Airway protection & patterns of dysphagia in infants with down syndrome: Videofluoroscopic swallow study findings & correlations

2020 ◽  
Vol 132 ◽  
pp. 109908
Author(s):  
Amit Narawane ◽  
James Eng ◽  
Christina Rappazzo ◽  
Jeanan Sfeir ◽  
Kimberly King ◽  
...  
Keyword(s):  
Down Syndrome ◽  
Airway Protection ◽  
Swallow Study ◽  
Videofluoroscopic Swallow Study

Videofluoroscopic Swallow Studies and Diagnostic Outcomes in Otherwise Healthy Infants With Dysphagia

2021 ◽  
pp. 000348942110477
Author(s):  
Michael C. Shih ◽  
Christina Rappazzo ◽  
Caroline Hudson ◽  
Julina Ongkasuwan
Keyword(s):  
Chart Review ◽  
Future Research ◽  
Silent Aspiration ◽  
Healthy Infants ◽  
Laryngeal Penetration ◽  
Swallow Study ◽  
Videofluoroscopic Swallow Study ◽  
Diagnostic Outcomes ◽  
Tracheal Aspiration

Objectives: To evaluate videofluoroscopic swallow study (VFSS) findings in infants with dysphagia and without prior diagnoses, and to characterize the outcomes and any diagnoses that follow. Methods: A chart review of all pediatric patients who received a VFSS at a tertiary children’s hospital from November 2008 to March 2017 was performed. Results: There were 106 infants (57 males and 49 females) with 108 VFSS. VFSS was normal in 18 (16.98%) infants. Regarding airway protection, 50 (47.17%) infants had laryngeal penetration, and 8 (7.55%) had tracheal aspiration; 3 (2.83%, 37.5% of all aspirators) exhibited silent aspiration. Of the 75 infants with minimum 2-year follow-up, 35 (46.67%) had no sequelae of disease and received no diagnoses. The most common diagnoses and pathologic sequelae were gastroesophageal reflux (n = 18, 24.00%), asthma (n = 8, 10.67%), laryngomalacia (n = 6, 8.00%), and tracheomalacia (n = 4, 5.33%), all consistent with United States pediatric data on prevalence. All infants (n = 51) with follow-up for dysphagia had resolution of symptoms within 9 months from VFSS order date. Conclusions: Otherwise healthy infants may show signs of dysphagia and not develop later illness. Parents can thus be counseled on the implications of dysphagia in a previously healthy infant. Our findings provide comparative statistics for future research in pediatric dysphagia.

scholarly journals Structural cause of dysphagia detected during videofluoroscopic swallow study

2017 ◽  
Vol 5 (8) ◽  
pp. 1420-1421
Author(s):  
Ezekiel Wong Toh Yoon ◽  
Syu Kabuto
Keyword(s):  
Swallow Study ◽  
Videofluoroscopic Swallow Study

Children With Central and Peripheral Neurologic Disorders Have Distinguishable Patterns of Dysphagia on Videofluoroscopic Swallow Study

2013 ◽  
Vol 29 (5) ◽  
pp. 646-653 ◽  
Author(s):  
Lenie van den Engel-Hoek ◽  
Corrie E. Erasmus ◽  
Karen C. M. van Hulst ◽  
Joan C. Arvedson ◽  
Imelda J. M. de Groot ◽  
...  
Keyword(s):  
Neurologic Disorders ◽  
Swallow Study ◽  
Videofluoroscopic Swallow Study

scholarly journals Identification of Swallowing Tasks From a Modified Barium Swallow Study That Optimize the Detection of Physiological Impairment

2017 ◽  
Vol 60 (7) ◽  
pp. 1855-1863 ◽  
Author(s):  
R. Jordan Hazelwood ◽  
Kent E. Armeson ◽  
Elizabeth G. Hill ◽  
Heather Shaw Bonilha ◽  
Bonnie Martin-Harris
Keyword(s):  
Generalized Estimating Equations ◽  
High Probability ◽  
Secondary Data ◽  
Barium Swallow ◽  
Oral Clearance ◽  
Airway Protection ◽  
Modified Barium Swallow ◽  
Severe Impairment ◽  
Swallow Study ◽  
Modified Barium Swallow Study

Purpose The purpose of this study was to identify which swallowing task(s) yielded the worst performance during a standardized modified barium swallow study (MBSS) in order to optimize the detection of swallowing impairment. Method This secondary data analysis of adult MBSSs estimated the probability of each swallowing task yielding the derived Modified Barium Swallow Impairment Profile (MBSImP™©; Martin-Harris et al., 2008) Overall Impression (OI; worst) scores using generalized estimating equations. The range of probabilities across swallowing tasks was calculated to discern which swallowing task(s) yielded the worst performance. Results Large-volume, thin-liquid swallowing tasks had the highest probabilities of yielding the OI scores for oral containment and airway protection. The cookie swallowing task was most likely to yield OI scores for oral clearance. Several swallowing tasks had nearly equal probabilities (≤ .20) of yielding the OI score. Conclusions The MBSS must represent impairment while requiring boluses that challenge the swallowing system. No single swallowing task had a sufficiently high probability to yield the identification of the worst score for each physiological component. Omission of swallowing tasks will likely fail to capture the most severe impairment for physiological components critical for safe and efficient swallowing. Results provide further support for standardized, well-tested protocols during MBSS.

scholarly journals Acoustic analysis of swallowing as an auxiliary method for assessing dysphagia in Parkinson's disease

2021 ◽  
Vol 10 (16) ◽  
pp. e323101623298
Author(s):  
Glauce Souza da Silva ◽  
Ana Clara Gonçalves de Figueiredo ◽  
Bianca Simone Zeigelboim ◽  
Cristiano Miranda de Araújo ◽  
José Stechmann Neto ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Predictive Value ◽  
Acoustic Analysis ◽  
Screening Method ◽  
Oropharyngeal Dysphagia ◽  
Accuracy Study ◽  
Swallow Study ◽  
Videofluoroscopic Swallow Study ◽  
Tracheal Aspiration

Objective: To measure the accuracy of DeglutiSom as an auxiliary method to assess swallowing in patients with Parkinson's disease (PD). Methodology: Accuracy study. Among 248 individuals, 91 participants met the inclusion criteria, with a mean age of 64.9 years (SD 7.7), 53.8% male and 46.2% female, with a mean disease duration of 12.6 years (SD 3.8 years). Two instrumental studies were performed: An acoustic analysis with Sonar Doppler via the DeglutiSom Software, and a videofluoroscopic swallow study. Three judges analyzed the swallowing sounds in the DeglutiSom software and the instrumental examination findings. Results: The inter-rater reliability was 90.1%, with 4.4% degree of partial agreement and 5.5% disagreement. Sensitivity resulted in 90.0% and specificity in 90.0%. A sensitivity of 97.0% and specificity of 91.0% are indicators of a high validity for the dysphagia screening method, with predictive value (+) of 97.0% and predictive value (-) of 91.0%, with an accuracy method of 96.0%. The validity indicator values for screening aspiration were also high, with a sensitivity of 90.0%, specificity of 90.0%, predictive value (+) of 82.0%, predictive value (-) of 95% , 0% and 90.0% accuracy. Conclusion: The method proposed is considered appropriate for oropharyngeal dysphagia and tracheal aspiration screening in patients with Parkinson's Disease.

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