Esophageal sphincter hypertonia with aspiration.
Patient with cerebral vascular disease. Aspiration due to epiglottic closure defect.
Videofluoroscopy with liquid bolus with videofluoroscopy recording is performed. CBCT 2 D.
REASON FOR EXPLORATION:
Oral phase: Poor labial occlusion. Correct tongue thrust. Discreetly incompetent elevation and tension of the soft palate with discrete oronasal reflux.
Pharyngeal phase: Pharyngeal ascent preserved with epiglottic closure defect demonstrating images of laryngeal aspiration with impregnation of the supraglottic, glottic and subglottic mucosa.
Upper esophageal sphincter opening phase: The upper esophageal sphincter presents a correct opening.
Esophageal phase: Esophageal propulsion preserved with discrete fragmentation of the contrast column with delayed clearing.
Epiglottic closure defect with aspiration images. Discrete fragmentation of the contrast bolus without alterations at the upper esophageal level.