Digital cineradiographic study of swallowing in patients with amyotrophic lateral sclerosis

Abstract

The videofluoroscopic swallowing study has high diagnostic capabilities in the evaluation of swallowing disorders, as it is able to identify the degree and causes of impairment. In addition, the study proved useful for planning speech therapy and for follow-up in patients with ALS.

Local neck symptoms before and after thyroidectomy: a possible correlation with reflux laryngopharyngitis

“…VideoXuoroscopic swallowing studies [15][16][17] were performed in all patients by the same radiologist; the following parameters were considered for each patient to evaluate the swallowing alterations: hyoid elevation and epiglottic tilting; stasis of the bolus in the pharynx, valleculae and/or pyriform sinuses. VFSS was considered positive even if only one of the two conditions, laryngeal movement alterations or stasis of bolus, was present.…”

Amyotrophic lateral sclerosis: sonographic evaluation of dysphagia

“…Videofluoroscopy (VFS) consists in videorecording fluoroscopic images obtained during ingestion of a barium sulphate suspension and allows morphological, dimensional and dynamic evaluation of bolus passage through the aerodigestive tract. However, although excellent for depicting the pharyngeal and oesophageal phases, VFS is limited in the study of the oral phase, as it is unable to evaluate the muscular structure of the tongue and floor of the mouth [2,7,[9][10][11]. Ultrasonography allows easy visualisation of the aerodigestive tract involved in the oral phase of deglutition without the use of ionising radiation.…”

“…Essa consente la valutazione morfologica, dimensionale e dinamica del passaggio del bolo attraverso il sistema aerodigestivo. Tuttavia la VFS, mentre risulta ottimale per la documentazione delle fasi faringea ed esofagea, non consente uno studio ottimale della fase orale, non potendo valutare la struttura muscolare della lingua e del pavimento buccale [2,7,[9][10][11]. L'ecografia, senza l'utilizzo di radiazioni ionizzanti, permette di visualizzare agevolmente le strutture del sistema aerodigestivo coinvolte nella fase orale della deglutizione.…”

Videofluorography swallow study of patients with systemic sclerosis

“…Tuttavia, nessuna di esse è in grado di fornire informazioni dirette riguardo l'eventuale presenza di alterazioni primitive della deglutizione del bolo alimentare. Lo studio videofluorografico (VFG) è l'indagine di riferimento nello studio morfodinamico della deglutizione ed affidabile metodica anche nell'identificazione delle alterazioni motorie esofagee, del GERD e dell'ernia jatale [10][11][12][13][14][15][16][17][18].…”

“…Although these techniques are currently the reference methods for identifying motor alterations, GORD, lesions of the mucosa and hiatus hernia [8,9], none of them is able to provide direct information regarding the possible presence of primary alterations of swallowing of the food bolus. Videofluorography (VFG) is the reference examination for the morphodynamic study of swallowing and is also a reliable technique for identifying oesophageal motor alterations, GORD and hiatus hernia [10][11][12][13][14][15][16][17][18].…”