The following patient presents with dysphagia (swallowing difficulties) secondary to the presence of prominent anterior cervical osteophytes at the level of C3-C6, most prominent at C4.
Dysphagia symptoms include:
Occasional coughing noted when eating solids as well as drinking fluids.
Multiple swallows per bolus
I managed to record the patient’s usual swallowing sound using my IPhone 6s. Could this be the sound of mechanical obstruction?
Wai Lam is the director and founder of Speech Therapy Works LLP and Singapore Swallowing Specialists Network. He has close to 20 years of experience in adult speech, language and swallowing therapy. He is the inventor of the Chin Tuck Against Resistance (CTAR), a award winning swallowing therapy exercise that is currently practiced worldwide. He is a well known dysphagia trainer in the region and he has trained hundreds of speech therapists both locally and regionally. He is often consulted by speech therapists and other healthcare professionals for complex cases involving both speech and swallowing difficulties in Singapore and overseas. He is also a reviewer of the Dysphagia Journal.
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Singapore Swallowing Specialists 