Table of Contents
ISRN Otolaryngology
Volume 2014, Article ID 587945, 5 pages
Research Article

The Occurrence of Laryngeal Penetration and Aspiration in Patients with Glottal Closure Insufficiency

1Speech and Language Pathologist, Musculoskeletal Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
2Audiology Department, School of Rehabilitation Sciences, Isfahan University of Medical Sciences, Isfahan, Iran

Received 7 December 2013; Accepted 6 February 2014; Published 11 March 2014

Academic Editors: H. Cincik, T. Just, and M. P. Robb

Copyright © 2014 Ali Rajaei et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Glottal closure during the pharyngeal phase of swallowing is one of the important steps in protecting the airway. Generally, it is believed that any deficiency in this process can lead to laryngeal penetration and aspiration. This study investigated the incidence of laryngeal penetration and aspiration among 44 patients with glottal closure insufficiencies that were referred for voice and swallowing evaluation to our institution. The videostroboscopy and 3 oz water swallow test were performed for all of the patients and dysphagic patients were screened and referred for videofluoroscopy. Overall, 15.90% of patients demonstrated signs of laryngeal penetration (13.63%) and aspiration (2.27%). The patients with the pattern of incomplete closure illustrated the highest percentage of penetration-aspiration (21.73%, 4.34%) among other GCI patterns. Thus, early interventions for these patients’ swallowing condition seem necessary.