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Oropharyngeal dysphagia

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https://www.readbyqxmd.com/read/29456200/diagnostic-validity-of-methods-for-assessment-of-swallowing-sounds-a-systematic-review
#1
Karinna Veríssimo Meira Taveira, Rosane Sampaio Santos, Bianca Lopes Cavalcante de Leão, José Stechman Neto, Leandro Pernambuco, Letícia Korb da Silva, Graziela De Luca Canto, André Luís Porporatti
INTRODUCTION: Oropharyngeal dysphagia is a highly prevalent comorbidity in neurological patients and presents a serious health threat, which may lead to outcomes of aspiration pneumonia, ranging from hospitalization to death. This assessment proposes a non-invasive, acoustic-based method to differentiate between individuals with and without signals of penetration and aspiration. OBJECTIVE: This systematic review evaluated the diagnostic validity of different methods for assessment of swallowing sounds, when compared to Videofluroscopic of Swallowing Study (VFSS) to detect oropharyngeal dysphagia...
February 3, 2018: Brazilian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/29447795/modified-approach-for-pediatric-external-cricopharyngeal-myotomy
#2
Suresh Mohan, Sarah N Bowe, Lara M Hirner, Claire Zar-Kessler, Christopher J Hartnick
Pediatric cricopharyngeal achalasia is an uncommon but important cause of oropharyngeal dysphagia. Failure of upper esophageal sphincter relaxation is the currently understood pathophysiology. Therapies include balloon dilation, botulinum toxin injection, and endoscopic or open cricopharyngeal myotomy (CPM). Open CPM is usually performed at the posterior midline of the cricopharyngeus and can be a risky procedure given concern for esophageal perforation and damage to the recurrent laryngeal nerve. Here, we present a novel modified technique for open CPM using a superficial anterolateral transection approach in the case of a young male with refractory cricopharyngeal achalasia...
February 2018: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/29429770/structural-airway-abnormalities-contribute-to-dysphagia-in-children-with-esophageal-atresia-and-tracheoesophageal-fistula
#3
Katherine J Baxter, Lauren M Baxter, April M Landry, Mark L Wulkan, Amina M Bhatia
BACKGROUND: Long-term dysphagia occurs in up to 50% of repaired esophageal atresia and tracheoesophageal fistula (EA/TEF) patients. The underlying factors are unclear and may include stricture, esophageal dysmotility, or associated anomalies. Our purpose was to determine whether structural airway abnormalities (SAA) are associated with dysphagia in EA/TEF. METHODS: We conducted a retrospective chart review of children who underwent EA/TEF repair in our hospital system from 2007 to 2016...
January 31, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29428348/creation-and-initial-validation-of-the-international-dysphagia-diet-standardisation-initiative-functional-diet-scale
#4
Catriona M Steele, Ashwini M Namasivayam-MacDonald, Brittany T Guida, Julie A Y Cichero, Janice Duivestein, Ben Hanson, Peter Lam, Luis F Riquelme
OBJECTIVE: To assess consensual validity, inter-rater reliability and criterion validity of the International Dysphagia Diet Standardisation Initiative Functional Diet Scale (IDDSI-FDS), a new functional outcome scale intended to capture the severity of oropharyngeal dysphagia, as represented by the degree of diet texture restriction recommended for the patient. DESIGN: Participants assigned IDDSI-FDS scores to 16 clinical cases. Consensual validity was measured against reference scores determined by an author reference panel...
February 8, 2018: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/29417423/dysphagia-in-myasthenia-gravis-the-tip-of-the-iceberg
#5
Ebru Karaca Umay, Fatih Karaahmet, Eda Gurcay, Fatma Balli, Erhan Ozturk, Ozgur Karaahmet, Yasemin Eren, Tijen Ceylan
We evaluated swallowing function in patients with myasthenia gravis (MG) with or without dysphagia symptoms using different evaluation parameters and compared the results with those of healthy subjects. A total of 36 patients with MG and 25 healthy volunteers were included in the study. The subjects were classified into three groups; patients without dysphagia (group 1), patients with dysphagia (group 2), and healthy participants (group 3). The presence and severity of dysphagia, the oropharyngeal, pharyngeal, pharyngoesophageal, and esophageal phases were assessed using a screening test, manometric test, electrophysiologic studies [electroneuromyography (EMG)], fiberoptic endoscopic evaluation of swallowing (FEES), and barium swallow pharyngeal esophagography (BSPE), respectively...
February 7, 2018: Acta Neurologica Belgica
https://www.readbyqxmd.com/read/29415841/interrater-reliability-of-the-volume-viscosity-swallow-test-screening-for-dysphagia-among-hospitalized-elderly-medical-patients
#6
Lise Walther Jørgensen, Kasper Søndergaard, Dorte Melgaard, Susan Warming
BACKGROUND: Oropharyngeal dysphagia (OD) is prevalent among medical and geriatric patients admitted due to acute illness and it is associated with malnutrition, increased length of stay and increased mortality. A valid and reliable bedside screening test for patients at risk of OD is essential in order to detect patients in need of further assessment. The Volume-Viscosity Swallow Test (V-VST) has been shown to be a valid screening test for OD in mixed outpatient populations. However, as reliability of the test has yet to be investigated in a population of medical and geriatric patients admitted due to acute illness, we aimed to determine the interrater reliability of the V-VST in this clinical setting...
December 2017: Clinical Nutrition ESPEN
https://www.readbyqxmd.com/read/29410299/the-impact-of-the-difference-in-o-c2-angle-in-the-development-of-dysphagia-after-occipitocervical-fusion-a-simulation-study-in-normal-volunteers-combined-with-a-case-control-study
#7
Yang Meng, Tingkui Wu, Ziyang Liu, Daguang Wen, Xin Rong, Hua Chen, Jigang Lou, Hao Liu
BACKGROUND CONTEXT: Dysphagia has been recognized as one of the most serious complications after occipitocervical fusion (OCF) and the difference between postoperative and preoperative O-C2 angle (dO-C2A) was proposed to be an indicator in predicting and preventing dysphagia. Therefore, in order to prevent postoperative dysphagia, previous studies recommend surgeons should correct the O-C2 angle (O-C2A) during surgery if the occipitocervical alignment was in an excessively flexed position...
February 1, 2018: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/29409082/-orophagyngeal-dysphagia-in-older-persons-evaluation-and-therapeutic-options
#8
Rainer Wirth, Gero Lueg, Rainer Dziewas
The prevalence of oropharyngeal dysphagia in older persons is high. Because it is frequently undetected, screening tests should be applied in risk groups. If the screening test is positive or typical risk factors are present, an instrumental assessment should be utilized. Objective diagnostic tools such as endoscopic evaluation and videofluoroscopy allow the description of the individual dysphagia pattern, which is the basis for an individualized treatment. The endoscopic evaluation of swallowing is increasingly used because it includes several advantages...
February 2018: Deutsche Medizinische Wochenschrift
https://www.readbyqxmd.com/read/29396225/international-consensus-icon-on-assessment-of-oropharyngeal-dysphagia
#9
F Espitalier, A Fanous, J Aviv, S Bassiouny, G Desuter, N Nerurkar, G Postma, L Crevier-Buchman
OBJECTIVE: To present international recommendations regarding the proper evaluation of oropharyngeal dysphagia (OD), both objectively and subjectively (self-evaluation). METHODS: Following a thorough review of the literature, 5 experts in the field from 4 different continents answered separately a questionnaire regarding the work-up of OD. Individual answers were presented and discussed during the world ENT conference that was held in Paris in June 2017. This article will present the recommendations issued from that meeting...
January 26, 2018: European Annals of Otorhinolaryngology, Head and Neck Diseases
https://www.readbyqxmd.com/read/29393599/dysphagia-and-associated-clinical-markers-in-neurologically-intact-children-with-respiratory-disease
#10
Fernanda C Sassi, Karina C B Bühler, Fabiola S Juste, Fabiola C F Almeida, Debora M Befi-Lopes, Claudia R F de Andrade
OBJECTIVE: The identification of oropharyngeal aspiration is paramount since it can have negative consequences on a compromised respiratory status. Our hypothesis was that dysphagia in neurologically intact children with respiratory disease is associated to specific clinical markers. STUDY DESIGN: Using the medical files we conducted a retrospective, observational cohort study on children admitted to the pediatric hospital unit due to respiratory disease. We collected data on specific parameters of a clinical swallowing assessment and dysphagia was classified according to the Dysphagia Management Staging Scale...
February 2, 2018: Pediatric Pulmonology
https://www.readbyqxmd.com/read/29392474/using-rasch-analysis-to-evaluate-the-reliability-and-validity-of-the-swallowing-quality-of-life-questionnaire-an-item-response-theory-approach
#11
Reinie Cordier, Renée Speyer, Antonio Schindler, Emilia Michou, Bas Joris Heijnen, Laura Baijens, Ayşe Karaduman, Katina Swan, Pere Clavé, Annette Veronica Joosten
The Swallowing Quality of Life questionnaire (SWAL-QOL) is widely used clinically and in research to evaluate quality of life related to swallowing difficulties. It has been described as a valid and reliable tool, but was developed and tested using classic test theory. This study describes the reliability and validity of the SWAL-QOL using item response theory (IRT; Rasch analysis). SWAL-QOL data were gathered from 507 participants at risk of oropharyngeal dysphagia (OD) across four European countries. OD was confirmed in 75...
February 1, 2018: Dysphagia
https://www.readbyqxmd.com/read/29392063/unilateral-pedunculated-lymphangiectatic-fibrolipomatous-polyp-of-the-palatine-tonsil-a-rare-case
#12
Nesibe Gül Yüksel Aslıer, Mustafa Aslıer
Lymphangiomatous polyps are rare benign hamartomatous tumors of the palatine tonsils that can cause significant distress to the patients such as sore throat, foreign body sensation, a lumpy feeling in the throat region, dysphagia, and eventual suffocation. In this paper, the case of a 17-year-old male who came to the outpatient clinic with a complaint of difficulty in swallowing, eventual vomiting, and occasions of hematemesis is presented. On physical examination, the patient had a smooth-surface, polypoid, pedunculated tumoral lesion originating from the middle pole of the left palatine tonsil and protruding into the oropharyngeal isthmus...
June 2017: Turkish Archives of Otorhinolaryngology
https://www.readbyqxmd.com/read/29391316/patulous-upper-esophageal-sphincter-an-unusual-endoscopic-finding
#13
Allwin James, Premkumar Karunakaran, Ratnakar Kini, Pugazhendhi Thangavel
The upper esophageal sphincter (UES) has various important functions, such as protection of the airway from aspiration and conduct of bolus into esophagus, which are controlled by complex neuronal mechanisms. The functions will be affected when there is malfunction of the UES due to various etiologies. Here we present an 80-year-old male with non-progressive dysphagia and patulous UES incidentally found on esophagoduodenoscopy. There are no documented cases of idiopathic patulous UES in literature. Endoscopists must be aware of this rare condition while evaluating a patient presenting with oropharyngeal dysphagia...
January 2018: Turkish Journal of Gastroenterology: the Official Journal of Turkish Society of Gastroenterology
https://www.readbyqxmd.com/read/29383317/retropharyngeal-space-schwannoma-a-rare-entity
#14
Stefania Gallo, Francesco Bandi, Marco-Paolo Maffioli, Marco Giudice, Paolo Castelnuovo, Enrico Fazio, Apostolos Karligkiotis
Introduction: Retropharyngeal space schwannomas are rare entities. About 20-45% of schwannomas occur in the head and neck region; however, they represent less than 1% of all head and neck tumors. Case Report: We present the case of a 36-year-old woman complaining of dysphagia caused by a large schwannoma arising in the posterior pharyngeal wall with remarkable reduction of the oropharyngeal space. The tumor was resected through a combined transoral and cervicotomic transmandibular approach due to its dimension...
November 2017: Iranian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/29379319/pharyngeal-electrical-stimulation-device-for-the-treatment-of-neurogenic-dysphagia-technology-update
#15
REVIEW
Domenico A Restivo, Shaheen Hamdy
Neurogenic dysphagia (ND) can occur in patients with nervous system diseases of varying etiologies. Moreover, recovery from ND is not guaranteed. The therapeutic approaches for oropharyngeal ND have drastically changed over the last decade, mainly due to a better knowledge of the neurophysiology of swallowing along with the progress of neuroimaging and neurophysiological studies. For this reason, it is a priority to develop a treatment that is repeatable, safe, and can be carried out at the bedside as well as for outpatients...
2018: Medical Devices: Evidence and Research
https://www.readbyqxmd.com/read/29364800/-effects-of-speech-therapy-in-hospitalized-patients-with-post-stroke-dysphagia-a-systematic-review-of-observational-studies
#16
REVIEW
Joice Santos Andrade, Wagner Walter Oliveira de Jesus Souza, Luiz Renato Paranhos, Danielle Ramos Domenis, Carla Patrícia Hernandez Alves Ribeiro César
INTRODUCTION: Since dysphagia may be one of the brain post-stroke consequences, the objective of this study was to analyze the average recovery time of patients with cerebrovascular accident and dysphagia subjected to speech therapy in a hospital bed. MATERIAL AND METHODS: Systematic review performed following the 'Preferred Reporting Items is Systematic Reviews and MetaAnalyses' instructions. The search was performed in different electronic databases, without restriction of time and language...
December 29, 2017: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/29353401/temporal-analysis-of-factors-associated-with-eat-10-in-outpatients-with-oropharyngeal-dysphagia-from-a-tertiary-care-clinic
#17
R S Bartlett, J E Moore, S L Thibeault
Self-perception of disease is increasingly recognized as a determinant of health. The Eating Assessment Tool-10 (EAT-10) is a functional health status questionnaire that measures the symptomatic severity of dysphagia from the patient's perspective. The objective of this work was to identify factors (demographics, clinical variables, swallowing physiology, health-related quality of life) associated with longitudinal change in EAT-10 scores in outpatients with oropharyngeal dysphagia at a multi-disciplinary, tertiary care clinic...
January 20, 2018: Dysphagia
https://www.readbyqxmd.com/read/29338089/outcomes-of-patients-diagnosed-with-carcinoma-metastatic-to-the-neck-from-an-unknown-primary-source-and-treated-with-intensity-modulated-radiation-therapy
#18
Mona Kamal, Abdallah S R Mohamed, Clifton David Fuller, Erich M Sturgis, Faye M Johnson, William H Morrison, G Brandon Gunn, Katherine A Hutcheson, Jack Phan, Stefania Volpe, Sweet Ping Ng, Renata Ferrarotto, Steven J Frank, Heath D Skinner, David I Rosenthal, Adam S Garden
BACKGROUND: There are few published studies to guide the treatment of carcinoma metastatic to the neck from an unknown primary (CUP). In this regard, the objective of the current study was to share the authors' current experience treating patients with CUP using intensity-modulated radiation therapy (IMRT), which principally targeted both sides of the neck, the nasopharynx, and the oropharynx. METHODS: This was a retrospective study in which an institutional database search was conducted to identify patients with CUP who received IMRT...
January 16, 2018: Cancer
https://www.readbyqxmd.com/read/29319716/screening-protocol-for-dysphagia-in-adults-comparison-with-videofluoroscopic-findings
#19
Fernanda C Sassi, Gisele C Medeiros, Bruno Zilberstein, Shri Krishna Jayanthi, Claudia R F de Andrade
OBJECTIVES: To compare the videofluoroscopic findings of patients with suspected oropharyngeal dysphagia with the results of a clinical screening protocol. METHODS: A retrospective observational cohort study was conducted on all consecutive patients with suspected oropharyngeal dysphagia between March 2015 and February 2016 who were assigned to receive a videofluoroscopic assessment of swallowing. All patients were first submitted to videofluoroscopy and then to the clinical assessment of swallowing...
December 2017: Clinics
https://www.readbyqxmd.com/read/29280826/an-unusual-cause-of-dysphagia
#20
Soumya Chatterjee, Brian J Hedman, Donald F Kirby
Scleredema adultorum of Buschke is a rare scleroderma mimic characterized by woody induration of the skin involving the back of the neck, interscapular region, upper and mid back, and sometimes the face, upper chest, and upper arms. Dysphagia is rare and not well characterized. We describe a case of scleredema that developed significant dysphagia affecting both the oropharyngeal phase and the esophageal phase of deglutition. Diagnostic evaluation revealed mild-moderate oropharyngeal and severe esophageal dysmotility...
December 27, 2017: Journal of Clinical Rheumatology: Practical Reports on Rheumatic & Musculoskeletal Diseases
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