{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T10:03:12Z","timestamp":1769076192593,"version":"3.49.0"},"reference-count":35,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2019,1,8]],"date-time":"2019-01-08T00:00:00Z","timestamp":1546905600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Although sensory feedback is a vital regulator of deglutition, it is not comprehensively considered in the standard dysphagia evaluation. Difficulty swallowing secondary to sensory loss may be termed \u201csensory dysphagia\u201d and may account for cases receiving diagnoses of exclusion, like functional or idiopathic dysphagia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and Results<\/jats:title><jats:p>Three cases of idiopathic dysphagia were suspected to have sensory dysphagia. The patients had (1) effortful swallowing, (2) globus sensation, and (3) aspiration. Endoscopic sensory mapping revealed laryngopharyngeal sensory loss. Despite normal laryngeal motor function during voluntary maneuvers, laryngeal closure was incomplete during swallowing. The causes of sensory loss were identified: cranial neuropathy from Chiari malformation, immune\u2010mediated neuronopathy, and nerve damage from prior traumatic intubation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Sensory loss may cause dysphagia without primary motor dysfunction. Sensory dysphagia should be classified as a distinct form of swallowing motility disorder to improve diagnosis. Increasing awareness and developing appropriate assessment tools may advance dysphagia care.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.25588","type":"journal-article","created":{"date-parts":[[2019,1,9]],"date-time":"2019-01-09T06:45:47Z","timestamp":1547016347000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Sensory dysphagia: A case series and proposed classification of an under recognized swallowing disorder"],"prefix":"10.1002","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1312-4136","authenticated-orcid":false,"given":"Laura F.","family":"Santoso","sequence":"first","affiliation":[{"name":"University of Massachusetts Medical School  Worcester Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel Y.","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology University of Massachusetts Medical School  Worcester Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Paydarfar","sequence":"additional","affiliation":[{"name":"Department of Neurology University of Massachusetts Medical School  Worcester Massachusetts"},{"name":"Department of Neurology Dell Medical School at University of Texas at Austin  Austin Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,1,8]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/PL00009517"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gerinurse.2013.02.014"},{"issue":"12","key":"e_1_2_7_4_1","first-page":"3639","article-title":"Evaluating dysphagia","volume":"61","author":"Spieker MR","year":"2000","journal-title":"Am Fam Physician"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5085(99)70143-5"},{"key":"e_1_2_7_6_1","unstructured":"MalageladaJ BazzoliF BoeckxstaensG et al.World Gastroenterology Organisation Global Guidelines: Dysphagia Global Guidelines;2014."},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-010-9301-5"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/nyas.13150"},{"issue":"10","key":"e_1_2_7_9_1","first-page":"1391","article-title":"Protecting the airway during swallowing: what is the role for afferent surveillance?","volume":"36","author":"Paydarfar D","year":"2011","journal-title":"Head Neck"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1113\/jphysiol.2003.039966"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200202000-00025"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2003.52"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1073\/pnas.81.3.979"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.23.1.10"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1113\/jphysiol.1977.sp012065"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-7793.1999.609ae.x"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v12.i18.2846"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.14.11.1086"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2000.02006.x"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2016.02.012"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348949810700503"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348949910800802"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/0003489414550241"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200004000-00008"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0b013e328010ba88"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/nyas.13205"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v18.i20.2462"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24024"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1159\/000479483"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-017-9845-8"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-013-9504-7"},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-016-9696-8"},{"key":"e_1_2_7_33_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2006.00840.x"},{"key":"e_1_2_7_34_1","doi-asserted-by":"publisher","DOI":"10.1136\/gutjnl-2011-300753"},{"key":"e_1_2_7_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2012.11.033"},{"key":"e_1_2_7_36_1","doi-asserted-by":"publisher","DOI":"10.1152\/jn.00244.2017"}],"container-title":["Head &amp; 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