Changes in pharyngeal dimensions effected by chin tuck

Maria V. Welch, Jeri A. Logemann*, Alfred W. Rademaker, Peter J. Kahrilas

*Corresponding author for this work

Research output: Contribution to journalArticle

120 Scopus citations

Abstract

This study measured the pharyngeal dimensions of 30 subjects when their heads were in an upright neutral position and in the chin-tucked position. Two videoprints of lateral radiographic views of the oral cavity and pharynx were made for each subject: one with the head in neutral position and one with the chin tucked. A 1-cm metal ruler was taped at midline on the front of each patient's neck to account for radiographic magnification of the image. Three angles and three distance measures were made on each videoprint. With the chin tucked, a posterior shift of anterior pharyngeal structures occurred, narrowing the laryngeal entrance and the distance from epiglottis to the pharyngeal wall and the laryngeal entrance, while widening the angle of the epiglottis to the anterior tracheal wall. This posterior shift with the chin tucked improves airway protection. Other clinical implications of these changes in pharyngeal dimensions are discussed.

Original languageEnglish (US)
Pages (from-to)178-181
Number of pages4
JournalArchives of physical medicine and rehabilitation
Volume74
Issue number2
StatePublished - Feb 1993

Keywords

  • Dysphagia
  • Pharynx
  • Posture
  • Swallowing
  • X-ray

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

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