Practical Application of Flexible Fiberoptic Nasopharyngoscopy for Evaluating Velopharyngeal Function

Ll, D'Antonio; Hr, Muntz; Jl, Marsh; Marty-Grames, Lynn; Backensto-Marsh, R

doi:10.1097/00006534-198810000-00009

Cited by 58 publications

(34 citation statements)

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“…in cases of ade noid), clinical ratings could be done with suffi cient reliability. D'Antonio et al [ 12] conclud ed that videotaped nasopharyngoscopic exam inations can be rated reliably, using a standard rating form for quantifying perceptual judg ments of velopharyngeal activity. On the other hand.…”

Section: Discussionmentioning

confidence: 99%

Aspects of Assessment and Management of Velopharyngeal Dysfunction in Developing Countries

Kotby¹,

Haleem

Hegazi³

et al. 1997

Folia Phoniatr Logop

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Proper assessment of patients with velopharyngeal valve incompetence is a mandatory prerequisite for optimal management. The protocol of assessment of Ain Shams University, Phoniatric Department, uses three levels of assessment of velopharyngeal valve incompetence according to the complexity of the armamentarium used. This allows application of those parts of the protocol that suit the needs of the different socioeconomic levels and geographical locations. Firstly, the elementary diagnostic procedures, which are rather simple, noninvasive, but essentially subjective. Despite the clinical feasibility of these procedures, documentation of the data is made utilizing the tools at the second level of assessment in that protocol (clinical diagnostic aids). This level comprises video-nasofiberscopy and high fidelity voice recording. An attempt to extract quasi-quantitative measures from the hitherto qualitative video-nasofiberscopy is made. The third level of assessment, namely additional instrumental measures, comprises CT scanning of the velopharyngeal port, aerodynamics, and acoustic analysis. The results of the three levels of the protocol are presented. Their significance and clinical efficacy are discussed. Some community-related problems that have faced the cleft palate team are outlined. Their sociocultural significance in a developing country is discussed.

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Section: Discussionmentioning

confidence: 99%

Aspects of Assessment and Management of Velopharyngeal Dysfunction in Developing Countries

Kotby¹,

Haleem

Hegazi³

et al. 1997

Folia Phoniatr Logop

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“…These two positions are most often used in videoendoscopic examinations. A scope position above the soft palate was not used because earlier studies have already examined the reliability of endoscopic observation of velopharyngeal closure [9].…”

Section: Methodsmentioning

confidence: 99%

“…The endoscopic procedure has been labeled fiberoptic endoscopic examination of swallowing (FEES) by some clinicians and is in use in some facilities as an instrumental swallow assessment, particularly when videofluoroscopy is not available or difficult to obtain. Videoendoscopy has been used for a number of years to study the velopharyngeal mechanism from above [6][7][8]. Studies have generally shown good interrater reliability of these velopharyngeal endoscopic assessments [9].…”

Section: Introductionmentioning

confidence: 99%

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Interobserver Agreement on Normal Swallowing Physiology as Viewed by Videoendoscopy

Logemann

Rademaker

Pauloski

et al. 1999

Folia Phoniatr Logop

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This study examines the agreement of 2 observers in identifying selected normal oropharyngeal swallow events in the 1- and 5-ml swallows of 3 normal young adult males as identified by videoendoscopy at each of two endoscopic positions: (1) with the tip of the endoscope just at or below the tip of the uvula (high position), and (2) with the tip of the endoscope just below the tip of the epiglottis (low position), and thereby defines the needed focus for observer training in endoscopic assessment of swallowing. Overall, the more and less experienced examiners agreed on seeing or not seeing the onsets and terminations of the 12 events 83% of the time. Scope position affected observer agreement on several events while bolus volume did not.

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“…Radiographic methods and endoscopy are most frequently used for diagnosis of velopharyngeal insufficiency, i.e., functioning of the soft palate [3].…”

Section: Introductionmentioning

confidence: 99%

The contribution of electromyography to the diagnostics of some rare palatal anomalies

Sasso

Ahel

Starčević

et al. 2005

International Journal of Pediatric Otorhinolaryngology

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Practical Application of Flexible Fiberoptic Nasopharyngoscopy for Evaluating Velopharyngeal Function

Cited by 58 publications

References 0 publications

Aspects of Assessment and Management of Velopharyngeal Dysfunction in Developing Countries

Aspects of Assessment and Management of Velopharyngeal Dysfunction in Developing Countries

Interobserver Agreement on Normal Swallowing Physiology as Viewed by Videoendoscopy

The contribution of electromyography to the diagnostics of some rare palatal anomalies

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