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Eating and swallowing disorders 

Eating and swallowing disorders
Eating and swallowing disorders

Anthony B. Ward

, Michael P. Barnes

, Sandra C. Stark

, and Sarah Ryan

Page of

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date: 23 April 2021

Introduction 128

Assessment 130

Nerve supply 132

Normal swallowing mechanism 134

Management of swallowing problems 136

Artificial nutritional support 138

Swallowing disorders are common. Probably about half of people after a stroke have a swallowing disorder at some point during the recovery process and problems with swallowing are as common after traumatic brain injury, Parkinson’s disease, and in the later stages of multiple scler-osis and motor neuron disease. A whole variety of other neurological problems such as myasthenia gravis and muscular dystrophies, as well as a range of local pathologies, such as mouth and laryngeal cancer, can also cause swallowing difficulties....

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