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Table 1 Alterations that may be encountered in the oral preparation of swallowing

From: Swallowing disorders in tracheostomised patients: a multidisciplinary/multiprofessional approach in decannulation protocols

Alteration

Consequence

Reduced lip closure

Sialorrhea and food leaking out of the mouth

Limited jaw movements

Total or partial chewing disfunction

Lip, cheek and anterior 2/3rd of the tongue sensitivity disorders

Pooled foods between cheeks and gums and difficulty in managing the bolus

Alterations in anteroposterior, lateral and vertical tongue movements

Difficulty in forming the bolus with possible falling and consequent aspiration

Reduced forward movement range of the soft palate

Possible leak of food into the pharynx and aspiration into the respiratory tract