June 2018 Clinical Study

Videofluoroscopy

Esophageal sphincter hypertonia with aspiration.

Patient with cerebral vascular disease. Aspiration due to epiglottic closure defect.

PHARYNGO-ESOPHAGEAL VIDEOFLUOROSCOPY

TECHNIQUE:

Videofluoroscopy with liquid bolus with videofluoroscopy recording is performed. CBCT 2 D.

REASON FOR EXPLORATION:

Recurrent pneumonia.

FINDINGS:

Oral phase: Poor labial occlusion. Correct tongue thrust. Discreetly incompetent elevation and tension of the soft palate with discrete oronasal reflux.

Pharyngeal phase: Pharyngeal ascent preserved with epiglottic closure defect demonstrating images of laryngeal aspiration with impregnation of the supraglottic, glottic and subglottic mucosa.

Upper esophageal sphincter opening phase: The upper esophageal sphincter presents a correct opening.

Esophageal phase: Esophageal propulsion preserved with discrete fragmentation of the contrast column with delayed clearing.

CONCLUSION:

Epiglottic closure defect with aspiration images. Discrete fragmentation of the contrast bolus without alterations at the upper esophageal level.