Long-term postoperative dysphagia in oral/pharyngeal surgery patients: Subjects' perceptions vs. videofluoroscopic observations

Baker, Barbara M.; Fraser, Anne; Baker, Claude D.

doi:10.1007/bf02503458

Cited by 13 publications

(8 citation statements)

References 7 publications

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“…The moderate correlation is consistent with two previous studies [2,10] . After oral and pharyngeal surgery, the correlation between patient selfcomplaints of swallowing difficulties and results of the videofluoroscopic studies was 042-0.57 [10] while in patients diagnosed with Zenker's diverticulum, the correla- tion was 0.56 [2] . We hypothesize that the structural deficits in these patients resulted in damaged peripheral sensory nerve endings, thus providing less sensory feedback cues during swallowing.…”

Section: Discussionsupporting

confidence: 93%

Patient Self-Perceptions of Swallowing Difficulties as Compared to Expert Ratings of Videofluorographic Studies

Ding

Logemann

2008

Folia Phoniatr Logop

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Background/Aims: Research investigating the relationship between subjective and objective assessment of dysphagia in patients with various diagnoses has yielded conflicting results.The goal of this study is to investigate the reliability of patient self-perceptions of swallowing difficulties compared to expert ratings of videofluorographic studies considering three medical diagnostic categories: neurological disorders, structural deficits and general medical diagnoses. Methods: One hundred and three patients who were referred for videofluorographic swallow evaluation were included in the study. Face-to-face interviews with patients were conducted before their videofluorographic studies. The correlation between patient self-perceptions and expert ratings of the videofluorographic studies was established by comparing the results of patients’ self-reports with the results of the videofluorographic studies. Results: The correlation between patient self-perceptions of swallowing difficulties and expert ratings of the videofluorographic studies varied greatly depending on the patients’ medical diagnoses. The correlation was mild in patients with neurological disorders, moderate in patients with structural deficits and high in patients with general medical diagnoses. Conclusion: The results of this study demonstrated that patient self-perceptions of swallowing difficulties should be used as one of the criteria, but not the only one, in making referrals for further swallowing evaluation, especially in patients with neurological disorders.

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Section: Discussionsupporting

confidence: 93%

Patient Self-Perceptions of Swallowing Difficulties as Compared to Expert Ratings of Videofluorographic Studies

Ding

Logemann

2008

Folia Phoniatr Logop

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“…Of the 15 items, the presence of ten indicates depression. The DST27,28 is a questionnaire with ten items that relies on self-assessment of symptoms and can help determine whether the individual feels that he/she is at risk of dysphagia/aspiration. The score ranges from 0 (no symptoms) to 10 (all symptoms).…”

Section: Methodsmentioning

confidence: 99%

Swallowing disorders in nursing home residents: how can the problem be explained?

Nogueira¹,

Reis²

2013

CIA

114

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BackgroundThe swallowing mechanism changes significantly as people age, even in the absence of chronic diseases. Presbyphagia, a term that refers to aging-related changes in the swallowing mechanism, may be linked to many health conditions and presents itself in distinct ways. Swallowing disorders are also identified as a major problem amongst the elderly population living in nursing homes.MethodsThe study sought to determine the prevalence of swallowing disorders in nursing home residents, to identify the relationship between self-perceived swallowing disorders, cognitive functions, autonomy, and depression, and also to analyze which variables explain the score of the Dysphagia Self-Test (DST). For this purpose, the researchers chose to apply a survey conveying questions on demographic aspects, general health, eating and feeding, as well as instruments to assess functional performance and the 3 ounce Water Swallow Test.ResultsThe sample consisted of 272 elderly people living in eight nursing homes in Portugal. Six did not sign the informed consent form. Of the total, 29% were totally dependent, 33% were depressed, 45% had cognitive impairment, and 38% needed help with feeding. About 43% of the individuals reported having problems related to eating. Regarding the DST, 40% showed signs of dysphagia. With respect to the 3 ounce Water Swallow Test, 38% revealed at least one of the symptoms, wet voice being the most prevalent. Correlation measures showed that age had no linear association with the DST score although correlation with the Barthel Index and Mini Mental State Examination was found to be significant. A linear regression model was estimated with the DST score as the dependent variable and the MMSE and BI scores, gender, age, education, the Geriatric Depression Scale score, 3 ounce Water Swallow Test, and diagnosed conditions (such as neurological disorder, dementia, and cardiorespiratory problems) as explaining variables.ConclusionResults showed a high prevalence of dysphagia signs amongst a nursing home population. For the purpose of the present study, both a subjective and an objective assessment were applied. Results pointed to a significant statistical relation between objective and subjective measures, thus indicating that a self-perception test should be included in the assessment of swallowing disorders in a nursing home population. Notwithstanding, it should not be used as a single or principal measure as it is influenced by the individuals’ cognitive condition.

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“…Dysphagia may be either the result of the underlying disease process or the sequelae of commonly used treatment protocols [1,. Sites of H&N cancer associated with dysphagia include the oral cavity, pharynx, and larynx [1, as oral, pharyngeal, and laryngeal musculature play an important role in swallowing.…”

mentioning

confidence: 99%

“…H&N cancer and its associated treatments can adversely affect tongue function [1][2][3][4][5][6][7][8][9][10][11][12]. Patients with H&N cancer, before treatment onset, have demonstrated significantly lower oral tongue strength (defined as maximum isometric pressure or force generation) when compared with normal (noncancer) subjects [6].…”

mentioning

confidence: 99%

“…Patients with H&N cancer, before treatment onset, have demonstrated significantly lower oral tongue strength (defined as maximum isometric pressure or force generation) when compared with normal (noncancer) subjects [6]. Negative effects that surgery, chemotherapy, radiotherapy, and multimodality treatment protocols have on tongue function have been documented [1,2,[4][5][6][7]10,12]. Patients with tongue base resection experience a decrease in volume of tongue base available for pressure generation and, consequently, a reduction in the tongue driving force [12].…”

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confidence: 99%

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Comparison of Two Methods for Measuring Tongue Pressure During Swallowing in People with Head and Neck Cancer

et al. 2006

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Reliable measurement tools are essential to achieve rigor in dysphagia research. In order for tongue pressure to be measured accurately in the head and neck cancer population, where change in function needs to be captured over time, a reliable tool is required. Assessing the reliability of tools that are used in swallowing evaluation has been a neglected area of dysphagia research. This article evaluates and compares the reliability of two variants of the Kay Swallowing Workstation (KSW) three-bulb silicon tongue pressure array (hand-held and fixed-position) when used to capture oral tongue pressures in two groups of participants diagnosed with head and neck cancer who had not yet commenced cancer treatment. Tongue pressure data and videofluoroscopic images were collected and recorded simultaneously onto the KSW while participants swallowed set quantities of liquid and pudding boluses. Peak amplitude tongue pressures were extracted and used in analyses. Systematic and nonsystematic variability were examined using analysis of variance and intraclass correlation coefficients, respectively. The fixed-position array demonstrated better reliability than did the hand-held method. This should be further investigated with a larger participant sample.

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Long-term postoperative dysphagia in oral/pharyngeal surgery patients: Subjects' perceptions vs. videofluoroscopic observations

Cited by 13 publications

References 7 publications

Patient Self-Perceptions of Swallowing Difficulties as Compared to Expert Ratings of Videofluorographic Studies

Patient Self-Perceptions of Swallowing Difficulties as Compared to Expert Ratings of Videofluorographic Studies

Swallowing disorders in nursing home residents: how can the problem be explained?

Comparison of Two Methods for Measuring Tongue Pressure During Swallowing in People with Head and Neck Cancer

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