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Dysphagia After Hypopharyngeal Surgery

  • Narayana Subramaniam
  • Arya C. Jaya
  • Jayakumar R. Menon
Chapter

Abstract

The hypopharynx serves as a conduit between the oropharynx and the upper esophagus; any disruption in hypopharyngeal function secondary to surgery has a high propensity to cause dysphagia. Once the bolus enters the hypopharynx, there is a negative pressure driven suction-like action caused by the laryngeal elevation and the contraction of the constrictor muscles [1], which propels it downward. Following a relaxation of the upper esophageal sphincter (UES), the bolus now travels into the esophagus and then the stomach.

Supplementary material

Video 23.1

VFS, Case 1 (MP4 22,815 kb)

Video 23.2

VFS, Case 2 (MP4 18,721 kb)

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Copyright information

© Springer Nature Singapore Pte Ltd. 2018

Authors and Affiliations

  • Narayana Subramaniam
    • 1
  • Arya C. Jaya
    • 1
  • Jayakumar R. Menon
    • 2
    • 3
  1. 1.Department of Head and Neck Surgery and OncologyAmrita Institute of Medical Sciences, Amrita Vishwa VidyapeethamKochiIndia
  2. 2.Department of LaryngologyKerala Institute of Medical SciencesThiruvananthapuramIndia
  3. 3.Dysphagia Unit, Department of Head and Neck SurgeryAmrita Institute of Medical Sciences, Amrita Vishwa VidyapeethamKochiIndia

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