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| | MANAGEMENT OF INTRACTABLE ASPIRATION 10/2000 |
 | | Aspiration may be due to a structural abnormality of the upper aerodigestive tract. Tumors arising in the tongue, hypopharynx, supraglottis or glottis may cause significant aspiration. This can occur by direct infiltration, mass effect or pain. The dysphagia and weight loss common in head and neck cancer patients may be a result of aspiration. |
 | | Multiple cranial nerve injuries, particularly to cranial nerves IX, X and XII, result in major dysfunction of the upper aerodigestive tract with resultant aspiration. Such injuries may occur due to trauma, surgery, tumor, or as a result of a number of neurologic syndromes resulting in bulbar paralysis. |
 | | Normal speech is sacrificed with glottic closure. The closure is potentially reversible, although successes have not been reported. Closure at the glottic level has been unreliable in patients with mobile true vocal cords, likely due to persistent laryngopharyngeal movement placing excessive tension on the closure. |
| www.utmb.edu /otoref/Grnds/Aspiration-200010/Aspiration-200010.htm (653 words) |
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