
Oral transit phase: the tongue pushes the prepared bolus from front to back into the pharynx, where the next phase is automatically triggered.ģ. Oral preparatory phase: food is chewed and mixed with saliva, forming into a cohesive collection called a “bolus.” This bolus is positioned on the tongue for the next phase.Ģ. These movements can be divided into 4 phases:ġ.
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The swallowing mechanism involves a series of highly coordinated muscle movements. This video shows an example of normal vocal cords seen on a videostrobe.

Post-surgical nerve injury (from intubation, thyroid surgery, spine surgery or heart surgery).Neurological conditions (Parkinson’s, Stroke).Benign and malignant tumors (papilloma, granulomas and cancers).Benign vocal cord masses (nodules, cysts, polyps).Vocal overuse or misuse (yelling, screaming, excessive talking).Viral upper respiratory infections (URI).There are many causes of hoarseness ranging from benign diseases of the larynx to more concerning malignant cancers. Patients typically present “hoarseness,” which is a general term that describes an abnormal sounding voice.
