured professional development model was found to be effective in enhancing SLPs’ knowledge and skills in dysphagia management and improving their perceptions and confidence. The findings highlight the benefits that can be achieved through well designed professional development programs.
Deglutition Disorders

A 64-year-old man presented with prolonged history of intermittent dysphagia with sensation of food sticking at his upper chest. Physical examination was unremarkable, and an upper endoscopy did not reveal the underlying cause. On computed tomography scan of thorax, an aberrant right subclavian artery was seen coursing posterior to the esophagus resulting in external compression, which is a typical radiological feature of Dysphagia Lusoria. The pathophysiology, clinical features, imaging features and updated treatment modalities of this rare disease are discussed.
Deglutition Disorders

No abstract available.
Deglutition Disorders*

Purpose: To report on a case of dysphagia secondary to botulinum toxin ingestion. Method: Case report Result: A 30-year-old female with no comorbidities, presented with dysphagia associated with ptosis and diplopia 12 hours after ingestion of double dead pork. Probable diagnoses of a neurologic, esophageal problem or a neoplasm were initially considered. Ancillary procedures to support diagnoses were performed including esophagogastroduodenoscopy, cranial CT scan and Facial and Extremity Nerve Conduction Velocity which all revealed unremarkable results. A possible polyneuropathy specifically foodborne toxicity was considered given a history of dysphagia, ptosis and diplopia with consumption of double dead pork. Confirmatory stool culture studies revealed Clostridium botulinum, hence appropriate antibiotics and supportive therapy were provided which led to the patient's recovery. Conclusion Early diagnosis and a high index of suspicion is important in cases with unfamiliar presentations, therefore a careful history and physical examination is warranted. Foodborne botulinum toxicity is a public health matter that should be addressed. Proper food handling and storage must always be practiced.
Public Health ; Deglutition Disorders ; Deglutition Disorders ; Botulism

No abstract available.
Deglutition Disorders ; Longitudinal Ligaments

No abstract available.
Deglutition Disorders ; Humans

Fibrovascular polyps are rare benign intraluminal tumors that usually arise from the cervical esophagus. These often present as very large sized pedunculated polyps and cause symptoms including dysphagia and respiratory distress. Generally, large polyps are surgically excised, while endoscopic resection is limited to smaller polyps. Herein, we present a giant fibrovascular polyp of the esophagus treated successfully by endoscopic resection.
Deglutition Disorders ; Esophagus* ; Polyps*