Impact of the diagnostic procedure on outcome measures of swallowing rehabilitation in head and neck cancer patients. Dysphagia 1992;7(4):179-86
Date
01/01/1992Pubmed ID
1424831DOI
10.1007/BF02493468Scopus ID
2-s2.0-0026595345 (requires institutional sign-in at Scopus site) 40 CitationsAbstract
This study was designed to determine whether swallow rehabilitation outcomes were affected by the type of evaluation procedure utilized by the clinician. The two evaluation techniques compared were the bedside examination and videofluoroscopy (the modified barium swallow). Ten institutions participated in this study, enrolling a total of 103 partial laryngectomized patients, 21 in the bedside arm and 82 in the videofluoroscopy arm. Data on recovery of oral intake were collected weekly. All patients received an X-ray study of swallow at 3 months after the operation. Mean time to oral intake of food was significantly lower in patients assessed with bedside examination. Overall swallow measures of transit times and swallow efficiencies after 3 months revealed significantly better function in the videofluoroscopy group. Results are discussed in terms of the visibility of swallow physiology with the two assessment techniques, the accuracy of therapy planning with the bedside examination versus videofluoroscopy and the ability of head and neck cancer patients to tolerate some aspiration without developing aspiration pneumonia.
Author List
Logemann JA, Roa Pauloski B, Rademaker A, Cook B, Graner D, Milianti F, Beery Q, Stein D, Bowman J, Lazarus CAuthor
Barbara R. Pauloski PhD, CCC-SLP Associate Professor in the Communication Sciences & Disorders department at University of Wisconsin - MilwaukeeMESH terms used to index this publication - Major topics in bold
DeglutitionDeglutition Disorders
Fluoroscopy
Head and Neck Neoplasms
Humans
Laryngectomy
Middle Aged
Physical Examination
