[Mechanisms smoothing deglutition disorders after oral cancer surgery]

Compensatory treatment for oropharyngeal dysphagia includes postural changes and reducing the risk of aspiration. Some of compensatory maneuvers are introduced spontaneously by the ill at first weeks after oral cavity tumour resection. On the basis of roentgenotelevision examination of deglutition in 82 patients we detected mechanisms with intention to minimize swallowing disturbances. Variability of their occurrence and differences in their efficiency should be emphasized, as well as essential synchronization of laryngeal closure with emptying of pharynx and opening upper oesophageal sphincter for swallowing efficiency. The valuation of compensatory maneuvers introduced spontaneously by the ill was defined as an important part of swallowing rehabilitation.