Dysphagia吞咽障碍__培训课件.pptVIP

Post-laryngectomy Pharyngeal dysmotility Cricopharyngeal dysmotility Recurrent tumor Benign stricture Pseudodiverticulum Post-laryngectomy Healthy neopharynx Appears as a relatively straight, featureless tube to the level of the CP impression Post-laryngectomy Tapered narrowing anterior to C-5 Post-laryngectomy HP stenosis is relatively frequent Reported incidence varies from 10-58% Recurrent tumor May present as mucosal irregularity/ ulceration, a focal spherical mass or narrowing of the lumen of the neopharynx 3 cm mass indenting the neopharynx Swallow study does not replace DL/E, bi