Arquivo da tag: hyoid bone

Physiological variability in the deglutition literature: hyoid and laryngeal kinematics.

Dysphagia. 2011 Mar;26(1):67-74. doi: 10.1007/s00455-010-9309-x. Epub 2010 Oct 7.

Molfenter SMSteele CM.

Abstract

A literature review was conducted on hyoid and/or laryngeal displacement during swallowing in healthy populations according to several inclusion criteria. Anterior and superior displacement measures of both structures from previously published studies were compiled for meta-analysis. Results showed a large degree of variability across studies for each structure and plane of movement. Potential sources of variation were identified, including statistical, methodological, stimulus-related, and participant-related sources.

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Hyoid motion during swallowing: factors affecting forward and upward displacement.

Dysphagia. 2002 Fall;17(4):262-72.

Ishida RPalmer JBHiiemae KM.

Abstract

During swallowing, the hyoid bone is described as moving first upward, then forward, then returning to the starting position. This study examined hyoid motion during swallowing of chewed solids and liquids. Barium videofluorography (VFG) was performed on 12 healthy volunteers eating 8-cc portions of various solid foods and drinking liquid. Hyoid position was measured frame-by-frame for 88 swallows relative to the occlusal plane of the upper teeth. The hyoid bone moved both upward and forward during swallowing, but upward displacement was sometimes very small. There was no correlation between the amplitudes of hyoid upward and forward displacements. The amplitude of upward displacement was highly variable, smaller for liquids than for solid foods (p <0.001), and, for solid foods, larger for the first swallow than for the second swallow (p = 0.02). The amplitude of forward displacement did not differ significantly between liquids and solids or between first and second swallows. We conclude that upward displacement of the hyoid bone in swallowing is related primarily to events in the oral cavity, while its forward displacement is related to pharyngeal processes, especially the opening of the upper esophageal sphincter.

Analysis of Hyoid Bone Using 3D Geometric Morphometrics: An Anatomical Study and Discussion of Potential Clinical Implications

Fakhry N, Puymerail L, Michel J, Santini L, Lebreton-Chakour C, Robert D, Giovanni A, Adalian P, Dessi P.

Dysphagia. 2013 Feb 28.

Abstract

The aim of this study was to obtain a quantitative anatomical description of the hyoid bone using modern 3D reconstruction tools and to discuss potential applications of the knowledge in clinical practice. The study was conducted on 88 intact hyoid bones taken from cadavers during forensic autopsies (group 1) and on 92 bones from CT scan images of living adult subjects (group 2). Three-dimensional reconstructions were created from CT scan images using Amira 5.3.3® software. An anatomical and anthropological study of hyoid bones was carried out using metric and morphological analyses. Groups 1 and 2 were compared to evaluate the influence of muscle traction on hyoid bone shape. Characteristics of the hyoid bone were highly heterogeneous and were closely linked with the sex, height, and weight of the individuals. Length and width were significantly greater in men than in women (39.08 vs. 32.50 mm, p = 0.033 and 42.29 vs. 38.61 mm, p = 0.003), whereas the angle between the greater horns was larger in females (44.09 vs. 38.78, p = 0.007). There was a significant positive correlation between the height (Pearson coefficient correlation r = 0.533, p = 0.01) and weight (r = 0.497, p = 0.01) of subjects and the length of the hyoid bone. Significant metric differences were shown between group 1 and group 2. This very reproducible methodology is important because it may lead to clinical studies in, e.g., head and neck cancer or sleep apnea. Such studies are ongoing in our research program.

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Movement of the hyoid bone and the epiglottis during swallowing in patients with dysphagia from different etiologies

J Electromyogr Kinesiol. 2008 Apr;18(2):329-35. Epub 2006 Dec 21.
ABSTRACT

(1) To compare the kinematic motion of the hyoid bone and the epiglottis in healthy controls and a sample of patients with dysphagia of different etiologies, and (2) to evaluate the potential value of kinematic swallowing analysis to differentiate the mechanism of dysphagia.

METHODS:

We performed two-dimensional video motion analysis of the hyoid bone using videofluoroscopic images in nine controls without any swallowing difficulty, and seven patients with supratentorial stroke, three patients with inflammatory myopathy who showed dysphagia. Main outcome measures were: (1) horizontal and vertical excursion of the hyoid bone, and rotation of the epiglottis, and (2) trajectory of the hyoid bone and epiglottis during swallowing.

RESULTS:

Horizontal excursion of the hyoid bone and rotation of the epiglottis were reduced in patients with myopathy as compared to control and patients with stroke (P<0.05). Patients with dysphagia showed different patterns as compared to control in trajectory analysis according to their etiology.

CONCLUSION:

We conclude that extent and pattern of movement of the hyoid bone and the epiglottis during swallowing were different according to etiology of dysphagia, and swallowing motion analysis could be applied to differentiate the mechanism of dysphagia.

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