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Dysphagia | Page 2

Taher I Omari, Michelle Ciucci, Kristin Gozdzikowska, Ester Hernández, Katherine Hutcheson, Corinne Jones, Julia Maclean, Nogah Nativ-Zeltzer, Emily Plowman, Nicole Rogus-Pulia, Nathalie Rommel, Ashli O'Rourke
High-resolution manometry has traditionally been utilized in gastroenterology diagnostic clinical and research applications. Recently, it is also finding new and important applications in speech pathology and laryngology practices. A High-Resolution Pharyngeal Manometry International Working Group was formed as a grass roots effort to establish a consensus on methodology, protocol, and outcome metrics for high-resolution pharyngeal manometry (HRPM) with consideration of impedance as an adjunct modality. The Working Group undertook three tasks (1) survey what experts were currently doing in their clinical and/or research practice; (2) perform a review of the literature underpinning the value of particular HRPM metrics for understanding swallowing physiology and pathophysiology; and (3) establish a core outcomes set of HRPM metrics via a Delphi consensus process...
June 5, 2019: Dysphagia
Julie Layly, Franck Marmouset, Guillaume Chassagnon, Philippe Bertrand, Dominique Sirinelli, Jean-Philippe Cottier, Baptiste Morel
Videofluoroscopic Swallow studies (VFSS) are useful radiological examinations to explore swallowing disorders but which require ionizing radiation. The aim of our study was to evaluate the comparability of pediatric VFSS at 15 frames per second (fps) with 30 fps. Fifty-five loops including 190 swallowings of VFSS at 30 fps performed on 32 consecutive pediatric patients in a University Hospital Center were retrospectively modified by a software to delete one image out of two to obtain secondary loops with a frame rate of 15 fps...
June 5, 2019: Dysphagia
Charles Lenell, Danielle Brates, William G Pearson, Sonja Molfenter
Bolus properties such as volume, consistency, and density have been shown to influence swallowing through the analysis of kinematics and timing in both normal and disordered swallowing. However, inherent intra- and inter-person variability of swallowing cloud interpretation of group data. Computational analysis of swallow mechanics (CASM) is an established methodology that uses coordinate tracking to map structural movements during swallowing and yields statistically powerful analyses at both the group and individual levels...
June 4, 2019: Dysphagia
Nicole Pizzorni, Erika Crosetti, Elena Santambrogio, Giada de Cillis, Andy Bertolin, Giuseppe Rizzotto, Marco Fantini, Giovanni Succo, Antonio Schindler
A standard for assessing swallowing function after open partial horizontal laryngectomy (OPHL) is still not established. The variability in the measures used to investigate swallowing functional outcomes after OPHL limits the communication among clinicians and the possibility to compare and combine results from different studies. The study aims to adapt the PAS to the altered anatomy after OPHLs using fiberoptic endoscopic evaluation of swallowing (FEES) and to test its reliability. To adapt the PAS, two landmarks were identified: the entry of the laryngeal vestibule and the neoglottis...
June 3, 2019: Dysphagia
(no author information available yet)
No abstract text is available yet for this article.
May 30, 2019: Dysphagia
Jae-Gu Cho, Hyung Kwon Byeon, Kyung Ho Oh, Seung-Kuk Baek, Soon-Young Kwon, Kwang-Yoon Jung, Jeong-Soo Woo
Swallowing discomfort is a common postoperative complaint in patients undergoing thyroidectomy. Contraction of the strap muscles might cause resistance to elevation of the laryngotracheal unit, and downward movement of the laryngotracheal unit may lead to swallowing discomfort. However, few studies have evaluated the mechanism related to limited laryngotracheal elevation after thyroidectomy. We aimed to objectively verify the presence of postoperative impaired laryngotracheal elevation through ultrasound evaluation in patients undergoing thyroidectomy and evaluate its relationship with limitation of laryngotracheal elevation...
May 24, 2019: Dysphagia
(no author information available yet)
No abstract text is available yet for this article.
June 2019: Dysphagia
E K Hadde, T M Nicholson, J A Y Cichero
Recent studies show that understanding the rheological properties of thickened fluids, such as viscosity and yield stress, is advantageous in designing optimal thickened fluids for the treatment of dysphagia. To date, these studies have focused on the rheological behavior of thickened fluids in shear deformation, while limited information is available on the surface tension of thickened fluids or their rheological behavior in extensional deformation. Knowledge of the extensional properties of thickened fluids (extensional viscosity and cohesiveness) is important to fully understand the behavior of such fluids while swallowing...
May 21, 2019: Dysphagia
Aline Cristina Pacheco-Castilho, Gabriela de Martini Vanin, Roberto Oliveira Dantas, Octávio Marques Pontes-Neto, Rosemary Martino
Dysphagia and its associated complications are expected to be relatively more frequent in stroke patients in Brazil than in similar patients treated in developed countries due to the suboptimal stroke care in many Brazilians medical services. However, there is no estimate of dysphagia and pneumonia incidence for the overall stroke population in Brazil. We conducted a systematic review of the recent literature to address this knowledge gap, first screening citations for relevance and then rating full articles of accepted citations...
May 20, 2019: Dysphagia
Julie Killerup Kaae, Marie Louise Spejlborg, Ulrik Spork, Kristine Bjørndal, Jesper Grau Eriksen
Dysphagia is a significant late morbidity following treatment with radiotherapy (RT) for head and neck squamous cell carcinomas (HNSCC). The purpose of this feasibility study was to test a gel-based saliva substitute to reduce the subjective assessment of dysphagia while eating food items varying in size and texture. Eligible study subjects treated with curative intended RT and suffering from dysphagia and xerostomia were recruited from the outpatient clinic during a two-month period. Nineteen subjects consented to participation and completed the EORTC QLQ-H&N35 questionnaire and three test meals...
May 9, 2019: Dysphagia
Amanda Khamis, Iona Novak, Catherine Morgan, Gloria Tzannes, Jane Pettigrew, Jeanette Cowell, Nadia Badawi
Feeding difficulties and dysphagia are common in cerebral palsy (CP) and can lead to deficiencies of development and aspiration pneumonia; a leading cause of death in CP. Motor learning interventions have shown positive results in other clinical areas and may be beneficial for this population. This systematic review appraises research that addresses the question: are motor learning-based interventions more effective than compensatory strategies alone in treating dysphagia in infants with, or at risk of, CP?...
May 8, 2019: Dysphagia
(no author information available yet)
No abstract text is available yet for this article.
May 6, 2019: Dysphagia
Karini Mayer Silva da Cunha, Taís de Campos Moreira, Sheila Taminini de Almeida, Helena Maria Tannhauser Barros, Maristela Ferigolo
Users of cocaine and/or crack may present symptoms of dysphagia due to changes in anatomical structures caused by the use of these substances. The objective of this study was to investigate the presence of symptoms suggestive of dysphagia in users of cocaine and/or crack seeking treatment, as well as to investigate the quality of life of these individuals related to their swallowing condition. A cross-sectional study from September 2015 to December 2016, with 121 users of cocaine and/or crack, was conducted...
May 4, 2019: Dysphagia
Taichi Mafune, Shinya Mikami, Takehito Otsubo, Osamu Saji, Tsunehisa Matsushita, Takeharu Enomoto, Futaba Maki, Shinobu Tochimoto
Swallowing difficulty is among the major complications that can occur after surgery for thoracic esophageal cancer. Recurrent laryngeal nerve paralysis (RLNP) has been considered the most significant cause of a postoperative swallowing difficulty, but association between the two has not been adequately explained. We investigated the relation between postoperative RLNP and swallowing difficulty by means of video fluoroscopy. Our study included 32 patients who underwent subtotal esophagectomy for thoracic esophageal cancer at St...
April 29, 2019: Dysphagia
Jixiang Gao, Xiaojun Guan, Zhidong Cen, You Chen, Xueping Ding, Yuting Lou, Sheng Wu, Bo Wang, Zhiyuan Ouyang, Min Xuan, Quanquan Gu, Xiaojun Xu, Peiyu Huang, Minming Zhang, Wei Luo
Dysphagia is a common non-primary symptom of patients with Parkinson's disease. The aim of this study is to investigate the underlying alterations of brain functional connectivity in Parkinson's disease patients with dysphagia by resting-state functional magnetic resonance imaging. We recruited 13 Parkinson's disease patients with dysphagia and ten patients without dysphagia, diagnosed by videofluoroscopic study of swallowing. Another 13 age and sex-matched healthy subjects were recruited. Eigenvector centrality mapping was computed to identify functional connectivity alterations among these groups...
April 29, 2019: Dysphagia
James A Curtis, Sonja Molfenter, Michelle S Troche
Dysphagia is a highly prevalent disorder in Parkinson's Disease (PD) characterized by changes in swallowing kinematics, residue, and airway invasion. These changes can lead to serious medical morbidities including malnutrition, aspiration pneumonia, and death. However, little is known about the most predictive causes of residue and airway invasion in this patient population. Therefore, the aims of this study were to (1) assess how disease severity affects residue, airway invasion, and swallowing kinematics in PD; and (2) determine which swallowing kinematic variables were most predictive of residue and airway invasion...
April 27, 2019: Dysphagia
Prasit Mahawongkajit, Ajjana Techagumpuch, Palin Limpavitayaporn, Amonpon Kanlerd, Ekkapak Sriussadaporn, Jatupong Juntong, Assanee Tongyoo, Chatchai Mingmalairak
In esophageal cancer treatment, nutrition by feeding tube has been demonstrated to improve patient tolerance of treatment, quality of life, and long-term outcomes. The open gastrostomy and percutaneous endoscopic gastrostomy (PEG) using introducer technique are procedures that avoid cancer cells seeding and also improve patient's nutritional status, hydration, and medication. The aim of this study is to compare the results of the introducer PEG and open gastrostomy in patients with advanced esophageal cancer...
April 25, 2019: Dysphagia
Jitsuro Yano, Sayako Yamamoto-Shimizu, Tomonori Yokoyama, Isami Kumakura, Kozo Hanayama, Akio Tsubahara
The activities of the suprahyoid muscles have been reported to be induced by tongue muscle contraction. The purpose of this research was to investigate whether tongue-strengthening exercises using a device cause hypertrophy of the geniohyoid muscle in healthy adults. Seven healthy young adults (3 men and 4 women, 21.0 ± 1.3 years old) received 8-week tongue muscle training with the JMS Tongue Pressure Measuring Device. The participants were instructed to press the anterior tongue against the hard palate 30 times in each session, three sessions a day, and 3 days a week...
April 22, 2019: Dysphagia
Raymond Fong, Anna F Rumbach, Elizabeth C Ward
At present, the nature and extent of upper esophageal stage clearance issues following nonsurgical management of nasopharyngeal cancer (NPC) is not well elucidated. The aim of this study was to conduct an initial retrospective study of the prevalence and severity of upper esophageal clearance impairments in a cohort of patients post-NPC management. A secondary aim was to explore any observed relationship between severity of impairment with both (a) aspiration and (b) temporal oropharyngeal swallowing measures...
April 15, 2019: Dysphagia
Bonnie Martin-Harris, Kathryn A Carson, Jeanne M Pinto, Maureen A Lefton-Greif
AIM: This investigation tested the construct validity of the first standardized assessment tool, the BaByVFSS Impairment Profile, (BaByVFSSImP©), developed for the quantification of swallowing observations made from videofluoroscopic swallow studies (VFSS) in bottle-fed babies. METHOD: Construct validity of the measures was tested using descriptive methods and confirmatory factor analysis (CFA) of swallowing scores obtained from a cohort of bottle-fed babies (median age 3 months 1 day, interquartile range 1 month 4 days-7 months 4 days) sequentially referred for VFSS based on clinical signs, symptoms, or risk factors associated with dysphagia and/or aspiration...
April 6, 2019: Dysphagia
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