Multidisciplinary approach to oropharyngeal dysphagia

Although most take swallowing for granted when young, increasing dysfunction and dysphagia are associated with ageing and diseases of ageing. Oropharyngeal dysphagia is a neglected entity but common in old age and in certain neurological disorders. The resulting morbidity and mortality is usually a consequence of aspiration, but difficult medical and ethical issues also arise relating to provision of nutrition, especially in progressive neurodegenerative disease. Evidence to guide swallowing rehabilitation, and decisions on feeding methods and their benefits, is lacking, or limited to small studies.Management of Oropharyngeal dysphagia requires a Multidisciplinary approach.