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Biofeedback Training Improves Swallowing in a Unique Case of Upper Esophageal Sphincter Hypotonicity
Author(s) -
Romain Dustin,
Evans Lauran K.,
Diaz Yvette,
Allen Kathryn,
Galek Kristine
Publication year - 2021
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.29226
Subject(s) - medicine , swallowing , high resolution manometry , biofeedback , chin , sphincter , tonicity , esophageal sphincter , dysphagia , physical medicine and rehabilitation , anesthesia , surgery , achalasia , esophagus , reflux , anatomy , disease
Hypotonicity of the upper esophageal sphincter (UES) has been reported only two times previously in the literature, with no reports of treatment options for this rarity. We present a third case of hypotonic UES found during high‐resolution pharyngeal manometry. Although the patient had nearly absent resting pressures of the UES, pressures during and post‐swallow were normal. It was hypothesized that the patient might be able to increase pre‐swallow UES pressure using biofeedback. Using a chin up/out maneuver during manometry, the patient was able to achieve a more normal swallow pressure pattern. This case also highlights the need to complete manometry alongside other swallow imaging techniques for effective treatment planning and patient outcomes. Laryngoscope , 131:E1567–E1569, 2021