Ultrassonografia e deglutição: revisão crítica da literatura

Leite, Karoline Kussik de Almeida; Mangilli, Laura Davison; Sassi, Fernanda Chiarion; Limongi, Suelly Cecília Olivan; Andrade, Cláudia Regina Furquim de

doi:10.1590/s2317-64312014000300001378

Cited by 10 publications

(4 citation statements)

References 19 publications

(94 reference statements)

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“…Methodological heterogeneity of the swallowing studies prevented in-depth analysis and synthesis of findings. However, this narrative summary has allowed us to expand the findings of the review by Leite et al (2014) progressing our understanding of US as a diagnostic tool for dysphagia and to make future recommendations for application by SLTs.…”

Section: Discussionmentioning

confidence: 99%

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Utility of ultrasound in the assessment of swallowing and laryngeal function: A rapid review and critical appraisal of the literature

Allen

Clunie

Slinger

et al. 2020

Intl J Lang & Comm Disor

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Background: Ultrasound (US) is not widely used as part of the speech and language therapy (SLT) clinical toolkit. The COVID-19 pandemic has intensified interest in US as an alternative to SLT instrumental tools such as the videofluoroscopic swallowing study (VFSS), fibreoptic endoscopic evaluation of swallowing (FEES) and endoscopic evaluation of the larynx (EEL) as a non-invasive, non-aerosol-generating procedure that can be delivered at the bedside to assess swallowing and/or laryngeal function. To establish the appropriacy of routine US use, and in response to a national professional body request for a position statement, a group of expert SLTs conducted a rapid review of the literature. Aim: To explore critically the clinical utility of US as an assessment tool for swallowing and laryngeal function in adults. Methods & Procedures: A rapid review of four databases was completed to identify articles using US to assess swallowing and/or laryngeal function in adults compared with reference tests (VFSS/FEES/EEL/validated outcome measure). Screening was completed according to predefined inclusion/exclusion criteria and 10% of abstracts were rescreened to assess reliability. Data were extracted from full texts using a predeveloped form. The QUADAS-2 tool was used for quality ratings. Information from included studies was summarized using narrative synthesis and visual illustration. Outcomes & Results: Ten papers used US to assess swallowing, and 13 to assess laryngeal function. All were peerreviewed primary studies across a range of clinical populations and with a wide geographical spread. Four papers had an overall low risk of bias, but the remaining 19 had at least one domain where risk of bias was judged as high or unclear. Applicability concerns were identified in all papers. The papers that used US to assess swallowing varied widely in terms of the anatomical structures assessed and methodology employed. The papers assessing laryngeal function were more homogenous in their methodology. Sensitivity and specificity data were provided for 12 of the laryngeal function papers with ranges of 64.3-100% and 48.5-100%, respectively. Conclusions & Implications: There is burgeoning evidence to support the use of US as an adjunct to SLT clinical assessment of swallowing and laryngeal function. However, the current literature does not support its use as a

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Section: Discussionmentioning

confidence: 99%

“…A Brazilian review (Leite et al . 2014) identified published studies using US to assess swallowing in adults and paediatrics between August 2002 and 2013. The review summarized 17 studies, of which 12 were based on an adult population.…”

Section: Introductionmentioning

confidence: 99%

Utility of ultrasound in the assessment of swallowing and laryngeal function: A rapid review and critical appraisal of the literature

Allen

Clunie

Slinger

et al. 2020

Intl J Lang & Comm Disor

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“…However, it does not exclude the need of other methods since it cannot identify some dynamic components, as for example, food stasis inside the pharynx. As so, it is not a very used technique (Leite et al 2014). There are some scientific papers about the acoustic analysis method of swallow sounds.…”

Section: Current Forms Of Diagnostic and Evaluation Of Dysphagiamentioning

confidence: 99%

Review of Research Studies on Biomechanics of Swallowing and Dysphagia

Almeida¹,

Jorge²

2019

UPjeng

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Dysphagia is a prevalent condition characterised by the dysfunction/ incoordination of the anatomical structures involved in the swallowing biomechanics. Dysphagia can have serious clinical consequences such as pneumonia, malnutrition, dehydration and even death. It implies a high negative impact on patients quality of life and may also represent increased financial costs in order to treat associated complications. It is essential to correctly identify and evaluate patients with this problem. However, the gold standard diagnostic exams present risk of aspiration, they are uncomfortable and invasive, and still present other inherent disadvantages/risks related with the technique itself. The simulation area may contribute to a more detailed knowledge of the swallowing biomechanics and, when applied to pathologic scenarios (i.e. dysphagia), to identify higher risk patients and manage the treatment in a more adequate and specific way. It will also seems to be able to reduce the use of invasive techniques, excessive radiation and associated economical costs. The aim of this paper is to review the existing research studies on biomechanical mechanisms of swallowing and dysphagia. Computer simulation seems to be a solution to better understand these mechanisms and even to reduce clinical disadvantages when compared with the available diagnostic methods used with these patients.

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“…Recentemente, dispositivos eletrônicos e com tecnologia mais avançada também podem ser utilizados para complementar a avaliação da motricidade orofacial. A ultrassonografia (25,(31)(32)(33)(34) , permite analisar diferentes estruturas orofaciais, como o músculo masseter durante a tarefa de mastigação (33) , a língua em tarefas de fala (34) e músculos supra-hioideos durante a função de deglutição (32,33,35,36) . Outro dispositivo utilizado é a eletromiografia de superfície (EMGs), que pode avaliar tanto os músculos mastigatórios quanto músculos supra-hioideos, por meio da colocação extraoral dos eletrodos na superfície da pele para a captação dos potenciais de ação dessas regiões musculares, fornecendo assim, informações quanto ao tempo da atividade muscular, bem como a amplitude do sinal (37) .…”

Section: Introductionunclassified

Correlação entre a pressão e a atividade eletromiográfica da língua na deglutição em indivíduos com diferentes alterações da motricidade orofacial

Rodrigues¹

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Agradeço a Deus, pela vida e pelas oportunidades oferecidas a mim ao longo dessa jornada. Esse é o ponto mais importante e o início de tudo.À Universidade de São Paulo, que me recebeu 15 anos atrás e que, desde então, tem me proporcionado inúmeros meios de evoluir.À minha orientadora Dra. Fernanda Chiarion Sassi, pelos ensinamentos, paciência e companheirismo ao longo desta pesquisa e de toda a minha carreira na Fonoaudiologia.À Professora Titular Claudia Regina Furquim de Andrade, por ter me recebido em seu Laboratório e investido no meu potencial enquanto fonoaudiólogo e pesquisador. Agradeço também por ter me aconselhado nos momentos que precisei e por ter me retirado da zona de conforto na hora certa.

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Ultrassonografia e deglutição: revisão crítica da literatura

Cited by 10 publications

References 19 publications

Utility of ultrasound in the assessment of swallowing and laryngeal function: A rapid review and critical appraisal of the literature

Utility of ultrasound in the assessment of swallowing and laryngeal function: A rapid review and critical appraisal of the literature

Review of Research Studies on Biomechanics of Swallowing and Dysphagia

Correlação entre a pressão e a atividade eletromiográfica da língua na deglutição em indivíduos com diferentes alterações da motricidade orofacial

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