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Origin of the Sound Components During Pharyngeal Swallowing in Normal Subjects

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Abstract

The aim of this study was to identify the origin of swallowing sound components by using modern techniques that can provide numeric, synchronized acoustic–radiologic data. We enrolled 15 volunteer subjects (10 men and 5 women, average age = 29.5 ± 8 years) and used an X-ray camera connected to a video acquisition card to obtain synchronized acoustic–radiologic data (25 images/s). The subjects were asked to swallow 10 ml of a barium suspension. Each sound component was associated with a specific position of the bolus and the anatomic structure that was moving. The average duration of the pharyngeal sound was 690 ± 162 ms. The durations of the laryngeal ascension sound and the laryngeal release sound were significantly different (72 ± 38 ms and 106 ± 47 ms, p < 0.001). The upper-sphincter opening sound was present in 100% of the recordings. Its duration was 185 ± 103 ms and was significantly different from the two other sounds. The duration of the first interval was 108 ± 44 ms and the duration of the second was 236 ± 139 ms. This study allowed us to determine the origin of the three main sound components of the pharyngeal swallowing sound with respect to movements in anatomic structures and the different bolus positions.

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References

  1. Mackoviak RD, Brenman HS, Friedman MH. Acoustic profile of deglutition. Proc Soc Exp Biol Med 1967;123:1149–1152.

    Google Scholar 

  2. Lear CS, Flanagan JB, Mooress CF. The frequency of deglutition in man. Arch Oral Biol 1965;10:83–99.

    Article  PubMed  CAS  Google Scholar 

  3. Hamlet SL, Nelson RJ, Patterson RL. Interpreting the sound of swallowing: fluid flow through the cricopharyngeus. Ann Otol Rhinol Laryngol 1990;99:749–752.

    PubMed  CAS  Google Scholar 

  4. Selley WG, Ellis RE, Flack FC, Bayliss CR, Pearce VR. The synchronization of respiration and swallow sounds with vidéofluoroscopy during swallowing. Dysphagia 1994;9:162–167.

    Article  PubMed  CAS  Google Scholar 

  5. Perlman AL, Ettema SL, Barkmeier J. Respiratory and acoustic signal associated with bolus passage during swallowing. Dysphagia 2000;15:89–94.

    PubMed  CAS  Google Scholar 

  6. Klahn MS, Perlman AL. Temporal and durational patterns associating respiration and swallowing. Dysphagia 1999;14:131–138.

    Article  PubMed  CAS  Google Scholar 

  7. Kley C, Biniek R. Dysphagie: Sind schluckgerausche diagnostisch nutzbar? Nervenarzt 2005;76:1495–1505.

    Article  PubMed  CAS  Google Scholar 

  8. Boiron M, Delandrea E, Benchellal Z, Scotto B, Metman EH, Vincent N, Rouleau P. Acoustic-fluoroscopic exploration to assess bolus transit accross gastro-esophageal junction. Neurogastroenterol Motil 2002;14:581.

    Google Scholar 

  9. Morinière S, Boiron M, Beutter P. Sound component duration of healthy human pharyngoesophageal swallowing: a gender comparison study. Dysphagia 2006;21:175–182.

    Article  PubMed  Google Scholar 

  10. Takahashi K, Groher ME, Michi K. Methodology for detecting swallowing sound. Dysphagia 1994;9:54–62.

    PubMed  CAS  Google Scholar 

  11. Martin-Harris B, Michel Y, Castell DO. Physiologic model of oropharyngeal swallowing revisited. Otolaryngol Head Neck Surg 2005;133:234–240.

    Article  PubMed  Google Scholar 

  12. Smith D, Hamlet S, Jones L. Acoustic technique for determining timing of velopharyngeal closure in swallowing. Dysphagia 1990;5:142–146.

    Article  PubMed  CAS  Google Scholar 

  13. Kendall KA, Mc Kenzie S, Leonard RJ, Goncalves MI. Timing of swallowing events after single-modality treatment of head and neck carcinomas with radiotherapy. Ann Otol Rhinol Laryngol 2000;109:767–775.

    PubMed  CAS  Google Scholar 

  14. Perlman AL, He X, Barkmeier J, Van Leer E. Bolus location associated with videofluoroscopic and respirodeglutometric events. J Speech Hear Res 2005;48:21–33.

    Article  Google Scholar 

  15. Cichero JA, Murdoch BE. Acoustic signature of the normal swallow: characterization by age, gender, and bolus volume. Ann Otol Rhinol Laryngol 2002;111:623–632.

    PubMed  Google Scholar 

  16. Dodds WJ, Man KM, Cook IJ, Karhilas PJ, Stewart ET, Kern MK. Influence of bolus volume on swallow-induced hyoid movement in normal subjects. AJR Am J Roentgenol 1988;150:1307–1309.

    PubMed  CAS  Google Scholar 

  17. Cichero JA, Murdoch BE. What happens after the swallow? Introducing the glottal release sound. J Med Speech Lang Pathol 2003;11:31–41.

    Google Scholar 

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Acknowledgments

The authors thank the French Research Ministry and the French ENT College for financial contribution to this study, and D. Schwartz for the English translation.

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Authors and Affiliations

  1. Physiology and Digestive Motility Laboratory, Faculty of Medicine, François Rabelais University, 2 bis bd Tonnellé, 37032, Tours, Cedex, France

    Sylvain Morinière & Michèle Boiron

  2. Radiology Department, Trousseau Hospital, Tours, France

    Daniel Alison

  3. School of Engineering Polytech, François Rabelais University, Tours, France

    Pascal Makris

  4. Ear Nose and Throat Department, Bretonneau Hospital, Tours, France

    Patrice Beutter

Authors
  1. Sylvain Morinière
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  2. Michèle Boiron
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  3. Daniel Alison
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  4. Pascal Makris
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  5. Patrice Beutter
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Correspondence to Sylvain Morinière.

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Morinière, S., Boiron, M., Alison, D. et al. Origin of the Sound Components During Pharyngeal Swallowing in Normal Subjects. Dysphagia 23, 267–273 (2008). https://doi.org/10.1007/s00455-007-9134-z

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  • DOI: https://doi.org/10.1007/s00455-007-9134-z

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