What finding during an oral mechanism examination could indicate a high risk for aspiration in stroke-like symptoms?

A finding of breathy phonation during an oral mechanism examination can indicate a high risk for aspiration, especially in patients exhibiting stroke-like symptoms. Breathy phonation suggests that there is inadequate closure of the vocal folds, which can compromise airway protection. When vocal folds do not close fully, it becomes easier for food, liquid, or saliva to accidentally enter the airway during the swallowing process, leading to aspiration.

This risk is heightened in individuals with neurological deficits, such as those resulting from a stroke, where the coordination and strength required for effective swallowing can be impaired. Therefore, when a patient demonstrates breathy phonation, it may signal the potential for aspiration, necessitating further evaluation and intervention to protect the airway during swallowing activities.