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The Masako Maneuver

Byline: Jan Pryor, PhD, CCC-SLP, BCS-S

What is it?

The Masako Maneuver was introduced by Jerilyn Logemann and Masako Fujiu around 1996 as a pharyngeal strengthening exercise.

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Advances in Swallowing Disorder Therapy

[Editors note: This article is about an innovative device and complimentary therapy currently under clinical trial evaluation. NFOSD’s intent in publishing this material is to alert the dysphagia community about “potential” advances in dysphagia treatment options; it is not a product or therapy endorsement. Following exposure to this device and therapy at the Dysphagia Research Society (DRS) conference in mid-March 2013, NFOSD initiated contact with Dr. Robbins. We’d like to thank her and her team for providing this information to us and our community.]

Pictured Above: Dr. Robbins with MOST® device and patient

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MD Anderson Cancer Center (Houston) Swallowing Boot Camp

Byline: Ed Steger, President, National Foundation of Swallowing Disorders

[Picture at left shows the radiologist and image of the modified barium swallow (MBS) study.  The MBS study shows a video documentation of the patient’s swallowing function while consuming 5 or 6 different textured substances including liquid, pudding, and a cracker.]

On April 15, 2013 I had the privilege of shadowing Denise Barringer, M.S., CCC-SLP, Manager of the Speech Language Pathology team at MD Anderson Cancer Center (MDACC) in Houston, while she conducted swallowing assessments and counseling of her patients. The Section of Speech Pathology and Audiology has an impressive team of 12 clinicians under the direction of Dr. Jan S. Lewin, Professor in the Department of Head and Neck Surgery, and Chief of the Section of Speech Pathology and Audiology.

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The Supraglottic Swallow – Timing is Everything…

Did you know that adult humans only have a tenth of a second to get the airway closed prior to a bolus of liquid entering the upper part of the esophagus or food and liquid will go down the “wrong pipe” (aka trachea)?

Not a lot of room for error.  Most of us have personally experienced the mis-timed swallow either privately or witnessed by others, often when we are talking or otherwise distracted. This hazard is not often experienced by babies, small children or animals because of what I would call “nature’s anatomical protection”, with the hyoid and larynx more closely approximated and in an elevated position and tucked under the base of the tongue, as compared to older individuals. In humans, due to the dual function of the larynx for communication and swallowing, the larynx and hyoid descend as we mature, making the airway more precarious for aspiration but allowing for complex communication and differentiating us from the animals.

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Real Science; Real Hope! – Adult Stem Cell Human Tongue Infusion Initiative (Update)

On March 9, 2013 we published an article on a ground breaking swallowing treatment initiative to infuse adult stem cells into a human tongue by Christmas day 2014. [Click here to view that article].

Two days later, on March 11, 2013, we received an “A List” tour of the UC Davis Institute for Regenerative Cures (IRC). The NFOSD would like to thank our hosts Dr. Peter Belafsky (Phase I trial Principal Investigator), Dr. Jan Nolta (IRC director), Gerhard Bauer (Director of Good Manufacturing Practices), and Jane McClusky (tour facilitator extraordinaire).

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