دورية أكاديمية
The Manometric Representation of the Upper Esophageal Sphincter During the Resting State: A Descriptive Study.
| العنوان: | The Manometric Representation of the Upper Esophageal Sphincter During the Resting State: A Descriptive Study. |
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| المؤلفون: | Colevas SM; Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA. scolevas@uwhealth.org.; Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of Wisconsin School of Medicine and Public Health, 600 Highland Avenue Rm K4/771, Madison, WI, 53792, USA. scolevas@uwhealth.org., Stalter LN; Department of Surgery, University of Wisconsin-Madison School of Medicine and Public Health, University of Wisconsin Hospital and Clinics, Madison, WI, USA., Jones CA; Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.; Department of Neurology (C.A.G.), The University of Texas at Austin, Austin, TX, USA.; Department of Communication Sciences & Disorders, University of Wisconsin-Madison, Madison, WI, USA.; The Neuroscience Training Program, University of Wisconsin-Madison, Madison, WI, USA., McCulloch TM; Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA. |
| المصدر: | Dysphagia [Dysphagia] 2024 Jun; Vol. 39 (3), pp. 348-359. Date of Electronic Publication: 2023 Aug 24. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer-Verlag Country of Publication: United States NLM ID: 8610856 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-0460 (Electronic) Linking ISSN: 0179051X NLM ISO Abbreviation: Dysphagia Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: New York : Springer-Verlag, [c1986- |
| مواضيع طبية MeSH: | Esophageal Sphincter, Upper*/physiology , Manometry*/methods, Humans ; Female ; Male ; Adult ; Middle Aged ; Aged ; Reproducibility of Results ; Young Adult ; Deglutition/physiology ; Pressure ; Fluoroscopy/methods ; Rest/physiology ; Pharynx/physiology |
| مستخلص: | The upper esophageal sphincter (UES) is the high-pressure zone marking the transition between the hypopharynx and esophagus. There is limited research surrounding the resting UES using pharyngeal high-resolution manometry (HRM) and existing normative data varies widely. This study describes the manometric representation of the resting UES using a clinically accessible method of measurement. Data were obtained from 87 subjects in a normative database of pharyngeal HRM with simultaneous videofluoroscopy. The resting UES manometric region was identified and ten measurement segments of this region were taken throughout the duration of the study using the Smart Mouse function within the manometry software. Intraclass correlation coefficients (ICC) were used to analyze within-subject reliability across measurements. Linear mixed-effects regression models were used to analyze how subject characteristics and manometric conditions influence resting UES pressure. There was excellent within-subject reliability between resting UES mean pressures (ICC = 0.96). In bivariate analysis, there were significant effects of age, number of sensors contained within the resting UES, and preceding swallow volume on mean resting UES pressure. For every 1 unit increase in age, there was a 0.19 unit decrease in resting UES pressure (p = 0.008). For every 1 unit increase in number of sensors contained within the resting UES, there was a 3.71 unit increase in resting UES pressure (p < 0.001). This study presents normative data for the resting UES, using a comprehensive and clinically accessible protocol that can provide standard comparison for the study of populations with swallowing disorders, particularly UES dysfunction, and provides support for UES-directed interventions. (© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.) |
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| معلومات مُعتمدة: | 1R21DC011130-01A1 United States DC NIDCD NIH HHS; T32GM007507 United States GM NIGMS NIH HHS; 1R21DC011130-01A1 United States DC NIDCD NIH HHS; T32GM007507 United States GM NIGMS NIH HHS |
| فهرسة مساهمة: | Keywords: Deglutition; High-resolution manometry; Resting upper esophageal sphincter; Swallowing physiology; Upper esophageal sphincter |
| تواريخ الأحداث: | Date Created: 20230824 Date Completed: 20240525 Latest Revision: 20240525 |
| رمز التحديث: | 20240526 |
| DOI: | 10.1007/s00455-023-10615-9 |
| PMID: | 37620520 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1432-0460 |
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| DOI: | 10.1007/s00455-023-10615-9 |