A 75-year-old woman comes to the office due to recurrent swallowing aspiration. She has a history of stroke with impairment of speech, voice and swallowing. Modified barium swallow study reveals aspiration of liquids without nasal regurgitation. Aspiration is ameliorated when the patient flexes his neck to put his chin to his chest during swallowing. This maneuver is most likely augmenting which of the following airway-protective mechanisms?

Question

Quizplus · Accepted Answer

Eductional Objective: During swallowing, larynx moves to the anterior and superior to protect airway during swallowing. The tilting of the epiglottis to block the airway, and vocal fold adduction moves for the same reason.
In the patinet who had stroke they can use a chin- tuck maneuver to stimulate the movement of the larynx and protect airway.

A 75-Year-Old Woman Comes to the Office Due to Recurrent