Anatomy & Physiology of Swallowing -- MBSImP Animations

[@ienjoysandwiches]

3:01 start at hyoid (about where mandible hits base of tongue; just above adams apple) 3:12 hyoid elevates + pulled anteriorly up by sling of anterior belly musculature (can feel this on your throat) 3:36 soft palate pulls up 3:42 epiglottis inverts as larynx elevates and moves anterior like a safety valve to protect the airway 4:00 arytenoids moving anteromedially to seal the posterior half of the safety valve 4:15 posterior pharyngeal wall sequential activation 4:30 cricoid pulled anterior from posterior esophageal wall as bolus progresses antegrade

[@karensheffler773]

Thank you Dr. Martin-Harris - great for education for staff and people with dysphagia!

[@yqyolo878]

I have learnt more about this process with more muscle movement details. Thank you!

[@Tube2097]

Watching this because I have found myself developing a phobia of swallowing certain foods from fear of choking because I sometimes felt food got stuck or went back the wrong way. Now the phobia has played into it's own hands by disrupting swallowing almost constantly, which increases tension and anxiety and in turn further worsens the disruption. Horrible.

[@maxmeier787]

I have also a fear of swallowing (phagophobia). How are you now?

[@Tube2097]

@@maxmeier787 I have been fine lately. It came and went, but it has been coming and going before so I do worry it will return. I don't know whether I am having a physical issue when it occurs and it triggers fear of choking that in turn disrupts the swallowing process itself. I came to accept that moving food into the back of the throat first doesn't automatically mean it will fall right down into my windpipe. I still avoid dry food or stuff that doesn't swallow as easily unless butchered via excessive chewing, though. I hope you start to feel better.

[@maxmeier787]

@@Tube2097 Thanks for the answer! I think, I will practice more. In fact the body knows what to do...

[@johnmanning5568]

@@maxmeier787 you don’t need to practise! I’m the same as you since 2014 when I glugged from a bottle of liquid and some went deep down the trachea and I really thought I was dying. Coughing was useless because it had gone so far down towards the lungs. I was on the floor thinking (almost calmly) that I was a gonna. After a long 30 seconds or so I managed to recover but ever since I am wary of swallowing liquid. It’s not a matter of practising as I said. It’s as you said the body knows what to do! Best wishes.

[@waa5339]

Omggg literally me too I almost died yesterday because Pizza got stuck in my throat while I still had some in my mouth and I COULDNT BREATH

[@semihfurkan5223]

I am SLP student and very good swallow disorder anatomy,informations and videos.From Turkey Thank you :)

[@NorthernSpeech]

Thank you for your comment. Good luck with your program!

[@muhammedswalih1997]

me too, SLP Fom INDIA , Thank you

[@ToxicLemonsyeah]

watching this because im being paranoid about swallowing wrong and understanding helped me feel a bit better

[@Lopro94]

Genius design, so interesting! Nature, deity, whatever - good job!

[@NorthernSpeech]

So glad you are interested!

[@toplobster1040]

God is a genius!

[@ekomobongumoren9337]

Thank you for this excellent explanation

[@rissajoy4183]

This was so helpful; thank you so much!

[@NorthernSpeech]

Thank you for your comment. That is wonderful to hear!

[@TheBritishActingCoach]

"Beautiful"? Hahah! Great video, thanks so much!

[@gunarr6]

had subacute thyroiditis for about 2 years. ever since it started and my thyroid enlarged, i've been dealing with clicking and a rubbing sensation (like 2 bones) when i swallow. trying to find out what exactly it is

[@NorthernSpeech]

Thank you for your message. Please contact your doctor for more information.

[@yashwantrao576]

Can you please tell the clincal test name for swallow study in throat that you have shown in the video.

[@NorthernSpeech]

Great question. If you can email us at [e-mail], we’d be happy to help you.

[@yashwantrao576]

@@NorthernSpeech sure

[@sravanipakki6363]

After watching this video i got idea....tq for making the video

[@sebasG48]

this is a modified barium but would a regular esophagram show the same way?

[@NorthernSpeech]

Great question. If you can email us at [e-mail], we’d be happy to help you.

[@migatarosita]

not exactly. esophagogram is designed to evaluate esophagus. VFS is focused in evaluating oral, pharyngeal and upper esophageal phases of swallowing with different volumes and viscosities...

[@joyce_915]

Can you please help me? The barium food crossed to the wind pipe then, shot over to the esophagus. Why?

[@NorthernSpeech]

Thank you for your question. Please reach out to our clinical team at [e-mail].

[@KA-gg6go]

did you have any symptoms from having the barium to the wind pipe leading to the lungs. Hope you worked it out. I read that is not a good thing to happen.

[@RoyAndrews82]

How does it handle nacho cheese, or other complex foods like creamy things. Or foods with little bits of food in the creamy liquids. It's scary, because I don't understand how it can handle such substances.

[@NorthernSpeech]

If you experience difficulty with swallowing certain food textures we recommend scheduling a consultation with a Speech-Language Pathologist in your area.

[@AvigayilBatkhan]

you chew it up and mix with saliva until it forms the bolus

[@Saiprasanna1006]

i have swallowing disorder the food stuck in my throat.it is very irritating and pain what can i do please tell me is this disphagia?

[@NorthernSpeech]

Thank you for your question. If you are experiencing difficulty with swallowing, we recommend that you meet with your primary care physician or reach out to a Speech-language Pathologist in your area for assessment and consultation.

[@EadsB7002]

SLP consult...there may be some exercises/strategies of benefit to you, but i'd recommend an evaluation by a SLP w/ experience in swallowing disorders to make the most appropriate recommendations. hope this helps!

[@Saiprasanna1006]

@@NorthernSpeech i consulted ENT specialist.he suggest me sucralfate suspension100ml ,pantaprazole,amoxillin and potassium clavulaate tablets

[@AvigayilBatkhan]

what was your diagnosis?@@Saiprasanna1006

[@francelisepivettaroque2694]

Thank you for this excellent material! I would like to gently ask if may I have permission for using this image in my classes at a public University in Brazil called Universidade Federal Fluminense, where I work as professor? Thanks a lot. Sincerely,

[@NorthernSpeech]

Francelise, Thank you for your request. Since this video is public, you may use it in your class. If you have any other questions, feel free to ask. Have a great day!

[@francelisepivettaroque2694]

@@NorthernSpeech thank you very much!

[@anniejohnson2797]

@@NorthernSpeech I was going to ask the same thing about a course I am developing for Cambodia's first ever Uni short course on dysphagia (with the NGO Speech Therapy Cambodia). Thank you for making this available!

[@NorthernSpeech]

@@anniejohnson2797 Thank you for your request. Since this video is public, you may use it in your class. If you have any other questions, feel free to ask. Best of luck with your course!

[@MrAquinas1]

I have a dislocated hyoid bone, where it is pulled down and sitting on the thyroid cartilage, from a botched plastic surgery that surgeons are not certain to confirm even though two orthopedic doctors are certain just from palpating the area. Can a swallow test illustrate the action and position of the hyoid bone?

[@johnepierce]

Yes, it would show how the hyoid is functioning during the swallow. But you would only need one if you are having symptoms of a swallowing problem!

[@ceciliogarchivo1047]

May I ask what surgery was it?

[@nikath4961]

Womp

[@nandakumarkalahasti9804]

I was operated on cervical vertebrae to decompress the spinal cord sixty years ago. When I eat sometimes food goes into windpipe causing great embarrassment.Is there a remedy? Reply please

[@AvigayilBatkhan]

yes, get a swallow study done asap!

[@MonicaAgredo]

Hi Dr. Martin-Harris! Curious if you have a labeled image of this somewhere? thank you!

[@NorthernSpeech]

Please contact us at info@nss for more assistance.

[@EmapMe]

How can I prevent the buccinator muscles from being activated when swallowing? I've tried adapting to a correct swallow, however now my right buccinator muscle has atrophied completely while my left buccinator has not.

[@NorthernSpeech]

Dear @EmapMe, Thank you for your question. Please direct this to your doctor. Have a lovely day.

[@newvoyeur]

Informative, but seems cut short at end. Wondered what was wrong with "patient" if was swallowing perfectly ?

[@EadsB7002]

likely an elderly patient - sometimes the bolus reaches the level of the valleculae before the swallow (hyoid movement) you see triggers

[@Jooon881]

ya me siento mejor.. un poco de informacion para estudiar :3

[@testing6753]

Is it possible to swallow without epiglottis? I might have to remove MOST of my epiglottis to treat my sleep apnea. Is there any exercises I can do?

[@migatarosita]

With permission of Dr. Martin-Harris I would like to tell you that the most important fact about pharyngeal phase of swallowing is that all the larynx goes up and forward and "hides" below tongue-base.... with or withous epiplottis, if this movement is intact (should be in your case), you wouldn´t have trouble. But, if you can improve and prehabilitate your swallowing do "masako" exercise and CTAR exercise. In my opinion. Good luck!!

[@testing6753]

@@migatarosita thank you for your help!!!

[@evdokiatrakkou4095]

this was really helpful, thank you!😻

[@bratmoegobrata1]

I'm sorry for the stupid question, but is it possible to breathe through your nose while eating? I just think that I’ll be glad to breathe through my nose, then the food will get into my lungs, isn’t that right?

[@NorthernSpeech]

It is possible to breathe through your nose while eating.

[@bratmoegobrata1]

@@NorthernSpeech What are the reasons for your throat getting tight while eating? Is it all from stress? Thank you!

[@redenmartin2647]

can you possible explain what im having?.. sometime food stock i dont know where but somewhere back in my trout. a piece or rice for example. . and its comeout a few days. i dont know if its connected in my nasal..

[@EbbekragbakMusik]

It's common for certain foods like small fish bones to get stuck in the area between the base of the tongue and the epiglottis called the vallecula.

[@orangeporanges]

could possibly be tonsil stone

[@aidabach]

Thank you

[@KA-gg6go]

my CT 3D reconstruction shows the hyoid bone΄s right cornu separated from its base. could a videofluoroscopy picture a cornu if moving separately from its base during shallowing process?

[@NorthernSpeech]

This would depend on resolution of image on the videoflouroscopy and the density of hyoid bone. An oblique view may be needed.

[@shaneevans166]

Excellent explanation!!! Thank you.

[@julia1267]

I’m not an anatomy student but I feel a clicking sometimes when I swallow. Could that be the hyoid bone rubbing against the larynx?

[@eli.muskett8645]

I open my jaw and push my tongue and push on my lips as my natural face or whatever I don’t close my jaw I’m wondering if anyone else does this

[@louisa1514]

I do the same. Apparently it's something called reverse swallowing? And it puts more strain on your muscles? So I'm watching a bunch of videos to learn to swallow properly.

[@toplobster1040]

@@louisa1514 Did you learn yet? It's so hard for me I'm gonna cry

[@louisa1514]

@@toplobster1040 I think so? I did it while I had tonsilitis and it made it a lot less painful. I still have to actively think when I do it though, and I'm better with liquids than solids. Keep your tongue at the roof of your mouth until you swallow, then kind of move your tongue like a wave from front to back, pushing the liquid back with it.

[@toplobster1040]

@@louisa1514 Thanks! Do your lips suck in when you swallow? I've been swallowing in the wave motion but it looks like I'm sucking on my lips 😂

[@silvercloud333]

kzbin.info/www/bejne/iXPFf6uDbMxlrMk i have watched so many animations about swallowing but there is no the part belonging to the esophagus under the epiglottis... there is only epiglottis. the part with the yellow dot; that is, the part belonging to the esophagus moves directly under the epiglottis. so can i say it means a " double protection " of the trachea or double cover?

[@NorthernSpeech]

Thank you for your comment. Please contact us at [e-mail] so we can further assist you.

[@edenofthegods4295]

Watching this because today I learned I don't swallow the right way

[@shailendrakumarmodi680]

Thanks for x-ray video

[@MrMit50101]

Struggling to swallow liquids it goes down and then it just stays there for hours never going down if I take 10 ml of water after an hour I can bring up 10ml of water but solids are going down however if I leave the water and try to take solids the liquid stops the solids from going down if I drink something at night if I fall of to sleep a few minutes later I up coughing because the waters making it's way back to my mouth

[@AvigayilBatkhan]

consult with your pcp or reach out to an slp to get a swallow study done

[@kalumarjuna80]

Thank You!

[@NorthernSpeech]

You are welcome.

[@annaterrebetzky]

Thank you!!!!!!!

[@YourLocalSpeechie]

This was so helpful!

[@NorthernSpeech]

I am so glad to hear that. Thank you for your kind comment. Have a wonderful day!

[@respectingstar]

very interesting

[@NorthernSpeech]

For sure. :)

[@jithinprem4243]

Thanks to God..who designed this system...

[@pukaradhikari1906]

Thanks

[@ذيبانالقرني]

هذا خلق الله ☝🏼

[@AkshayPacharne123]

thank u

[@dr.shakeel.A]

Nice

[@happylameo]

I also recommend a 3D interactive model of how swallowing works though a different YT channel called intuitive anatomy: kzbin.info/www/bejne/e5a9fHV-o7NqkMk

[@minhquang999]

Please give me your email, I didn't know this, thank you doctor

[@king-bs3wu]

I swear to God 🙏🏾 in Jesus name having problems swallowing foods and drink is the most hardest time of my life can't eat or drink people telling u to eat and drink u think Dr telling u the wrong thing then u get mad 😡 and angry with world 🌎 cause u can't eat or even drink

[@Saiprasanna1006]

same problem i have faced pls tell me what to you do i have swallowing disorder food stuck iny throat

[@PesAlienYt]

Me too

[@biplopbohara8200]

thank you