Title |
An Investigation of the Post-laryngectomy Swallow Using Videofluoroscopy and Fiberoptic Endoscopic Evaluation of Swallowing (FEES)
|
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Published in |
Dysphagia, January 2018
|
DOI | 10.1007/s00455-017-9862-7 |
Pubmed ID | |
Authors |
Margaret M. Coffey, Neil Tolley, David Howard, Michael Drinnan, Mary Hickson |
Abstract |
This study investigates the post-laryngectomy swallow. Presence and degree of residue on the post-laryngectomy swallow as observed on videofluoroscopy and FEES is described. In addition, videofluoroscopy and FEES are assessed for reliability and inter-instrument agreement. 30 laryngectomy subjects underwent dysphagia evaluation using simultaneous videofluoroscopy and FEES. These were reviewed post-examination by three expert raters using a rating scale designed for this purpose. Raters were blinded to subject details, type of laryngectomy surgery, pairing of FEES and videofluoroscopy examinations and the scores of other raters. There was a finding of residue in 78% of videofluoroscopy ratings, and 83% of FEES ratings. Comparison of the tools indicated poor inter-rater reliability and poor inter-instrument agreement. Dysphagia is an issue post laryngectomy as measured by patient self-report and by instrumental evaluation. However, alternative dysphagia rating tools and dysphagia evaluation tools are required to enable accurate identification and intervention for underlying swallow physiology post laryngectomy. |
X Demographics
Geographical breakdown
Country | Count | As % |
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United Kingdom | 10 | 53% |
United States | 3 | 16% |
Ireland | 1 | 5% |
Unknown | 5 | 26% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 12 | 63% |
Practitioners (doctors, other healthcare professionals) | 4 | 21% |
Scientists | 3 | 16% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 64 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Ph. D. Student | 10 | 16% |
Other | 8 | 13% |
Student > Master | 7 | 11% |
Student > Bachelor | 6 | 9% |
Researcher | 5 | 8% |
Other | 7 | 11% |
Unknown | 21 | 33% |
Readers by discipline | Count | As % |
---|---|---|
Nursing and Health Professions | 17 | 27% |
Medicine and Dentistry | 12 | 19% |
Neuroscience | 2 | 3% |
Linguistics | 1 | 2% |
Computer Science | 1 | 2% |
Other | 6 | 9% |
Unknown | 25 | 39% |