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

(6 citation statements)

References 19 publications

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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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“…Recently, electronic devices and more advanced technologies have also been used to complement the orofacial motricity assessments. Ultrasonography (4,(8)(9)(10)(11) facilitates the analysis of different orofacial structures, such as the masseter muscle during swallowing tasks (10) , the tongue during speech tasks (4) and the suprahyoid muscles during deglutition (9,10,12,13) . In turn, the surface electromyography (SSEs) assesses both the deglutition muscles and the suprahyoid muscles by placing extraoral electrodes on the skin surface to capture the muscle action potential of these regions, providing information regarding the timing of muscle activity as well as the signal amplitude (14) .…”

Section: Introductionmentioning

confidence: 99%

Correlation between findings of the oral myofunctional clinical assessment, pressure and electromyographic activity of the tongue during swallowing in individuals with different orofacial myofunctional disorders

Rodrigues,

Sassi,

Silva

et al. 2023

CoDAS

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Purpose To correlate the findings regarding the myofunctional orofacial examination, tongue pressure and surface electromyography (sEMG) of deglutition in individuals with different orofacial myofunctional disorders. Methods 44 patients (20 males and 24 females, aged between 17 and 63 years old) with different orofacial myofunctional changes were clinically assessed using the Expanded Protocol of Orofacial Myofunctional Evaluation with Scores (OMES-E). In addition, the range of mandibular movements and facial anthropometry were measured, along with the assessment of the tongue pressure (tip and dorsum) and of the electrical activity of the suprahyoid muscles during deglutition, using surface electromyography (sEMG). Results The statistical analysis found weak correlations between tongue dorsum pressure values, suggesting that the greater the measurement of the lower third of the face, the lower the pressure of the tongue dorsum; the greater the measurement of the overlaps (vertical and horizontal), the higher the pressure of the tongue dorsum; the higher the score from the orofacial evaluation and orofacial functions assessment, the higher the pressure of the tongue dorsum; and the higher the pressure of the tongue dorsum, the higher the pressure of the tongue tip. Conclusion The present study results indicate that the orofacial myofunctional changes found in different groups of patients are more related to the maxillomandibular discrepancies than to the pathologies investigated herein.

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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

Correlation between findings of the oral myofunctional clinical assessment, pressure and electromyographic activity of the tongue during swallowing in individuals with different orofacial myofunctional disorders

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