Accuracy of endoscopic and videofluoroscopic evaluations of swallowing for oropharyngeal dysphagia

Cadavid, Luis Fernando Giraldo; Leal-Leaño, Lorena Renata; Leon-Basantes, Guillermo Alfredo; Bastidas, Alírio Rodrigo; García, R.; Ovalle, Sergio; Abondano-Garavito, Jorge E.

doi:10.1002/lary.26419

Cited by 153 publications

(109 citation statements)

References 48 publications

Supporting

Mentioning

100

Contrasting

Unclassified

Order By: Relevance

“…In contrast to patients without known dysphagia, the goal for patients with previously diagnosed pharyngeal dysphagia may be to trial a specific consistency with the hope of either adjusting the diet, or reassessing safety in the setting of fluctuating clinical symptoms . Under these circumstances, an abnormal SEES may allow one to avoid a repeat VFSS even if FEES is unsuccessful, as a known abnormality on VFSS will be predictably present in nearly 90% of patients based on our results.…”

Section: Discussionmentioning

confidence: 88%

“…These findings have several implications worthy of discussion. In a child who is otherwise naive to instrumental swallow studies and without an established diagnosis of swallow dysfunction, one may wonder if a VFSS is necessary to perform following an abnormal FEES, as it may not provide additional insight . However, if a SEES is performed and is abnormal, VFSS may be more assertively avoided, as swallow abnormalities are likely to exist based on the positive predictive value of the static evaluation.…”

Section: Discussionmentioning

confidence: 99%

“…The Videofluoroscopic Swallow Study (VFSS) and Fiberoptic Endoscopic Evaluation of Swallowing (FEES) remain the two most common modalities used to investigate and diagnose pediatric dysphagia. Both modalities have well‐established strengths and weaknesses, and each may be influenced by the ability of the child to cooperate with the study …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Static endoscopic swallow evaluation in children

et al. 2019

View full text Add to dashboard Cite

Objectives: Static Endoscopic Evaluation of Swallowing (SEES) has been demonstrated to have a strong correlation with the Videofluoroscopic Swallow Study (VFSS) in adults. In children, Fiberoptic Endoscopic Evaluations of Swallow (FEES) are frequently performed to avoid repeated VFSS; however, a subset of the population does not tolerate FEES. The purpose of this study was to evaluate the utility of a modified SEES in children.Methods: Charts of 50 consecutive patients who underwent FEES evaluations were reviewed. Patients age 3 months to 12 years undergoing SEES, FEES, and VFSS were extracted. We compared a binary assessment of outcome on SEES versus VFSS as the diagnostic standard to report characteristics, including sensitivity, specificity, and positive and negative predicted value.Results: A total of 36 patients met all inclusion criteria (mean age 2.8 years). Using the VFSS as the diagnostic standard, residue seen on SEES had a sensitivity of 80.0%, specificity of 85.7%, a positive predictive value of 88.9%, and a negative predictive value of 75.0% for predicting deep penetration or aspiration.Conclusion: SEES may be helpful for developing an initial diagnostic impression and may serve as a platform for patient and caregiver counseling. In children who are unable to cooperate with FEES, SEES may provide clinical insight in predicting an abnormal swallow study; however, a normal SEES was less reliable in predicting a safe swallow on subsequent VFSS in this patient population.

show abstract

Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Static endoscopic swallow evaluation in children

et al. 2019

View full text Add to dashboard Cite

show abstract

“…Moreover, FEES was found with a slight advantage over VFSS to detect aspiration, penetration, and residues. 47 The limitations of the current study are its retrospective nature, small study group, and different swallowing and aspiration assessment tools. Moreover, a majority of the patients were assessed by noninstrumental (bedside) swallowing evaluation with lack of consistency and objective grading.…”

Section: Discussionmentioning

confidence: 93%

Early Injection Laryngoplasty After Surgery: 30 Cases and Proposed Aspiration Assessment Protocol

et al. 2020

View full text Add to dashboard Cite

“…Clinically, FEES has the advantage of being mobile, having no risk of radiation exposure, and in some clinical settings following specialist training the SP may act as endoscopist reducing the need for additional clinical staff. In addition, a systematic review of 52 articles identified a greater sensitivity in FEES than VFSS in detecting aspiration and penetration, however sensitivity to detecting pharyngeal residue was similar in both tests (Giraldo-Cadavid et al, 2017). However, the procedure is considered more invasive and is not appropriate for patients who are severely confused, have severe movement disorders, or have experienced head and neck trauma which may be impacted by the presence of the nasendoscope.…”

Section: Instrumental Swallow Assessmentmentioning

confidence: 99%

Expanding speech pathology delegation practices: engaging Allied Health Assistants (AHAs) in dysphagia management in the acute hospital setting

Schwarz¹

View full text Add to dashboard Cite

Speech Pathologists (SPs) are under increasing workforce pressures as a result of an ageing population and greater prevalence of chronic conditions. Considering this increasing workforce demand, within the context of limited health resources, workforce flexibility such as the consideration of task delegation is increasingly being encouraged within the literature and government policy. Though the use of delegation models within speech pathology has received some attention, particularly in the management of paediatric speech and language disorders, there is a paucity of evidence to support the use of delegation models in dysphagia management. This presents a significant gap, as dysphagia management is an integral part of the SP's role in the inpatient hospital setting and accounts for a significant proportion of workload demand in that context. Delegation of dysphagia related tasks to a trained Allied Health Assistant (AHA) offers a means to address increased workforce demand, while potentially improving workforce efficiency. Appropriate delegation of 'low value' tasks to another professional group may support the SP; to dedicate more time to high risk caseloads; increasing intensity of intervention; and contributing to quality and innovation initiatives. Hence the overall objective of this thesis was to generate new knowledge regarding the design, clinical implementation and evaluation of AHA delegation models in the clinical area of dysphagia management. Two specific aims were identified to achieve this. The first was to design, develop, implement and evaluate AHA delegation models for two key dysphagia related tasks, (mealtime observations and dysphagia screening), to establish accuracy and feasibility of task completion. The second aim was to evaluate I acknowledge that copyright of all material contained in my thesis resides with the copyright holder(s) of that material. Where appropriate I have obtained copyright permission from the copyright holder to reproduce material in this thesis and have sought permission from co-authors for any jointly authored works included in the thesis. v

show abstract

Accuracy of endoscopic and videofluoroscopic evaluations of swallowing for oropharyngeal dysphagia

Abstract: 2a Laryngoscope, 127:2002-2010, 2017.

Cited by 153 publications

References 48 publications

Static endoscopic swallow evaluation in children

Static endoscopic swallow evaluation in children

Early Injection Laryngoplasty After Surgery: 30 Cases and Proposed Aspiration Assessment Protocol

Expanding speech pathology delegation practices: engaging Allied Health Assistants (AHAs) in dysphagia management in the acute hospital setting

Contact Info

Product

Resources

About