Functioning of the Upper Esophageal Sphincter - Michael Groher | MedBridge

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“Michelle,” a 48-year-old woman, was admitted to the hospital following a gas explosion. She had suffered second- and third-degree burns all over her body as well as inhalation injuries to the mucosa of her mouth and her upper airway.

Over the course of her stay, Michelle required multiple skin grafts. This treatment necessitated general anesthesia, causing further irritation to her vocal folds. Additionally, she required parenteral feeding, and after seven days, a nasogastric tube was placed. Even with the tube, the severity of her burn injuries still compromised her nutritional status.

After 18 days of hospitalization, a swallowing evaluation was requested for Michelle.

Now what?

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