Kahrilas P J, Logemann J A, Gibbons P
Department of Medicine, Northwestern University, Chicago, Illinois 60611.
Dysphagia. 1992;7(3):155-9. doi: 10.1007/BF02493449.
We report two young patients able to exist on exclusively oral intake despite an absent pharyngeal swallow response. Videofluoroscopic swallowing studies showed that both patients used a sequence of devised maneuvers rather than a coordinated pharyngeal swallow to move the bolus, protect the airway, and open the upper esophageal sphincter during bolus ingestion. We conclude that it is possible for young, highly motivated individuals to maintain oral intake despite ablation of neurologic elements crucial for the normal swallow response.
我们报告了两名年轻患者，尽管没有咽吞咽反应，但仅通过口服就能维持生存。电视荧光吞咽造影研究表明，两名患者在吞咽食物团时，都采用了一系列设计好的动作，而非协调性的咽吞咽动作，来推动食物团、保护气道并打开食管上括约肌。我们得出结论，对于年轻且积极性高的个体而言，尽管对正常吞咽反应至关重要的神经元件被切除，但仍有可能维持经口摄入。
