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Tutku Soyer, Sule Yalcin, Selen Serel Arslan, Numan Demir, Feridun Cahit Tanyel
AIM: Airway aspiration is a common problem in children with esophageal atresia (EA). Pediatric Eating Assessment Tool-10 (pEAT-10) is a self-administered questionnaire to evaluate dysphagia symptoms in children. A prospective study was performed to evaluate the validity of pEAT-10 to predict aspiration in children with EA. METHODS: Patients with EA were evaluated for age, sex, type of atresia, presence of associated anomalies, type of esophageal repair, time of definitive treatment, and the beginning of oral feeding...
March 14, 2017: Journal of Pediatric Surgery
Naren N Venkatesan, Lisa M Evangelista, Maggie A Kuhn, Peter C Belafsky
OBJECTIVE: Endoscopic Zenker diverticulotomy (EZD) is a primary treatment for Zenker diverticulum (ZD). During EZD, the diverticulum is not excised, and interpretation of postoperative videofluoroscopic swallow study (VFSS) is challenging. The purpose of this investigation was to describe normal VFSS findings status post-successful EZD. METHODS: The charts of all patients with ZD treated at our center between October 01, 2011, and May 30, 2014, were abstracted. Outcome measures included recidivistic diverticulum size, Eating Assessment Tool-10 (EAT-10), penetration aspiration scale, pharyngeal constriction ratio (PCR), and pharyngoesophageal segment (PES) opening...
January 4, 2017: Laryngoscope
R Cordier, A Joosten, P Clavé, A Schindler, M Bülow, N Demir, S Serel Arslan, R Speyer
Early and reliable screening for oropharyngeal dysphagia (OD) symptoms in at-risk populations is important and a crucial first stage in effective OD management. The Eating Assessment Tool (EAT-10) is a commonly utilized screening and outcome measure. To date, studies using classic test theory methodologies report good psychometric properties, but the EAT-10 has not been evaluated using item response theory (e.g., Rasch analysis). The aim of this multisite study was to evaluate the internal consistency and structural validity and conduct a preliminary investigation of the cross-cultural validity of the EAT-10; floor and ceiling effects were also checked...
November 21, 2016: Dysphagia
Katherine N Adams, Rupali N Shah, Robert A Buckmire
OBJECTIVES/HYPOTHESIS: Complete pharyngoesophageal strictures may be encountered by the otolaryngologist as a consequence of radiation/chemoradiotherapy therapies for head and neck cancer. A combined anterograde and retrograde dilation procedure (rendezvous procedure) has proven to be a useful surgical intervention in these cases. We assess the long-term swallowing outcomes of this patient cohort including gastrostomy tube (G-tube) reliance, swallowing quality of life, and variables that contribute to improved swallowing outcomes...
September 26, 2016: Laryngoscope
Loni C Arrese, Ricardo Carrau, Emily K Plowman
The Eating Assessment Tool-10 (EAT-10) represents a validated, easy to administer patient report dysphagia severity scale. Although its ability to detect swallowing impairment has been investigated in other patient populations, the utility of this instrument in individuals with head and neck cancer (HNC) has not been studied. The aim of the current investigation was to determine the relationship between patient ratings of swallowing impairment (EAT-10) and objective clinical ratings of swallow physiology in individuals with HNC...
February 2017: Dysphagia
Rebecca J Howell, Mariah B Pate, Stacey L Ishman, Tova F Isseroff, Adam D Rubin, Ahmed M Soliman, Gregory N Postma, Michael J Pitman
OBJECTIVES/HYPOTHESIS: To evaluate clinical indications and endoscopic findings for patients undergoing transnasal esophagoscopy (TNE). STUDY DESIGN: Prospective, multi-institutional, observational cohort study at four tertiary centers. METHODS: Demographics, reflux finding score, reflux symptom index, Eating Assessment Tool (EAT-10) scores, clinical indications, and endoscopic findings were compared among patients whose TNE findings resulted in a changes in management (FCIM), defined as a referral, new medication, or surgery recommendation...
August 17, 2016: Laryngoscope
Numan Demir, Selen Serel Arslan, Özgü İnal, A Ayşe Karaduman
The purpose of this study was to test the reliability and validity of the Turkish Eating Assessment Tool (T-EAT-10) among patients with swallowing disorders. One hundred and five patients completed the T-EAT-10 and Functional Oral Intake Scale (FOIS). The internal consistency, test-retest reliability, and criterion validity of T-EAT-10 were investigated. The internal consistency was assessed using Cronbach's alpha. Intraclass correlation coefficient (ICC) value with 95 % confidence intervals was calculated for test-retest reliability...
October 2016: Dysphagia
Reinaldo Melillo Filho, Valentim Arabicano Gheller, Glauco Vinício Chaves, Walisson de Souza E Silva, Deliane Cristina Costa, Luis Gustavo Figueiredo, Gustavo Soares da Costa Julio, Ronald Kennedy Luz
This study aimed to evaluate sexing techniques for juvenile Lophiosilurus alexandri. With this aim, we evaluated three techniques: coelioscopy, performed with the use of video surgery equipment; coeliotomy, a surgical procedure for direct visualization of the gonads; and sex determination using a urethral probe to compare the genital papillae. For coelioscopy, the survival rate was 100% 30 days after the procedure, and the fish restarted eating 10 days after surgery. This technique resulted in a 100% correct identification of individuals identified as females, whereas for males, it was 66...
October 1, 2016: Theriogenology
Kyle Wang, Robert J Amdur, William M Mendenhall, Rebecca Green, Shannon Aumer, Trevor G Hackman, Adam M Zanation, Jose P Zevallos, Samip N Patel, Mark C Weissler, Bhishamjit S Chera
OBJECTIVES: To describe patient-reported quality of life (QoL) for patients with HPV/p16-positive oropharyngeal squamous cell carcinoma undergoing post-chemoradiation (CRT) superselective or selective neck dissection (ND) as part of a prospective de-intensification study. MATERIALS AND METHODS: Patients received 60Gy IMRT with concurrent weekly cisplatin (30mg/m(2)), followed by preplanned neck dissection of only originally involved nodal levels. QoL measures were assessed using the EORTC QLQ-C30 (general), EORTC H&N-35 (head and neck specific), EAT-10 (swallowing), and NDII (Neck Dissection Impairment Index) questionnaires...
July 2016: Oral Oncology
Daniel J Cates, Naren N Venkatesan, Brandon Strong, Maggie A Kuhn, Peter C Belafsky
OBJECTIVE: The effect of vocal fold medialization (VFM) on vocal improvement in persons with unilateral vocal fold immobility (UVFI) is well established. The effect of VFM on the symptom of dysphagia is uncertain. The purpose of this study is to evaluate dysphagia symptoms in patients with UVFI pre- and post-VFM. STUDY DESIGN: Case series with chart review. SETTING: Academic tertiary care medical center. SUBJECTS AND METHODS: The charts of 44 persons with UVFI who underwent VFM between June 1, 2013, and December 31, 2014, were abstracted from a prospectively maintained database at the University of California, Davis, Voice and Swallowing Center...
September 2016: Otolaryngology—Head and Neck Surgery
Yu-Chang Chang, Chao-Yun Chi, Chia-Jung Lee
Killian-Jamieson diverticulum (KJD) is a rare cervical esophageal abnormality. Transcervical approach has been the main treatment modality to prevent recurrent laryngeal nerve (RLN) injury. We presented two cases of patients confirmed with KJD and were managed successfully under rigid endoscope. The new technique and idea were described in detail. Under rigid laryngoscope, the septum between the true esophagus lumen and diverticulum can be exposed clearly. A microscope equipped with CO2 LASER system offered precise and focused point cutting energy to the septum...
December 2016: European Archives of Oto-rhino-laryngology
Theodore D Koreckij, Abigail A Davidson, Kevin C Baker, Daniel K Park
STUDY DESIGN: A retrospective case-control study. OBJECTIVE: The aim of this study was to determine the effect of retropharyngeal steroids on postoperative dysphagia scores and clinical outcomes following multilevel anterior cervical discectomy and fusion (ACDF). SUMMARY OF BACKGROUND DATA: Dysphagia is a well-known complication following ACDF surgery and increased rates of dysphagia are seen with increased levels of surgery. Retropharyngeal steroids have been shown to decrease painful swallowing and prevertebral soft tissue (PSTS) swelling in 1- and 2-level anterior cervical surgery...
May 2016: Spine
Katherine A Kendall, Julia Ellerston, Amanda Heller, Daniel R Houtz, Chong Zhang, Angela P Presson
Quantitative, reliable measures of swallowing physiology can be made from an modified barium swallowing study. These quantitative measures have not been previously employed to study large dysphagic patient populations. The present retrospective study of 139 consecutive patients with dysphagia seen in a university tertiary voice and swallowing clinic sought to use objective measures of swallowing physiology to (1) quantify the most prevalent deficits seen in the patient population, (2) identify commonly associated diagnoses and describe the most prevalent swallowing deficits, and (3) determine any correlation between objective deficits and Eating Assessment Tool (EAT-10) scores and body mass index...
August 2016: Dysphagia
Nancy Jiang, C Kwang Sung, Edward J Damrose
OBJECTIVES: Gastroesophageal reflux may contribute to the development of cricopharyngeal dysfunction and Zenker's diverticulum. Common dictum suggests that if upper esophageal sphincter tone is reduced through cricopharyngeal myotomy, symptoms of laryngopharyngeal reflux may worsen. We hypothesized that patients who undergo myotomy should show decreased dysphagia symptoms with concurrent worsening of reflux symptomatology and that these changes would be greater in those patients undergoing complete versus partial myotomy...
January 2017: Journal of Voice: Official Journal of the Voice Foundation
François Simon, Nicolas Le Clerc, Didier Salvan, Elisabeth Sauvaget, Benoît Faucon, Michel Borsik, Philippe Herman, Annouk Bisdorff
PURPOSE: Venous malformations of the upper aerodigestive tract can cause pain, dysphagia, obstructive sleep apnea, and rarely bleeding. We studied 980-nm diode endovenous laser therapy. MATERIAL AND METHODS: This is a 2007-2014 retrospective study in our vascular anomalies center. Data on patients' clinical history, polysomnography, magnetic resonance imaging, and treatment were collected. Patients were contacted for Epworth Sleepiness Scale and Eating Assessment Tool (EAT-10) scores to evaluate sleepiness and dysphagia before and after laser therapy...
May 2016: Journal of Cranio-maxillo-facial Surgery
Louise Karjalainen, Christopher Gillberg, Maria Råstam, Elisabet Wentz
BACKGROUND: Little is known about the prevalence and incidence of traditional eating disorders (EDs, e.g., anorexia nervosa (AN), bulimia nervosa and binge eating disorder (BED)) in individuals with childhood onset neuropsychiatric disorders, including attention-deficit/hyperactivity disorder (ADHD) and autism spectrum disorders (ASD). The aim of the present study was to examine the prevalence of EDs and eating pathology in young adults and adults with ADHD and/or ASD, and to investigate the relationship between EDs and associated symptoms, on the one hand, and other psychiatric disorders, intelligence, and BMI, on the other hand, in this population...
April 2016: Comprehensive Psychiatry
Riitta Möller, Stephanie Safa, Per Östberg
Conclusion The Swedish Eating Assessment Tool (S-EAT-10) is a reliable and valid self-administered tool in assessment of dysphagia in adult Swedish patients with high internal consistency, reliability, and discriminative validity. The normative data show that a score of 3 or more is abnormal. S-EAT-10 is recommended to be used in preliminary diagnostics of dysphagia. Objective To translate and adapt the EAT-10 for use in the Swedish patient population, and to present norms and measures of discriminative validity and reliability of a Swedish version of the Eating Assessment Tool-10 (S-EAT-10)...
July 2016: Acta Oto-laryngologica
Mohamed Farahat, Tamer A Mesallam
BACKGROUND AND OBJECTIVES: The Eating Assessment Tool (EAT-10) is a 10-item self-administered questionnaire. It is a noninvasive tool to measure patients' perception of their swallowing problems. The purposes of the present study were to develop an Arabic version of the EAT-10 and to evaluate its validity, consistency, and reliability in the Arabic-speaking population with oropharyngeal dysphagia. SETTING AND DESIGN: This was a prospective study carried out at the Communication and Swallowing Disorders Unit, King Saud University, Riyadh, Saudi Arabia...
2015: Folia Phoniatrica et Logopaedica
Luis Fernando Giraldo-Cadavid, Alejandra María Gutiérrez-Achury, Karem Ruales-Suárez, Maria Leonor Rengifo-Varona, Camilo Barros, Andrés Posada, Carlos Romero, Ana María Galvis
Dysphagia might affect 12 % of the general population, and its complications include pneumonia, malnutrition, social isolation, and death. No validated Spanish symptom survey exists to quantify dysphagia symptoms among Latin Americans. Therefore, we performed a prospective cohort study in a tertiary care university hospital to validate the Spanish version of the 10-Item Eating-Assessment-Tool (EAT-10spa) for use in Colombia. After an interdisciplinary committee of five bilingual specialists evaluated the EAT-10spa (translated and validated in Spain) and deemed it appropriate for the Colombian culture, its feasibility, reliability, validity, sensitivity to change, and diagnostic capacity were evaluated...
June 2016: Dysphagia
Yoshitaka Shiino, Shogo Sakai, Ryosuke Takeishi, Hirokazu Hayashi, Masahiro Watanabe, Takanori Tsujimura, Jin Magara, Kayoko Ito, Tetsu Tsukada, Makoto Inoue
Clinically, reclining posture has been reported to reduce risk of aspiration. However, during involuntary swallow in reclining posture, changes in orofacial and pharyngeal movement before and during pharyngeal swallow should be considered. Further, the mechanisms underlying the effect of body posture on involuntary swallow remain unclear. The aim of the present study was to determine the effect of body posture on activity patterns of the suprahyoid muscles and on patterns of bolus transport during a natural involuntary swallow...
March 1, 2016: Physiology & Behavior
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