Diet modification for dysphagia are suggested dietary changes, particularly regarding food consistencies, directed at improving a patient’s ability to swallow and at avoiding aspiration. For example, an individual who is struggling with aspiration might be advised to avoid thin liquids and use thicker or carbonated liquids instead. Or this individual might be advised to avoid composite foods, since his or her swallowing deficiency could make it harder to “stay organized” with several consistencies in the mouth at once.

Solid Food Dysphagia Due to an Unexplained Benign Mass

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Benign mass (1 of 4)

This elderly man is having a hard time swallowing solids. There is a mucosa-covered mass (marked with lines) between the posterior pharyngeal wall (longer dashed line) and the arytenoid towers ( marked with A). "V" denotes the right vocal cord.

Closer view (2 of 4)

At much closer range while having the patient perform a trumpet maneuver.

One week post-op (3 of 4)

This is a week after laser excision of this mass. The dashed line again shows the posterior pharyngeal wall and A and V again denote arytenoid apices and V, the right vocal cord. The pathology examination shows only fibrosis and other nonspecific benign findings.

Trumpet maneuver post-op (4 of 4)

Now performing trumpet maneuver (as in photo 2), the upper edge of the excision is shown (dashed line, left of photo). In spite of a very sore throat, this man can already sense improvement in his swallowing.
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