1,693 results match your criteria Dysphagia [Journal]


Effects of Tongue-Strengthening Exercise on the Geniohyoid Muscle in Young Healthy Adults.

Dysphagia 2019 Apr 22. Epub 2019 Apr 22.

Department of Rehabilitation Medicine, Kawasaki Medical School, 577 Matsushima, Kurashiki, Okayama, 701-0192, Japan.

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. Read More

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http://dx.doi.org/10.1007/s00455-019-10011-2DOI Listing

Prevalence and Associated Impacts of Cervical Esophageal Clearance Issues Post Chemoradiotherapy for Nasopharyngeal Carcinoma (NPC).

Dysphagia 2019 Apr 15. Epub 2019 Apr 15.

School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, QLD, Australia.

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. Read More

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http://dx.doi.org/10.1007/s00455-019-10007-yDOI Listing
April 2019
1 Read

BaByVFSSImP A Novel Measurement Tool for Videofluoroscopic Assessment of Swallowing Impairment in Bottle-Fed Babies: Establishing a Standard.

Dysphagia 2019 Apr 6. Epub 2019 Apr 6.

Eudowood Division of Pediatric Respiratory Sciences, Department of Pediatrics, The Johns Hopkins University School of Medicine, David M. Rubenstein Building, Suite 3017, 200 North Wolfe Street, Baltimore, MD, 21287, USA.

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. Main outcome measures were emergence of functional domains derived from swallowing component impairment scores. Read More

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http://dx.doi.org/10.1007/s00455-019-10008-xDOI Listing
April 2019
3 Reads

What Are We Really Measuring? A Content Comparison of Swallowing Outcome Measures for Head and Neck Cancer Based on the International Classification of Functioning, Disability and Health (ICF).

Dysphagia 2019 Apr 3. Epub 2019 Apr 3.

Department of Speech Language Pathology, Rehabilitation Sciences Institute, Toronto, ON, Canada.

A combination of outcome measures are required to provide important information on the physiological profile and associated impact of dysphagia in head and neck cancer (HNC). Choosing the most appropriate tool can be a difficult and time-consuming process. The aim of this study was to identify and then compare the content of tools commonly used to assess swallowing post HNC care using the International Classification of Functioning Disability and Health (ICF) as a reference. Read More

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http://dx.doi.org/10.1007/s00455-019-10005-0DOI Listing

Radiation Dose During Videofluoroscopic Swallowing Studies and Associated Factors in Pediatric Patients.

Dysphagia 2019 Apr 3. Epub 2019 Apr 3.

Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea.

Although children are more radio-sensitive than adults, few studies have evaluated radiation dosage during videofluoroscopic swallowing study (VFSS) in children. The aim of the study was to investigate the radiation dosage using dose-area product (DAP) for VFSS in pediatric cases and to identify factors affecting the radiation dose. Patients aged 0-17 years who had undergone VFSS were included. Read More

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http://dx.doi.org/10.1007/s00455-019-10006-zDOI Listing
April 2019
1 Read

Outcomes of Endoscopic Dilation in Patients with Esophageal Anastomotic Strictures: Comparison Between Different Etiologies.

Dysphagia 2019 Mar 30. Epub 2019 Mar 30.

Department of Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India.

Background And Aims: This retrospective study was aimed at assessing the efficacy of endoscopic dilation for esophageal anastomotic strictures, and to compare response between caustic anastomotic strictures (CAS) and non-caustic anastomotic strictures (NCAS).

Materials And Methods: Patients with anastomotic strictures (enrolled during January 1996-December 2015) were analyzed. Short- and long-term outcomes of dilation, in terms of clinical success, refractory, and recurrent strictures were compared between NCAS and CAS. Read More

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http://dx.doi.org/10.1007/s00455-019-10004-1DOI Listing
March 2019
2 Reads

Internal Hypopharyngeal Cyst: A Review of Literature.

Dysphagia 2019 Mar 29. Epub 2019 Mar 29.

Department of Otorhinolaryngology-Head and Neck Surgery, Faculty of Medicine, Tunisia University, Tunis, Tunisia.

Detailed information on the hypopharyngeal cyst presentation, terminology, classification, diagnosis, management, and possible complication is scarce though it would lead to life-threatening symptoms. This review article, therefore, meticulously presents and analyzes the majority of the pertaining literature. In this context, a particular emphasis has been placed on the embryological development of the branchial arches while discussing each entity that would improve the current understanding of different pharyngeal cyst's pathologies. Read More

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http://dx.doi.org/10.1007/s00455-019-10003-2DOI Listing
March 2019
2 Reads

The Prediction of Risk of Penetration-Aspiration Via Hyoid Bone Displacement Features.

Dysphagia 2019 Mar 27. Epub 2019 Mar 27.

Department of Electrical and Computer Engineering, Swanson School of Engineering, University of Pittsburgh, Pittsburgh, PA, 15261, USA.

Videofluoroscopic swallow studies are widely used in clinical and research settings to assess swallow function and to determine physiological impairments, diet recommendations, and treatment goals for people with dysphagia. Videofluoroscopy can be used to analyze biomechanical events of swallowing, including hyoid bone displacement, to differentiate between normal and disordered swallow functions. Previous research has found significant associations between hyoid bone displacement and penetration/aspiration during swallowing, but the predictive value of hyoid bone displacement during swallowing has not been explored. Read More

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http://dx.doi.org/10.1007/s00455-019-10000-5DOI Listing
March 2019
1 Read

Association Between Laryngeal Sensation, Pre-swallow Secretions and Pharyngeal Residue on Fiberoptic Endoscopic Examination of Swallowing.

Dysphagia 2019 Mar 25. Epub 2019 Mar 25.

The Department of Otolaryngology Head and Neck Surgery, Kaplan Medical Center, Hebrew University of Jerusalem, POB 1, 76100, Rehovot, Israel.

Reduced laryngeal sensation and accumulated pharyngeal secretions are known predictors of aspiration. Yet, their association with residue has not been fully explored. One Hundred and ten fiberoptic endoscopic examination of swallowing (FEES) examinations were retrospectively analyzed. Read More

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http://dx.doi.org/10.1007/s00455-019-10001-4DOI Listing
March 2019
1 Read

Office-Based Cricopharyngeus Balloon Dilation for Post Chemoirradiation Dysphagia in Nasopharyngeal Carcinoma Patients: A Pilot Study.

Dysphagia 2019 Mar 19. Epub 2019 Mar 19.

Department of Ear, Nose & Throat, Queen Mary Hospital, Hong Kong SAR, China.

Dysphagia is a common sequela post chemo/radiotherapy for nasopharyngeal carcinoma (NPC), with cricopharyngeal dysfunction often a contributing factor. This study examined the impact of balloon dilation of the cricopharyngeus and cervical oesophagus on swallow competence for dysphagic patients with cricopharyngeal dysfunction post NPC. Patients with NPC were screened for dysphagia and cricopharyngeal dysfunction using fiberoptic endoscopic evaluation. Read More

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http://link.springer.com/10.1007/s00455-019-10002-3
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http://dx.doi.org/10.1007/s00455-019-10002-3DOI Listing
March 2019
7 Reads

Design and Validation of the Oropharyngeal Dysphagia Screening Test for Patients and Professionals: A Preliminary Study.

Dysphagia 2019 Mar 18. Epub 2019 Mar 18.

The Mind, Brain and Behavior Research Center (CIMCYC-UGR), Faculty of Psychology, University of Granada, Campus Cartuja S/N, 18071, Granada, Spain.

Dysphagia is a very common symptom in people of advanced age and with neurological diseases, although it often remains undiagnosed. At present, there are few assessment tools adapted for the Spanish-speaking population; of the few existing, most of them follow a self-reporting format, which requires a well-preserved cognitive state in the patient in order to be tested. Therefore, the main aim of this study was to design and validate an instrument for screening dysphagia without food, which could have a quick application and did not compromise the patient's safety. Read More

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http://dx.doi.org/10.1007/s00455-019-09999-4DOI Listing
March 2019
1 Read

Association Between Pharyngeal Pooling and Aspiration Using Fiberoptic Endoscopic Evaluation of Swallowing in Head and Neck Cancer Patients with Dysphagia.

Dysphagia 2019 Mar 13. Epub 2019 Mar 13.

Department of Otorhinolaryngology, Head and Neck Surgery, Maastricht University Medical Center, P.O. Box 5800, 6202 AZ, Maastricht, The Netherlands.

Postswallow pharyngeal pooling may be a risk factor for tracheal aspiration. However, limited literature shows the potential association between pharyngeal pooling and aspiration in head and neck cancer (HNC) patients. This study investigates the relationship between postswallow pharyngeal pooling and aspiration in HNC patients with oropharyngeal dysphagia. Read More

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http://dx.doi.org/10.1007/s00455-019-09992-xDOI Listing
March 2019
2 Reads

Open Versus Endoscopic Surgery of Zenker's Diverticula: A Systematic Review and Meta-analysis.

Dysphagia 2019 Mar 12. Epub 2019 Mar 12.

Department of Otolaryngology Head and Neck Surgery, University of Cincinnati, Cincinnati, OH, USA.

Most Zenker's diverticula (ZD) cohort studies are single-institution retrospective observational studies of recurrence rates. There is a gap in the literature regarding patient-reported outcomes after ZD surgery. This study was conducted to compare if open transcervical diverticulectomy (OD) is better than endoscopic laser diverticulectomy (ELD) or endoscopic stapler-assisted diverticulectomy (ESD). Read More

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http://dx.doi.org/10.1007/s00455-019-09994-9DOI Listing
March 2019
4 Reads

Swallowing with Noninvasive Positive-Pressure Ventilation (NPPV) in Individuals with Muscular Dystrophy: A Qualitative Analysis.

Dysphagia 2019 Mar 11. Epub 2019 Mar 11.

Department of Rehabilitation Medicine, University of Washington, Seattle, WA, USA.

The purpose of the study is to describe experiences of swallowing with two forms of noninvasive positive-pressure ventilation (NPPV): mouthpiece NPPV (M-NPPV) and nasal bilevel positive airway pressure (BPAP) in people with muscular dystrophy. Ten men (ages 22-42 years; M = 29.3; SD = 7. Read More

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http://dx.doi.org/10.1007/s00455-019-09997-6DOI Listing
March 2019
2 Reads

Reply to Wakabayashi Regarding "Sarcopenia is an Independent Risk Factor for Dysphagia in Community-Dwelling Older Adults".

Dysphagia 2019 Mar 11. Epub 2019 Mar 11.

Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.

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http://dx.doi.org/10.1007/s00455-019-09998-5DOI Listing
March 2019
1 Read

Progression of Oropharyngeal Dysphagia in Patients with Multiple System Atrophy.

Dysphagia 2019 Mar 9. Epub 2019 Mar 9.

Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul National University Hospital, 101 Daehak-Ro, Jongno-gu, Seoul, 03080, Republic of Korea.

We investigated the progression of oropharyngeal dysphagia in patients with multiple system atrophy (MSA), with particular emphasis on MSA subtype variation. Fifty-nine MSA patients (31 MSA-P, 21 MSA-C, and 7 MSA-PC) who had undergone at least one videofluoroscopic swallowing study (VFSS) to evaluate dysphagia symptoms were included. Clinical data and VFSS findings were retrospectively evaluated using the videofluoroscopic dysphagia scale (VDS), and the results of each MSA subtype group were compared. Read More

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http://dx.doi.org/10.1007/s00455-019-09990-zDOI Listing
March 2019
1 Read

Trends in Reporting of Swallowing Outcomes in Oropharyngeal Cancer Studies: A Systematic Review.

Dysphagia 2019 Mar 7. Epub 2019 Mar 7.

Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada.

Over the last two decades, dysphagia is increasingly recognized as a significant short-term and long-term issue in oropharyngeal cancer patients. However, there remains a lack of standardization and agreement about reporting swallowing outcomes in studies that assess treatment outcomes in this population. A systematic review was performed following PRISMA Guidelines by searching Pubmed (MEDLINE) and Scopus. Read More

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http://link.springer.com/10.1007/s00455-019-09996-7
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http://dx.doi.org/10.1007/s00455-019-09996-7DOI Listing
March 2019
14 Reads

Assessment of the Food-Swallowing Process Using Bolus Visualisation and Manometry Simultaneously in a Device that Models Human Swallowing.

Dysphagia 2019 Mar 6. Epub 2019 Mar 6.

Agrifood and Bioscience, Product Design and Perception, RISE, Research Institutes of Sweden AB, Göteborg, Sweden.

The characteristics of the flows of boluses with different consistencies, i.e. different rheological properties, through the pharynx have not been fully elucidated. Read More

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http://dx.doi.org/10.1007/s00455-019-09995-8DOI Listing
March 2019
1 Read

Radiation Risks to Adult Patients Undergoing Modified Barium Swallow Studies.

Dysphagia 2019 Mar 4. Epub 2019 Mar 4.

Department of Radiology and Radiological Science, Medical University of South Carolina, 96 Jonathan Lucas St, MSC 323, Charleston, SC, 29425-3230, USA.

Modified Barium Swallow Studies (MBSSs) are a fluoroscopic exam that exposes patients to ionizing radiation. Even though radiation exposure from MBSSs is relatively small, it is necessary to understand the excess cancer risk to the patient, in order to ensure a high benefit-to-risk ratio from the exam. This investigation was aimed at estimating the excess radiation risks during MBSSs. Read More

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http://dx.doi.org/10.1007/s00455-019-09993-wDOI Listing
March 2019
13 Reads

The Effects of Electrical Stimulation Pulse Duration on Lingual Palatal Pressure Measures During Swallowing in Healthy Older Adults.

Dysphagia 2019 Feb 28. Epub 2019 Feb 28.

Department of Communication Sciences and Disorders, Swallowing Research Laboratory, University of Central Florida, Orlando, USA.

Limited research in swallowing physiology has suggested that the most common existing transcutaneous electrical stimulation (TES) protocol (VitalStim) may not penetrate to layers of tissue to affect deep swallowing muscles. TES amplitude is the primary parameter that determines the depth of electrical current penetration (DECP). Preliminary work suggests that replacing a long-pulse duration with a short-pulse duration can increase maximum amplitude tolerance (MAT) within subjects' comfort level. Read More

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http://dx.doi.org/10.1007/s00455-019-09991-yDOI Listing
February 2019
2 Reads

Pharyngeal Swallowing During Wake and Sleep.

Dysphagia 2019 Feb 26. Epub 2019 Feb 26.

Department of Communication Disorders, University of Canterbury, Christchurch, New Zealand.

Sleep is associated with stages of relative cortical quiescence, enabling evaluation of swallowing under periods of reduced consciousness and, hence, absent volition. The aim of this study was to measure and characterize changes in the characteristics of pharyngeal swallows during sleep and wake using high-resolution manometry (HRM). Pharyngeal swallows were recorded with a ManoScan™ HRM in wake-upright, wake-supine, and sleep conditions in 20 healthy participants (mean 27 years; range 21-52). Read More

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http://dx.doi.org/10.1007/s00455-019-09989-6DOI Listing
February 2019

Upper Esophageal Sphincter Dysfunction in Gastroesophageal Reflux Disease.

Dysphagia 2019 Feb 23. Epub 2019 Feb 23.

Public Hospital of São Paulo State, Ribeirão Preto, SP, Brazil.

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http://dx.doi.org/10.1007/s00455-019-09988-7DOI Listing
February 2019
3 Reads

Vocal Fold Paralysis/Paresis as a Marker for Poor Swallowing Outcomes After Thoracic Surgery Procedures.

Dysphagia 2019 Feb 23. Epub 2019 Feb 23.

Surgery, Duke University Medical Center, DUMC Box 3805, Durham, NC, USA.

(1) To examine the association between vocal fold paresis/paralysis (VFP) and poor swallowing outcomes in a thoracic surgery cohort at the population level, and (2) to assess utilization of ENT/speech-language pathology intervention in these cases. The National Inpatient Sample (NIS) represents a 20% stratified sample of discharges from US hospitals. Using ICD-9 codes, discharges undergoing general thoracic surgical procedures between 2008 and 2013 were identified in the NIS. Read More

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http://dx.doi.org/10.1007/s00455-019-09987-8DOI Listing
February 2019

The Modified Barium Swallow Impairment Profile as a Predictor of Clinical Outcomes of Admission for Pneumonia or Choking in Dysphagic Patients with Parkinson's Disease.

Dysphagia 2019 Feb 22. Epub 2019 Feb 22.

Department of Neurology, National Neuroscience Institute, 11 Jalan Tan Tock Seng, Singapore, 308433, Singapore.

Dysphagia increases risk of pneumonia in patients with Parkinson's disease (PD). However, no studies have investigated the association between objective measures of swallowing dysfunction and clinical outcomes. Therefore, we aimed to study the link between scores obtained on the modified barium swallow impairment scale profile (MBSImP) and hospital admissions for pneumonia and choking, in groups of patients with PD on different feeding modes. Read More

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http://dx.doi.org/10.1007/s00455-019-09986-9DOI Listing
February 2019
1 Read

Effects of Motor Imagery and Visual Neurofeedback on Activation in the Swallowing Network: A Real-Time fMRI Study.

Dysphagia 2019 Feb 15. Epub 2019 Feb 15.

Institute of Psychology, University of Graz, Universitaetsplatz 2/III, 8010, Graz, Austria.

Motor imagery of movements is used as mental strategy in neurofeedback applications to gain voluntary control over activity in motor areas of the brain. In the present functional magnetic resonance imaging (fMRI) study, we first addressed the question whether motor imagery and execution of swallowing activate comparable brain areas, which has been already proven for hand and foot movements. Prior near-infrared spectroscopy (NIRS) studies provide evidence that this is the case in the outer layer of the cortex. Read More

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http://dx.doi.org/10.1007/s00455-019-09985-wDOI Listing
February 2019
2 Reads

Simultaneous Radiological and Fiberendoscopic Evaluation of Swallowing ("SIRFES") in Patients After Surgery of Oropharyngeal/Laryngeal Cancer and Postoperative Dysphagia.

Dysphagia 2019 Feb 14. Epub 2019 Feb 14.

Division of Phoniatrics-Logopedics, Department of Otorhinolaryngology, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.

To compare the results of a simultaneously performed videofluoroscopic swallowing study and fiberendoscopic evaluation of swallowing in patients with dysphagia after surgery and radiotherapy for oropharyngeal or laryngeal cancer. This prospective study included 31 patients who were examined simultaneously with a standardized protocol. The fiberendoscopic and videofluoroscopic swallowing loops were independently scored by two otorhinolaryngologists/phoniatricians and two radiologists. Read More

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http://dx.doi.org/10.1007/s00455-019-09979-8DOI Listing
February 2019
1 Read

Optimising Radiation Therapy Dose to the Swallowing Organs at Risk: An In Silico Study of feasibility for Patients with Oropharyngeal Tumours.

Dysphagia 2019 Feb 11. Epub 2019 Feb 11.

Radiation Oncology, Nelune Comprehensive Cancer Centre, POWH, Sydney, NSW, 2031, Australia.

Recent evidence suggests that reducing radiotherapy dose delivered to specific anatomical swallowing structures [Swallowing Organs at Risk (SWOARs)] may improve swallowing outcomes post-treatment for patients with head and neck cancer. However, for those patients with tumours of the oropharynx, which typically directly overlap the SWOARs, reducing dose to these structures may be unachievable without compromising on the treatment of the disease. To assess the feasibility of dose reduction in this cohort, standard IMRT plans (ST-IMRT) and plans with reduced dose to the SWOARs (SW-IMRT) were generated for 25 oropharyngeal cancer patients (Brouwer et al. Read More

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http://dx.doi.org/10.1007/s00455-019-09983-yDOI Listing
February 2019
2 Reads

A Comparative Analysis of Eating Behavior of School-Aged Children with Eosinophilic Esophagitis and Their Caregivers' Quality of Life: Perspectives of Caregivers.

Dysphagia 2019 Feb 2. Epub 2019 Feb 2.

Division of Pediatric Gastroenterology, Hepatology and Nutrition, Monroe Carell Jr. Children's Hospital at Vanderbilt University Medical Center, Doctors Office Tower, Suite 10226, 2200, Children's Way, Nashville, TN, 37232, USA.

Eosinophilic esophagitis (EoE) can affect eating behavior in infants and children and this may lead to stressful interactions with their caregivers and potentially impact their caregivers' quality of life. Clinical evaluation of eating behaviors can be time consuming and burdensome. Caregivers can provide a comprehensive assessment of their child's eating behavior; however, this has not been well studied in children with EoE. Read More

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http://dx.doi.org/10.1007/s00455-019-09984-xDOI Listing
February 2019
2 Reads

Validation and Reliability of the French Version of the Sydney Swallow Questionnaire.

Dysphagia 2019 Feb 1. Epub 2019 Feb 1.

Institut de Recherche Expérimentale et Clinique (IREC), Pôle de Pneumologie, ORL & Dermatologie, Université Catholique de Louvain, Brussels, Belgium.

Oropharyngeal dysphagia is frequently under-reported and early detection may lead to adapt strategies of rehabilitation and management decisions. The Sydney Swallow Questionnaire (SSQ), a self-reported questionnaire for the detection and quantification of oropharyngeal dysphagia, was previously adapted and validated in other languages but not in French. The purposes of this study were to develop and validate a French version of SSQ (SSQ-f) and to assess its psychometric properties. Read More

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http://dx.doi.org/10.1007/s00455-019-09978-9DOI Listing
February 2019
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Comment on "Sarcopenia is an Independent Risk Factor for Dysphagia in Community-Dwelling Older Adults".

Dysphagia 2019 Jan 30. Epub 2019 Jan 30.

Department of Rehabilitation Medicine, Yokohama City University Medical Center, 4-57 Urafune-chou, Minami Ward, Yokohama, 232-0024, Japan.

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http://dx.doi.org/10.1007/s00455-019-09981-0DOI Listing
January 2019

Dysphagia in Parkinson's Disease Improves with Vocal Augmentation.

Dysphagia 2019 Jan 29. Epub 2019 Jan 29.

Department of Otolaryngology, Head and Neck Surgery, University of Cincinnati College of Medicine, 231 Albert Sabin Way, ML #0528, Cincinnati, OH, 45267-0528, USA.

While voice-related disorders in Parkinson's disease (PD) are commonly discussed in the literature, dysphagia in PD is less widely published. Vocal fold augmentation, including injection laryngoplasty (IL), is a well-established treatment for glottal insufficiency (Cates et al. in Otolaryngol Head Neck Surg 155(3):454-457, 2016). Read More

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http://dx.doi.org/10.1007/s00455-019-09982-zDOI Listing
January 2019
1 Read

Relationship Between Laryngeal Sensation, Length of Intubation, and Aspiration in Patients with Acute Respiratory Failure.

Dysphagia 2019 Jan 29. Epub 2019 Jan 29.

Department of Otolaryngology, Boston University School of Medicine, Boston, MA, USA.

Dysphagia is common in hospitalized patients post-extubation and associated with poor outcomes. Laryngeal sensation is critical for airway protection and safe swallowing. However, current understanding of the relationship between laryngeal sensation and aspiration in post-extubation populations is limited. Read More

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http://dx.doi.org/10.1007/s00455-019-09980-1DOI Listing
January 2019
11 Reads
1.602 Impact Factor

Clinical Approaches to Assess Post-extubation Dysphagia (PED) in the Critically Ill.

Dysphagia 2019 Jan 25. Epub 2019 Jan 25.

Department of Intensive Care Medicine, Inselspital, University Hospital of Bern, University of Bern, Freiburgstrasse 18, 3010, Bern, Switzerland.

Swallowing disorders and respective consequences (including aspiration-induced pneumonia) are often observed in extubated ICU patients with data indicating that a large number of patients are affected. We recently demonstrated in a large-scale analysis that the incidence of post-extubation dysphagia (PED) is 12.4% in a general ICU population and about 18% in emergency admissions to the ICU. Read More

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http://dx.doi.org/10.1007/s00455-019-09977-wDOI Listing
January 2019
2 Reads

A Device that Models Human Swallowing.

Dysphagia 2019 Jan 23. Epub 2019 Jan 23.

Diagnostic Centre of Imaging and Functional Medicine, Skåne University Hospital, Lund University, Malmö, Sweden.

The pharynx is critical for correct swallowing, facilitating the transport of both air and food transport in a highly coordinated manner, and aberrant co-ordination causes swallowing disorders (dysphagia). In this work, an in vitro model of swallowing was designed to investigate the role of rheology in swallowing and for use as a pre-clinical tool for simulation of different routes to dysphagia. The model is based on the geometry of the human pharynx. Read More

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http://dx.doi.org/10.1007/s00455-018-09969-2DOI Listing
January 2019
8 Reads

The Association of 3-D Volume and 2-D Area of Post-swallow Pharyngeal Residue on CT Imaging.

Dysphagia 2019 Jan 14. Epub 2019 Jan 14.

Department of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, MD, 21287, USA.

Pharyngeal residue, the material that remains in the pharynx after swallowing, is an important marker of impairments in swallowing and prandial aspiration risk. The goals of this study were to determine whether the 2D area of post-swallow residue accurately represents its 3D volume, and if the laterality of residue would affect this association. Thirteen patients with dysphagia due to brainstem stroke completed dynamic 320-detector row computed tomography while swallowing a trial of 10 ml honey-thick barium. Read More

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http://dx.doi.org/10.1007/s00455-018-09968-3DOI Listing
January 2019
3 Reads

Improving the Diagnostic Capability of the Modified Barium Swallow Study Through Standardization of an Esophageal Sweep Protocol.

Dysphagia 2019 02 11;34(1):34-42. Epub 2019 Jan 11.

Center for Swallowing Disorders, University of South Florida, 13330 USF Laurel Drive, Tampa, FL, 33612, USA.

The modified  barium swallow (MBS) study is a videofluoroscopic evaluation of oropharyngeal swallow function. Esophageal imaging is not routinely performed during an MBS, and few guidelines for implementation or interpretation exist. Aims of the current investigation were to (1) delineate the percentage of normal, oropharyngeal, esophageal, and mixed swallowing dysfunction, (2) develop operational definitions for rating our standardization cursory view of esophageal bolus flow, and (3) determine inter-rater reliability between speech pathology (SLP) and physician raters for categorizing esophageal abnormalities. Read More

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http://dx.doi.org/10.1007/s00455-018-09966-5DOI Listing
February 2019
3 Reads

The Influence of Age, Sex, Visual Feedback, Bulb Position, and the Order of Testing on Maximum Anterior and Posterior Tongue Strength in Healthy Belgian Children.

Dysphagia 2019 Jan 7. Epub 2019 Jan 7.

Department of Otolaryngology and Head & Neck Surgery-Rehabilitation Center for Communication Disorders, Antwerp University Hospital, Wilrijkstraat 10, Edegem, 2650, Antwerp, Belgium.

Tongue strength and its role in the pathophysiology of dysphagia in adults are well accepted and studied. An objective and reliable measurement of tongue strength in children necessitates equally good methodology, knowledge of influencing factors, and normative data. Only limited data on testing tongue strength in children are available thereby limiting its potential use. Read More

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http://dx.doi.org/10.1007/s00455-019-09976-xDOI Listing
January 2019
3 Reads

Understanding Dysphagia Care in the Community Setting.

Dysphagia 2019 Jan 7. Epub 2019 Jan 7.

Menzies Health Institute Queensland, Griffith University, Gold Coast Campus, Southport, QLD, 4222, Australia.

Factors including health policy reform and the aging population are increasing demand for quality healthcare in the community. People with dysphagia are supported by speech-language pathologists (SLPs) in hospital and community settings; however, little is known about the nature of dysphagia services offered by SLPs in the community. The aim of this study was to investigate SLP services and practices provided to community-based adults with dysphagia. Read More

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http://dx.doi.org/10.1007/s00455-018-09971-8DOI Listing
January 2019
4 Reads

To Sweep or Not to Sweep.

Authors:
Olle Ekberg

Dysphagia 2019 02 7;34(1). Epub 2019 Jan 7.

Division of Medical Radiology, Department of Translational Medicine, Skåne University Hospital, Lund University, Inga Marie Nilssons gata 49, 205 02, Malmö, Sweden.

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http://dx.doi.org/10.1007/s00455-018-09967-4DOI Listing
February 2019
2 Reads

Disruption of the Obligatory Swallowing Sequence in Patients with Wallenberg Syndrome.

Dysphagia 2019 Jan 7. Epub 2019 Jan 7.

Department of Physical Medicine and Rehabilitation, Tohoku University Graduate School of Medicine, 2-1 Seiryo-machi, Aoba-ku, Sendai, 980-8575, Japan.

Although the sequence of events involved in swallowing varies among healthy adults, healthy adults demonstrate some consistent patterns, including opening of the upper esophageal sphincter (UES) prior to maximum laryngeal elevation (LE). Previous animal studies suggested that swallowing is regulated by a neuronal network in the medulla, and lateral medullary infarction, or Wallenberg syndrome, frequently causes dysphagia. This retrospective, observational, multicenter study aimed to determine if the sequence of swallowing events was disturbed in patients with Wallenberg syndrome compared with previously published reference data for healthy adults. Read More

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http://dx.doi.org/10.1007/s00455-018-09970-9DOI Listing
January 2019
3 Reads

Changes in the Excitability of Corticobulbar Projections Due to Intraoral Cooling with Ice.

Dysphagia 2019 Jan 8. Epub 2019 Jan 8.

Sobell Department of Motor Neuroscience and Movement Disorders, UCL Institute of Neurology, London, UK.

The aim of this study was to assess the effects of ice applied to the oral cavity on the excitability of corticobulbar projections to the swallowing muscles. The subjects were 8 healthy adult volunteers (mean age 29.0 ± 4. Read More

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http://dx.doi.org/10.1007/s00455-018-09975-4DOI Listing
January 2019
3 Reads

Dysphagia-Related Quality of Life in Adults with Cerebral Palsy on Full Oral Diet Without Enteral Nutrition.

Dysphagia 2019 04 5;34(2):201-209. Epub 2019 Jan 5.

Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul National University College of Medicine, 101 Daehak-Ro, Jongno-Gu, Seoul, 03080, Republic of Korea.

There have been no quantitative studies on dysphagia and its impact on quality of life (QOL) of adults with cerebral palsy (CP). In this cross-sectional study, we aimed to investigate the characteristics of dysphagia symptoms and their impact on QOL in adults with CP on a full oral diet compared with healthy adults. Additionally, we aimed to determine the factors affecting dysphagia-related QOL in this population. Read More

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http://dx.doi.org/10.1007/s00455-018-09972-7DOI Listing
April 2019
3 Reads

Development of a Non-invasive Device for Swallow Screening in Patients at Risk of Oropharyngeal Dysphagia: Results from a Prospective Exploratory Study.

Dysphagia 2019 Jan 5. Epub 2019 Jan 5.

Medical Devices, Nestlé Health Science, Lausanne, Switzerland.

Oropharyngeal dysphagia is prevalent in several at-risk populations, including post-stroke patients, patients in intensive care and the elderly. Dysphagia contributes to longer hospital stays and poor outcomes, including pneumonia. Early identification of dysphagia is recommended as part of the evaluation of at-risk patients, but available bedside screening tools perform inconsistently. Read More

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http://link.springer.com/10.1007/s00455-018-09974-5
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http://dx.doi.org/10.1007/s00455-018-09974-5DOI Listing
January 2019
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Sarcopenia is an Independent Risk Factor for Dysphagia in Community-Dwelling Older Adults.

Dysphagia 2019 Jan 5. Epub 2019 Jan 5.

Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul National University Bundang Hospital, 82, Gumi-ro 173 Beon-gil, Bundang-gu, Seongnam-si, Gyeonggi-do, 13620, Korea.

Dysphagia is common in older adults and associated with increased socioeconomic burdens. Recently, sarcopenia is considered to be a possible contributor for dysphagia. The purpose of this study is to investigate the association of dysphagia with sarcopenia in a geriatric population in Korea. Read More

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http://link.springer.com/10.1007/s00455-018-09973-6
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http://dx.doi.org/10.1007/s00455-018-09973-6DOI Listing
January 2019
12 Reads

Effects of Low-Frequency Repetitive Transcranial Magnetic Stimulation on Swallowing Function and Quality of Life of Post-stroke Patients.

Dysphagia 2019 Jan 2. Epub 2019 Jan 2.

Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Hacettepe University, 06100, Sıhhıye, Ankara, Turkey.

Repetitive transcranial magnetic stimulation (rTMS) is one of the non-invasive techniques, which is used to modulate cortical regions in patients with stroke. The aim of this single blind, controlled study was to investigate the effect of rTMS on swallowing function and quality of life of mono-hemispheric post-stroke patients with dysphagia. Twenty-eight patients were randomized and split between study and control group. Read More

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http://dx.doi.org/10.1007/s00455-018-09965-6DOI Listing
January 2019
9 Reads
1.602 Impact Factor

Does the Hebrew Eating Assessment Tool-10 Correlate with Pharyngeal Residue, Penetration and Aspiration on Fiberoptic Endoscopic Examination of Swallowing?

Dysphagia 2019 Jan 2. Epub 2019 Jan 2.

The Department of Otolaryngology Head and Neck Surgery, Sheba Medical Center, Affiliated with the Tel Aviv University, Tel Hashomer, Israel.

The Eating Assessment Tool-10 (EAT-10) is a 10-item patient-reported outcome measure (PROM) for dysphagia patients. The objective of this study was to translate and validate the EAT-10 and to test for a correlation between its score and residue, penetration and aspiration on Fiberoptic Endoscopic Examination of Swallowing (FEES). 136 patients visiting two specialized dysphagia clinics and undergoing FEES between April 2015 and August 2017, filled the EAT-10. Read More

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http://dx.doi.org/10.1007/s00455-018-9964-xDOI Listing
January 2019
3 Reads

Economic Analysis of a Three-Arm RCT Exploring the Delivery of Intensive, Prophylactic Swallowing Therapy to Patients with Head and Neck Cancer During (Chemo)Radiotherapy.

Dysphagia 2018 Dec 4. Epub 2018 Dec 4.

Radiation Oncology Department, Princess Alexandra Hospital, Metro South Hospital & Health Service, Brisbane, QLD, 4102, Australia.

Research advocates for the use of intensive, prophylactic swallowing therapy to help reduce the severity of dysphagia in patients receiving (chemo)radiotherapy ([C]RT) for head/neck cancer (HNC). Unfortunately, the intensity of this therapy, coupled with growing patient numbers and limited clinical resources, provides challenges to many international cancer facilities. Telepractice has been proposed as a potential method to provide patients with greater support in home-practice, whilst minimising burden to the health service. Read More

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http://link.springer.com/10.1007/s00455-018-9960-1
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http://dx.doi.org/10.1007/s00455-018-9960-1DOI Listing
December 2018
16 Reads

Laryngeal Vibration Increases Spontaneous Swallowing Rates in Chronic Oropharyngeal Dysphagia: A Proof-of-Principle Pilot Study.

Dysphagia 2018 Nov 28. Epub 2018 Nov 28.

Department of Communication Sciences and Disorders, James Madison University, 235 MLK Jr. Way, MSC 4304, Harrisonburg, VA, 22087, USA.

Previously, vibratory stimulation increased spontaneous swallowing rates in healthy volunteers indicating that sensory stimulation excited the neural control of swallowing. Here, we studied patients with severe chronic dysphagia following brain injury or radiation for head and neck cancer to determine if sensory stimulation could excite an impaired swallowing system. We examined (1) if laryngeal vibratory stimulation increased spontaneous swallowing rates over sham (no stimulation); (2) the optimal rate of vibration, device contact pressure, and vibratory mode for increasing swallowing rates; and (3) if vibration altered participants' urge to swallow, neck comfort, and swallow initiation latency. Read More

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http://dx.doi.org/10.1007/s00455-018-9962-zDOI Listing
November 2018
9 Reads

The Relationship Between Leukoaraiosis Involving Contralateral Corticobulbar Tract and Dysphagia in Patients with Acute Unilateral Corona Radiata Infarction with Corticobulbar Tract Involvement.

Dysphagia 2018 Nov 21. Epub 2018 Nov 21.

Department of Neurology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.

This study investigated the impact of leukoaraiosis (LA) involving the contralateral corticobulbar tract (CBT) on dysphagia in patients with unilateral corona radiata (CR) infarction with CBT involvement. Patients admitted to the Department of Neurology (September 2011-August 2014) were evaluated; those with a first episode of acute unilateral CR infarction involving the CBT and with LA were included. The 'Case' group comprised patients with LA involving the contralateral CBT; the 'Control' group comprised patients with LA not involving the contralateral CBT. Read More

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http://dx.doi.org/10.1007/s00455-018-9963-yDOI Listing
November 2018
14 Reads

Effect of Age, Sex, Bolus Volume, and Bolus Consistency on Whiteout Duration in Healthy Subjects During FEES.

Dysphagia 2019 04 19;34(2):192-200. Epub 2018 Nov 19.

Department of Biomedical and Clinical Sciences, L. Sacco Hospital, University of Milan, Milan, Italy.

One of the major limitations of the fiberoptic endoscopic evaluation of swallowing (FEES) is related to the challenging application of temporal measures. Among them, Whiteout (WO) is due to pharyngeal and tongue base contraction and might be used as an estimation of the pharyngeal phase duration. The aims of this study were to evaluate the inter- and intrarater reliability of WO duration and to appraise the effects of age, sex, volume, and texture of the boluses on this temporal measurement. Read More

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http://link.springer.com/10.1007/s00455-018-9961-0
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http://dx.doi.org/10.1007/s00455-018-9961-0DOI Listing
April 2019
24 Reads