The Case for Careful Follow-Up: Epilogue Our last newsletter presented the case of S. J., a 45-year-old gentleman who was found to have bilateral true vocal fold paralysis (with the vocal folds in the paramedian position) and coexisting dysphagia secondary to possible sarcoid. Dysphagia features included bilateral pharyngeal weakness, vallecular and pyriform sinus pooling, reduced ... Clinical Issues
Clinical Issues  |   July 01, 1998
The Case for Careful Follow-Up: Epilogue
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Swallowing, Dysphagia & Feeding Disorders / Clinical Issues
Clinical Issues   |   July 01, 1998
The Case for Careful Follow-Up: Epilogue
SIG 13 Perspectives on Swallowing and Swallowing Disorders (Dysphagia), July 1998, Vol. 7, 13. doi:10.1044/sasd7.2.13
SIG 13 Perspectives on Swallowing and Swallowing Disorders (Dysphagia), July 1998, Vol. 7, 13. doi:10.1044/sasd7.2.13
Our last newsletter presented the case of S. J., a 45-year-old gentleman who was found to have bilateral true vocal fold paralysis (with the vocal folds in the paramedian position) and coexisting dysphagia secondary to possible sarcoid. Dysphagia features included bilateral pharyngeal weakness, vallecular and pyriform sinus pooling, reduced hyolaryngeal elevation, and aspiration during the swallow. S. J. was aphonic and remains so today.
Treatment with steroids has proved to be ineffective, with no improvement in the patient's vocal fold function or swallowing. Consequently, S. J. is currently being tapered off the steroids, with these soon to be discontinued. S. J. remains dependent on his gastrostomy tube, but continues to enjoy certain foods and liquids (including candy bars and fast food breakfast sandwiches) by mouth, using the chin tuck maneuver.
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