2015
DOI: 10.1590/2317-1782/20152014149
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Abstract: Purpose: To verify the accuracy of clinical evaluation compared with videofluoroscopic swallowing studies in the detection of isolated laryngeal penetration and laryngeal aspiration in children with suspected dysphagia; to identify clinical signs and symptoms associated with isolated laryngeal penetration and laryngeal aspiration; and to determine the sensitivity and specificity of the clinical signs and symptoms identified. Methods: Retrospective analysis of data from clinical and videofluoroscopic evaluation… Show more

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Cited by 23 publications
(26 citation statements)
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“…A VFSS typically involves similar trials though the feeding is assessed using fluoroscopy of the oropharynx, larynx and upper esophagus to determine if there is evidence of aspiration 79 . There is limited data on the sensitivity of CFE compared with the VFSS to assess for aspiration risk and prior studies have only included small numbers of patients 4, 5, 1013 .…”
mentioning
confidence: 99%
“…A VFSS typically involves similar trials though the feeding is assessed using fluoroscopy of the oropharynx, larynx and upper esophagus to determine if there is evidence of aspiration 79 . There is limited data on the sensitivity of CFE compared with the VFSS to assess for aspiration risk and prior studies have only included small numbers of patients 4, 5, 1013 .…”
mentioning
confidence: 99%
“…The poor performance of lip and tongue behavior observed at the clinical evaluation can explain the oral ejection alteration, demonstrating the close relationship between clinical and instrumental evaluation . This highlights the fact that one protocol does not exclude the other due to the possibility of silent aspiration which is verified by videofluoroscopy …”
Section: Discussionmentioning
confidence: 81%
“…26 This highlights the fact that one protocol does not exclude the other due to the possibility of silent aspiration which is verified by videofluoroscopy. 27 Residue in vallecula was found in 51.76% of cases, which may be explained by alterations in the oral phase. 28 This may be related to the use of compensatory maneuvers during swallowing, given that backward movement of the head was observed in 61.18% of participants as an attempt to improve the mobility of the oropharyngeal region, mobilize the food, and compensate for the swallowing alterations.…”
Section: Discussionmentioning
confidence: 98%
“…In developing countries, in which objective tests are not always available, the non-instrumental clinical assessment of dysphagia is important in the diagnosis of dysphagic patients. Objective exams have some disadvantages, such as radiation exposure and limited exam time as in swallowing videofluoroscopy, the fact that they do not simulate a real meal and the need to obtain cooperation from the patient, which can often be difficult in the pediatric population (23)(24)(25) .…”
Section: Discussionmentioning
confidence: 99%