ABSTRACT
Swallowing is a complex motor function that is centrally coordinated, predominantly involuntary but also modulated by cortical voluntary override. The dorsal swallowing group receives and integrates afferent information from the periphery and from the cortex. Oropharyngeal dysphagia is the most common form of dysphagia and carries the greatest risk of pulmonary sequelae. The viewpoint of the patient regarding their symptom of dysphagia is critical to understanding its impact and strategies for management. Disordered swallowing at the level of the oropharynx leads to an airway threat. Speech and language therapist may educate the patient regarding swallow mechanics and safe airway closure prior to bolus being swallowed. Swallowing disorders are common in laryngology practice. Although the aetiology is diverse, the fundamental problem may be considered as one of poor airway protection, reduced bolus transit or abnormal upper oesophageal sphincter opening.
