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Modified Barium Swallow

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https://www.readbyqxmd.com/read/29882104/inter-rater-agreement-of-clinicians-treatment-recommendations-based-on-modified-barium-swallow-study-reports
#1
Laurie Slovarp, Jennifer Danielson, Julie Liss
The modified barium swallow study (MBSS) is a commonly used radiographic procedure for diagnosis and treatment of swallowing disorders. Despite attempts by dysphagia specialists to standardize the MBSS, most institutions have not adopted such standardized procedures. High variability of assessment patterns arguably contribute to variability of treatment recommendations made from diagnostic information derived from the MBSS report. An online survey was distributed to speech-language pathologists (SLPs) participating in American Speech Language Hearing Association (ASHA) listservs...
June 7, 2018: Dysphagia
https://www.readbyqxmd.com/read/29800022/identification-of-phenotypic-patterns-of-dysphagia-a-proof-of-concept-study
#2
Kendrea L Focht Garand, Kent E Armeson, Elizabeth G Hill, Bonnie Martin-Harris
Purpose: The purpose of the current project was to explore the feasibility for subtyping dysphagia traits or patterns of scores in a subset of data from the Modified Barium Swallow Impairment Profile global registry in patients referred to videofluoroscopic swallowing studies across 5 common medical categories: (a) cardiothoracic, (b) gastroenterology, (c) head and neck cancer, (d) neurology, and (e) pulmonary. Method: Videofluoroscopic swallowing study imaging and Modified Barium Swallow Impairment Profile metrics were used to evaluate 235 patients with dysphagia grouped into 1 of the 5 categories...
May 15, 2018: American Journal of Speech-language Pathology
https://www.readbyqxmd.com/read/29758228/differences-in-swallow-physiology-in-patients-with-left-and-right-hemispheric-strokes
#3
Janina Wilmskoetter, Bonnie Martin-Harris, William G Pearson, Leonardo Bonilha, Jordan J Elm, Janet Horn, Heather S Bonilha
BACKGROUND: We sought to determine the impact of lesion lateralization and lesion volume on swallow impairment on group-level by comparing patients with left and right hemisphere strokes and on patient-level by analyzing patients individually. METHODS: We performed a retrospective, observational, cross-sectional study of 46 patients with unilateral (22 left, 24 right), acute, first-ever, ischemic strokes who received a diffusion weighted MRI (DW-MRI) and modified barium swallow study (MBSS) during their acute hospital stay...
May 11, 2018: Physiology & Behavior
https://www.readbyqxmd.com/read/29725802/quality-of-life-in-oropharyngeal-cancer-a-structured-review-of-the-literature
#4
REVIEW
Evelyne Roets, Karina Tukanova, Anouk Govarts, Pol Specenier
PURPOSE: To summarize the literature on quality of life (QoL) in patients with oropharyngeal squamous cell carcinoma (OPSCC). METHODS: The PubMed database was searched using the inclusion criteria "oropharyngeal cancer," "quality of life," "human," and "English," the exclusion criterion "recurrent," and publication date between January 1, 2005 and October 26, 2015. RESULTS: The search yielded 98 articles of which 17 fulfilled all selection criteria...
May 3, 2018: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/29574381/tracheobronchial-foreign-body-aspiration-in-laryngectomized-patient-with-tracheoesophageal-voice-prosthesis
#5
Michael A Chorney, Randy M Dubin, Marc S Levine
A patient with a total laryngectomy and tracheoesophageal voice prosthesis presented with tracheobronchial aspiration of a Phillips-head screw that was swallowed inadvertently and aspirated around a loose-fitting prosthesis. A modified esophagram showed a screw in the right lung and free leakage of barium from the cervical esophagus around the prosthesis into the tracheobronchial tree. Chest radiographs and CT confirmed a screw in a right lower lobe bronchus with postobstructive pneumonia. When this complication occurs, it is important to extract the foreign body and, if necessary, to adjust or remove the prosthesis to prevent future aspiration pneumonias or foreign body aspiration...
May 2018: Clinical Imaging
https://www.readbyqxmd.com/read/29572573/longitudinal-evaluation-of-swallowing-with-videofluoroscopy-in-patients-with-locally-advanced-head-and-neck-cancer-after-chemoradiation
#6
Ekaterini Xinou, Ioannis Chryssogonidis, Anna Kalogera-Fountzila, Dimitra Panagiotopoulou-Mpoukla, Athanasia Printza
The aim of this study was to investigate the prevalence, severity, and pattern of evolution of swallowing impairments encountered in head and neck cancer (HNC) patients before and after chemoradiation (CRT) with videofluoroscopy of swallowing study (VFSS), using the modified barium swallow impairment profile (MBSImP) protocol and scoring system, and to determine the appropriate time points in which these patients should undergo VFSS post-CRT. A prospective cohort of 69 patients with locally advanced HNC underwent VFSS with the MBSImP protocol at 5 evaluation points: pre-CRT, and 1, 3, 6, and 12 months post-CRT...
March 23, 2018: Dysphagia
https://www.readbyqxmd.com/read/29549453/a-modified-nissen-fundoplication-subjective-and-objective-midterm-results
#7
Sabrina Rampado, Edoardo Savarino, Angelica Ganss, Giulia Pozza, Romeo Bardini
PURPOSE: The failure rate of laparoscopic anti-reflux surgery is approximately 10-20%. The aim of our prospective study was to investigate whether a modified Nissen fundoplication (MNF) can improve reflux symptoms and prevent surgical treatment failure in the midterm. METHODS: The MNF consisted of (1) suturing the esophagus to the diaphragmatic crura on each side using four non-absorbable stitches, (2) reinforcing clearly weak crura with a tailored Ultrapro mesh, and (3) fixing the upper stitch of the valve to the diaphragm...
March 2018: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/29533712/voice-and-swallowing-outcomes-of-unilateral-vocal-fold-paralysis-comparing-younger-adult-and-geriatric-patients
#8
Juliana Bonilla-Velez, Mariah Small, Francisco J Bonilla-Escobar, Matthew Sharum, Ozlem E Tulunay-Ugur
Objective To compare voice and swallowing outcomes after treatment in younger adult (<65 years) and geriatric (≥65 years) patients with unilateral vocal fold paralysis (UVFP). Study Design Case series with chart review. Setting Tertiary care center. Subjects and Methods The cases of patients presenting to a tertiary voice clinic with UVFP between June 2005 and February 2015 were reviewed. Clinical characteristics and outcomes in a geriatric subset were compared with those in younger adult group. Results A total of 206 patients met our inclusion criteria (n = 110, <65 years; n = 96, ≥65 years)...
May 2018: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/29365373/-evaluation-and-treatment-of-children-s-laryngeal-clefts
#9
C Chen, L T Tan, Z M Xu
Objectives: To provide the experience about the diagnostic process and following management, and to discuss the outcome and predictors in children with laryngeal cleft (LC). Methods: A retrospective case study was conducted at an academic children's hospital. Thirty children were diagnosed as laryngeal cleft between January 2016 and April 2017.Airway evaluations were performed using both flexible and rigid endoscopy, and swallowing evaluations were performed using fiberoptic endoscopic examination of swallowing or modified barium swallow...
January 7, 2018: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
https://www.readbyqxmd.com/read/29298943/modified-barium-swallow-for-evaluation-of-dysphagia
#10
Rebecca Peterson
Deglutition, or the act of swallowing, allows food and fluids to move through the upper gastrointestinal tract. Difficulty swallowing, known as dysphagia, causes a host of complications for patients. Fluoroscopic evaluation of dysphagia enables appropriate diagnosis and treatment. This evaluation commonly is accomplished with a swallowing dysfunction study, also known as a modified barium swallow procedure.
January 2018: Radiologic Technology
https://www.readbyqxmd.com/read/29287848/recurrent-laryngeal-nerve-reinnervation-for-management-of-aspiration-in-a-subset-of-children
#11
Karen B Zur, Linda M Carroll
Pediatric aspiration is a multifactorial process that is often complex to manage. Recurrent laryngeal nerve (RLN) injury can cause glottic insufficiency and aspiration. We describe three cases of unilateral vocal fold paralysis resulting in aspiration and the successful use of the RLN reinnervation for its treatment. The theory for utilizing the reinnervation procedure is that when glottic closure improves and a less breathy vocalization occurs, then the larynx is better equipped to protect the lower airway and avoid aspiration...
January 2018: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/29280496/silent-aspiration-who-is-at-risk
#12
Priatharisiny Velayutham, Alexandria L Irace, Kosuke Kawai, Pamela Dodrill, Jennifer Perez, Monica Londahl, Lauren Mundy, Natasha D Dombrowski, Reza Rahbar
OBJECTIVE: To determine the prevalence of silent aspiration in pediatric patients and identify which diagnoses may be associated with this finding. METHODS: An institutional review board-approved retrospective review was conducted for all patients under the age of 18 who underwent modified barium swallow (MBS) studies at a tertiary children's hospital in 2015. Speech-language pathologists reviewed MBS studies to identify aspiration/silent aspiration on each fluid consistency tested...
December 27, 2017: Laryngoscope
https://www.readbyqxmd.com/read/29201389/the-feasibility-of-assessing-swallowing-physiology-following-prolonged-intubation-after-cardiovascular-surgery
#13
Stacey A Skoretz, Terrence M Yau, John T Granton, Rosemary Martino
Background: Dysphagia following prolonged intubation after cardiovascular (CV) surgery is common occurring in 67% of patients; however, this population's swallowing physiology has never been prospectively evaluated using standardized methods. Hence, prior to conducting a larger study, our primary objective was to determine the feasibility of assessing swallowing physiology using instrumentation and validated interpretation methods in cardiovascular surgical patients following prolonged intubation...
2017: Pilot and Feasibility Studies
https://www.readbyqxmd.com/read/29114887/cough-strength-and-expiratory-force-in-aspirating-and-nonaspirating-postradiation-head-and-neck-cancer-survivors
#14
Katherine A Hutcheson, Martha P Barrow, Carla L Warneke, Yiqun Wang, George Eapen, Stephen Y Lai, Denise A Barringer, Emily K Plowman, Jan S Lewin
OBJECTIVE: Expiratory functions that clear aspiration from the airway are compromised in patients with neurogenic dysphagia for whom cough and expiratory force may be impaired by the primary disease process. The relationship between expiratory function, cough, and aspiration is less clear in head and neck cancer (HNC) survivors for whom the disease process does not directly impact the lower respiratory system. Our objective was to compare mechanisms of airway clearance (expiratory force and cough) with aspiration status in postradiated HNC survivors...
November 8, 2017: Laryngoscope
https://www.readbyqxmd.com/read/29105033/an-aerodigestive-approach-to-laryngeal-clefts-and-dysphagia-using-injection-laryngoplasty-in-young-children
#15
REVIEW
Amar Miglani, Scott Schraff, Pamela Y Clarke, Usmaan Basharat, Peter Woodward, Paul Kang, Lindsay Stevens, Jim Woodward, Howard Williams, Dana I Williams
PURPOSE OF REVIEW: Our objective is to summarize the presentation, diagnosis, and management of mild laryngeal clefts in children. We focus on deep interarytenoid notches (DIN), a subclassification of type 1 laryngeal clefts (LC1), and review the literature and our multidisciplinary experience utilizing injection laryngoplasty (IL). RECENT FINDINGS: DIN is a mild form of LC1 and is considered a normal anatomical variant. Recent cohort studies demonstrate IL to be a safe, low-risk, and efficacious treatment of LC1, but few studies focus on DIN...
November 6, 2017: Current Gastroenterology Reports
https://www.readbyqxmd.com/read/29050091/-value-of-modified-killian-s-method-in-diagnosis-of-congenital-pyriform-sinus-fistula
#16
S L Huang, L S Chen, B Zhang, L Liang, X X Gong, Z G Zhou, S X Zhang, X N Luo, Z M Lu, S Y Zhang
Objective: To investigate the feasibility and significance of modified Killian(MK) method in the clinical diagnosis of congenital pyriform sinus fistula(CPSF) by electronic laryngoscopy. Methods: The following examinations were performed for 30 suspected cases of CPSF, including the traditional electronic laryngoscopy, MK examination(modified Killian position+ head rotation+ the Valsalva maneuver), barium swallow X-ray(BSX) and CT , and a prospective comparison among them were done. Patients were divided into two groups according to their age: young age group(≤14 years old) and older age group (>14 years old)...
October 7, 2017: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
https://www.readbyqxmd.com/read/28894942/first-steps-towards-development-of-an-instrument-for-the-reproducible-quantification-of-oropharyngeal-swallow-physiology-in-bottle-fed-children
#17
Maureen A Lefton-Greif, Katlyn Elizabeth McGrattan, Kathryn A Carson, Jeanne M Pinto, Jennifer M Wright, Bonnie Martin-Harris
The incidence of feeding/swallowing impairments (deglutition disorders) in young children is rising and poses serious acute and long-term health consequences. Accurate detection and prompt intervention can lessen the impact of dysphagia-induced sequelae. Videofluoroscopic Swallow Studies (VFSSs) are used to make critical decisions for medically fragile children despite procedural variability and the lack of agreed upon measures for interpreting and reporting results. This investigation represents the first steps in the development of a novel tool for the quantification of oropharyngeal swallow physiology from full-length VFSS examinations in bottle-fed children...
February 2018: Dysphagia
https://www.readbyqxmd.com/read/28891595/the-effect-of-bolus-volume-on-laryngeal-closure-and-ues-opening-in-swallowing-kinematic-analysis-using-320-row-area-detector-ct-study
#18
S Shibata, Y Inamoto, E Saitoh, H Kagaya, Y Aoyagi, K Ota, R Akahori, N Fujii, J B Palmer, M González-Fernández
This study investigated the effects of three different volumes of honey-thick liquid on the temporal characteristics of swallowing. Twenty-six healthy subjects (15 males, 11 females) underwent 320-row area detector CT scan while swallowing 3, 10 and 20 mL of honey-thick liquid barium. Three-dimensional images were created at 10 images/s. Kinematic events involving six structures (velopharynx, hyoid bone, epiglottis, laryngeal vestibule (LV), true vocal cords (TVC), upper esophageal sphincter (UES)) and timing of bolus movement were timed using frame by frame analysis...
September 11, 2017: Journal of Oral Rehabilitation
https://www.readbyqxmd.com/read/28890708/reduced-maximum-pitch-elevation-predicts-silent-aspiration-of-small-liquid-volumes-in-stroke-patients
#19
Akila Theyyar Rajappa, Kristie R Soriano, Courtney Ziemer, Michelle S Troche, Jaime Bauer Malandraki, Georgia A Malandraki
BACKGROUND AND PURPOSE: Preliminary evidence has shown that reduced ability to maximally raise vocal pitch correlates with the occurrence of aspiration (i.e., airway invasion by food or liquid). However, it is unclear if this simple task can be used as a reliable predictor of aspiration in stroke patients. Our aim was to examine whether maximum vocal pitch elevation predicted airway invasion and dysphagia in stroke. METHODS: Forty-five consecutive stroke patients (<1 month poststroke) at a rehabilitation setting participated in a videofluoroscopic swallow study and two maximum vocal pitch elevation tasks...
2017: Frontiers in Neurology
https://www.readbyqxmd.com/read/28836005/grading-dysphagia-as-a-toxicity-of-head-and-neck-cancer-differences-in-severity-classification-based-on-mbs-digest-and-clinical-ctcae-grades
#20
Ryan P Goepfert, Jan S Lewin, Martha P Barrow, Carla L Warneke, Clifton D Fuller, Stephen Y Lai, Randal S Weber, Katherine A Hutcheson
Clinician-reported toxicity grading through common terminology criteria for adverse events (CTCAE) stages dysphagia based on symptoms, diet, and tube dependence. The new dynamic imaging grade of swallowing toxicity (DIGEST) tool offers a similarly scaled five-point ordinal summary grade of pharyngeal swallowing as determined through results of a modified barium swallow (MBS) study. This study aims to inform clinicians on the similarities and differences between dysphagia severity according to clinical CTCAE and MBS-derived DIGEST grading...
April 2018: Dysphagia
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