Fiberoptic endoscopic evaluation of swallowing and the Brazilian version of the Eating Assessment Tool-10 in resistant hypertensive patients with obstructive sleep apnea

Brendim, Mariana Pinheiro; Muniz, Carla Rocha; Borges, Thalyta Georgia Vieira; Ferreira, Flavia Rodrigues; Muxfeldt, Elizabeth Silaid

doi:10.1016/j.bjorl.2022.01.006

Cited by 1 publication

(4 citation statements)

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“…FEES was performed at the Otorhinolaryngology Service of university hospital, between February 2016 and December 2019. In the period between February 2016 and March 2018, resistant hypertensives with OSA were invited to participate in the study in which individuals with and without oropharyngeal dysphagia were identified as described [ 11 ]. Those who were diagnosed with dysphagia were selected for the present study, submitted to the swallowing therapy program, and re-evaluated between October 2017 and December 2019.…”

Section: Methodsmentioning

confidence: 99%

“…FEES was performed by a specialized and experienced otorhinolaryngologist and speech therapist. We have described the methods of the evaluation in detail [ 11 ]. Briefly, to perform the examination, the patient was positioned sitting at 90°, using a flexible Machida nasofibroscope (model ENT-30PIII).…”

Section: Methodsmentioning

confidence: 99%

“…Snoring can also cause neurogenic and muscle changes in the upper airways of these patients [ 8 , 14 , 15 ] and a consequent reduction of oropharyngeal sensitivity. This impairment may translate into a deficit of oral sensorimotor control, impaired swallowing reflex, premature spillage, delayed onset of the pharyngeal phase, piecemeal deglutition, pharyngeal residue, penetration–aspiration [ 6 – 8 , 11 , 16 – 18 ].…”

Section: Introductionmentioning

confidence: 99%

“…OSA is characterized by frequent upper airway collapses that cause periodic episodes of apnea and hypopnea [4], which condition may be associated with oropharyngeal dysphagia [5]. Commonly underdiagnosed in this population, interference with swallowing dynamics is evidenced through instrumental swallowing tests, such as those based on videofluoroscopy and fiberoptic endoscopic evaluation of swallowing (FESS) [6][7][8][9][10][11]. The frequent episodes of apnea and hypopnea lead to oxyhemoglobin desaturation, which interferes with the proper synchrony between swallowing and breathing functions [12,13].…”

Section: Introductionmentioning

confidence: 99%

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Swallowing outcome to speech therapy intervention in resistant hypertensive patients with obstructive sleep apnea

Borges

Muniz

Ferreira

et al. 2022

Eur Arch Otorhinolaryngol

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Purpose To evaluate (i) the outcome of swallowing therapy program on the rehabilitation of oropharyngeal dysphagia in resistant hypertensive patients with obstructive sleep apnea (OSA) and (ii) the association between the clinical and anthropometric characteristics of these individuals and this outcome. Methods This was a prospective interventional study in which resistant hypertensives diagnosed with OSA by polysomnography and dysphagia by fiberoptic endoscopic evaluation of swallowing (FESS) participated. All participants underwent a FEES and assessment of the risk of dysphagia (Eating Assessment Tool, EAT-10) and swallowing-related quality of life (Swal–QoL) before and after the intervention. The therapeutic program was performed daily by the participants, with weekly speech-therapist supervision for eight weeks, including the following strategies: Masako, chin tuck against resistance, and expiratory muscle training. Results A total of 26 (78.8%) of the participants exhibited improvement in the degree of dysphagia in the intervention outcome. After the intervention, there was a statistically significant improvement in the level of penetration–aspiration ( p = 0.007), the degree of pharyngeal residue ( p = 0.001), the site of onset of the pharyngeal phase ( p = 0.001), and the severity of dysphagia ( p = 0.001) compared to before intervention. The EAT-10 score was 2 (0–6) before and 0 (0–3) after intervention ( p = 0.023). Swal–QoL had a score on the symptom frequency domain of 92.8 (75–100) before and 98.2 (87.5–100) after intervention ( p = 0.002). Conclusions Resistant hypertensive patients with OSA showed improved swallowing performance after swallowing therapy program. Supplementary Information The online version contains supplementary material available at 10.1007/s00405-022-07612-3.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%