The diagnosis and management of adult neurogenic dysphagia. The
process is commonly divided into three phases: oral,
pharyngolaryngeal and oesophageal, which represent the
anatomical structures involved in swallowing. The process
requires a sophisticated means of voluntary and reflex central
control for coordinated execution (Miller, 1982) (Box 1).
Disruption of swallowing can have serious effects, with
complications such as malnutrition, pulmonary aspiration and the
associated psychosocial stigma of being unable to eat. Continue
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