The Supraglottic Swallow
Retrograde Cricopharyngeus Dysfunction poses significant challenges for those affected by this swallowing disorder. Among the various therapeutic techniques available, the supraglottic swallow stands out as a valuable method for improving swallowing safety and efficiency. T
RCPD is characterized by the inappropriate contraction of the cricopharyngeus muscle during swallowing. This muscle, part of the upper esophageal sphincter, should relax to allow food and liquid passage from the throat to the esophagus. In RCPD, the muscle's failure to relax properly can lead to:
- Difficulty swallowing (dysphagia)
- Regurgitation of food or liquids through the nose
- Sensation of food getting stuck in the throat
- Increased risk of aspiration pneumonia
The Supraglottic Swallow: A Protective Technique
The supraglottic swallow is a compensatory technique designed to protect the airway during swallowing. While it doesn't directly address the cricopharyngeal muscle dysfunction, it can significantly reduce the risk of aspiration, a common concern in RCPD.
How the Supraglottic Swallow Works
The supraglottic swallow works by:
1. Closing the vocal folds before and during the swallow
2. Holding breath to protect the airway
3. Clearing the throat immediately after swallowing to remove any residue
These actions can be particularly beneficial for individuals with RCPD, as they help prevent food or liquid from entering the airway due to incomplete upper esophageal sphincter opening.
Here's how to perform the supraglottic swallow:
1. Preparation:
- Sit upright in a comfortable position
- Have a small amount of food or liquid ready (only if deemed safe by your healthcare provider)
2. Take a Deep Breath:
- Inhale deeply, filling your lungs with air
3. Hold Your Breath:
- Keep holding your breath. This closes your vocal folds, protecting your airway
4. Bring Food/Liquid to Your Mouth:
- While still holding your breath, bring the food or liquid to your lips
5. Swallow:
- Put the food/liquid in your mouth and swallow while still holding your breath
6. Cough Immediately:
- As soon as you've swallowed, cough forcefully
- This helps clear any residue that might have remained in your throat
7. Breathe:
- After coughing, take a breath
8. Repeat:
- Repeat these steps for each swallow during your meal
9. Practice:
- Aim to practice this technique as recommended by your speech-language pathologist, typically several times a day
- Timing is Key: Coordinate the breath-hold with the moment you put food or liquid in your mouth
- Focus on the Cough: The post-swallow cough is crucial for clearing residue
- Start Small: Begin with small amounts of food or liquid as you master the technique
- Stay Consistent: Regular practice is essential for mastering this technique
While the supraglottic swallow can be very effective, it's important to:
- Only attempt this technique under the guidance of a qualified speech-language pathologist
- Stop immediately if you experience any difficulty or discomfort
- Follow all recommendations from your healthcare team regarding safe swallowing practices
- Be aware that this technique may not be suitable for all individuals with RCPD
Integrating the Supraglottic Swallow into Daily Life
Once you've mastered the technique with professional guidance, you can begin to incorporate it into your regular eating routine. Many individuals use the supraglottic swallow for every swallow during meals, especially when consuming thin liquids or other challenging textures.
The supraglottic swallow is a powerful tool in managing the risks associated with Retrograde Cricopharyngeus Dysfunction. By protecting the airway during swallowing, it can significantly enhance swallowing safety and reduce the risk of aspiration for those affected by RCPD.
Remember, while this article provides a general guide, it's essential to work closely with a speech-language pathologist or swallowing specialist. They can provide personalized instruction, ensure you're performing the technique correctly, and monitor your progress over time.
With patience, practice, and proper guidance, the supraglottic swallow can be a valuable component in managing RCPD and improving overall swallowing function and safety.