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FEES‐based assessment of pharyngeal hypesthesia—Proposal and validation of a new test procedure

Published on Nov 1, 2019in Neurogastroenterology and Motility3.803
· DOI :10.1111/nmo.13690
Bendix Labeit1
Estimated H-index: 1
,
Paul Muhle7
Estimated H-index: 7
+ 6 AuthorsRainer Dziewas34
Estimated H-index: 34
Abstract
  • References (43)
  • Citations (0)
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References43
Newest
#1Rainer DziewasH-Index: 1
Last. Tobias WarneckeH-Index: 24
view all 46 authors...
At present, the flexible endoscopic evaluation of swallowing (FEES) is one of the most commonly used methods for the objective assessment of swallowing. This multicenter trial prospectively collected data on the safety of FEES and also assessed the impact of this procedure on clinical dysphagia management. Patients were recruited in 23 hospitals in Germany and Switzerland from September 2014 to May 2017. Patient characteristics, professional affiliation of the FEES examiners (physicians or speec...
1 CitationsSource
#1James C. Borders (BMC: Boston Medical Center)H-Index: 2
#2Daniel S. Fink (University of Colorado Denver)H-Index: 7
Last. Gintas P. Krisciunas (BU: Boston University)H-Index: 9
view all 15 authors...
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. Acute respiratory failure patients requiring intensive care unit admission and mechanical ventilation received a Flexible Endoscopic Evaluation of Swallowing (FEES) within 72 h of extubation. ...
2 CitationsSource
#1Yael Shapira-Galitz (HUJI: Hebrew University of Jerusalem)H-Index: 1
#2Hagit Shoffel-Havakuk (HUJI: Hebrew University of Jerusalem)H-Index: 5
Last. Yonatan Lahav (HUJI: Hebrew University of Jerusalem)H-Index: 5
view all 4 authors...
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. Murray’s secretion scale (MSS) for secretion stasis and laryngeal sensation were tested for association with residue severity (Yale pharyngeal residue severity rating scale, YPR-SRS) and the number of swallows requ...
1 CitationsSource
#1Paul MuhleH-Index: 7
#2Inga ClausH-Index: 3
Last. Sonja Suntrup-KruegerH-Index: 7
view all 9 authors...
Background/Aims: Performing neurophysiological and functional imaging studies in severely affected patients to investigate novel neurostimulation techniques for the treatment of neurogenic dysphagia is difficult. Therefore, basic research needs to be conducted in healthy subjects. Swallowing is a motor function highly dependent on sensory afferent input. Here we propose a virtual peripheral sensory lesion model to mimic pharyngeal sensory impairment, which is known as a major contributor to dysp...
3 CitationsSource
#1Thomas MarianH-Index: 4
Last. Rainer DziewasH-Index: 34
view all 8 authors...
Background: Dysphagia is a frequent and dangerous complication of acute stroke. Apart from a well-timed oropharyngeal muscular contraction pattern, sensory feedback is of utmost importance for safe and efficient swallowing. In the present study, we therefore analyzed the relation between pharyngolaryngeal sensory deficits and post-stroke dysphagia (PSD) severity in a cohort of acute stroke patients with middle cerebral artery (MCA) infarction. Methods: Eighty-four first-ever MCA stroke patients ...
8 CitationsSource
#1Asako Kaneoka (UTokyo: University of Tokyo)H-Index: 6
#2Jessica M. Pisegna (BU: Boston University)H-Index: 7
Last. Susan E. Langmore S E (BU: Boston University)H-Index: 33
view all 7 authors...
Purpose Clinicians often test laryngeal sensation by touching the laryngeal mucosa with the tip of a flexible laryngoscope. However, the pressure applied to the larynx by using this touch method is...
5 CitationsSource
#1Omar Ortega (ISCIII: Carlos III Health Institute)H-Index: 10
#2Alberto MartinH-Index: 5
Last. Pere Clavé (ISCIII: Carlos III Health Institute)H-Index: 36
view all 3 authors...
Abstract Oropharyngeal dysphagia (OD) is a condition recognized by the World Health Organization and defined as the difficulty or inability to move a bolus safely and effectively from the oral cavity to the esophagus, and can include aspirations, choking, and residue. OD is pandemic among different phenotypes of older people, affecting between 27% and 91% of the population 70 years or older. Although OD can be diagnosed by well-defined clinical methods and complementary explorations, in the clin...
31 CitationsSource
#1D. Alvarez-Berdugo (ISCIII: Carlos III Health Institute)H-Index: 7
#2Laia Rofes (ISCIII: Carlos III Health Institute)H-Index: 16
Last. Pere Clavé (ISCIII: Carlos III Health Institute)H-Index: 36
view all 6 authors...
Oropharyngeal dysphagia (OD) affects older and neurological patients, causing malnutrition and dehydration and increasing the risk for aspiration pneumonia. There is evidence that sensory deficits in those populations are closely related to swallowing disorders, and several research groups are developing new therapies based on sensory stimulation of this area. More information on the sensory innervation participating in the swallow response is needed to better understand the pathophysiology of O...
13 CitationsSource
#1Tobias WarneckeH-Index: 24
#2Inga SuttrupH-Index: 7
Last. Rainer DziewasH-Index: 34
view all 8 authors...
Abstract Background It is still controversially discussed whether central dopaminergic stimulation improves swallowing ability in Parkinson's disease (PD). We evaluated the effect of oral levodopa application on dysphagia in advanced PD patients with motor fluctuations. Methods In 15 PD patients (mean age 71.93 ± 8.29 years, mean disease duration 14.33 ± 5.94 years) with oropharyngeal dysphagia and motor fluctuations endoscopic swallowing evaluation was performed in the off state and on state co...
24 CitationsSource
#1Terry K. Koo (New York Chiropractic College)H-Index: 14
#2Mae Y. Li (New York Chiropractic College)H-Index: 1
Objective Intraclass correlation coefficient (ICC) is a widely used reliability index in test-retest, intrarater, and interrater reliability analyses. This article introduces the basic concept of ICC in the content of reliability analysis.
1,447 CitationsSource
Cited By0
Newest
#1Bendix Labeit (WWU: University of Münster)H-Index: 1
#2Inga ClausH-Index: 3
Last. Tobias WarneckeH-Index: 24
view all 8 authors...
Abstract Introduction The pathophysiology of dysphagia in Parkinson's disease (PD) is heterogeneous and poorly understood at present. This study investigated the phenotypes, prevalence and pathophysiology of oropharyngeal freezing (OPF) in PD and its relation to dysphagia. Methods In a prospective study, 50 PD patients were systematically screened for OPF using flexible endoscopic evaluation of swallowing (FEES). In addition, FEES-videos of 50 patients with post-stroke dysphagia and 50 healthy s...
Source
#1Bendix Labeit (WWU: University of Münster)H-Index: 1
#2Inga ClausH-Index: 3
Last. Tobias WarneckeH-Index: 24
view all 6 authors...
Background. Pharyngeal dysphagia is a common symptom of Parkinson’s disease (PD) leading to severe complications. PD-related pharyngeal dysphagia (PDrPD) may significantly improve in up to half of patients following acute oral levodopa challenge. Objective. The aim of this study was to investigate the effects of levodopa-carbidopa intestinal gel (LCIG) on PDrPD. Methods. Forty-five PD patients under LCIG treatment were available for retrospective analysis. In all patients with PDrPD who underwen...
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