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Timing of events within the pharyngeal swallow

Timing of events within the pharyngeal swallow
Time line showing volume-induced modifications in the timing of events within the pharyngeal swallow. Each horizontal bar depicts the period during which one of the oropharyngeal valves is in a swallowing configuration as opposed to a respiratory configuration. Events at the onset and offset of pharyngeal reconfiguration bear a fixed time relationship to each other, regardless of swallow bolus volume. The stereotypy of these phases is demonstrated by referencing of onset events from time 0 counting forward and of offset events from time 0 counting forward or backward. This timing scheme defines the volume-dependent middle portion of the time line (black), which has a value of 0 for 1-mL swallows and 0.2 seconds for 20-mL swallows.
Reprinted with permission. Adapted from: Cook IJ, Kahrilas PJ. AGA: Technical review: Management of oropharyngeal dysphagia. Gastroenterology 1999; 116:455.
Graphic 59163 Version 3.0