Impact of the diagnostic procedure on outcome measures of swallowing rehabilitation in head and neck cancer patients

Jeri A. Logemann*, Barbara Roa Pauloski, Alfred Rademaker, Barbara Cook, Darlene Graner, Frank Milianti, Quinter Beery, David Stein, Julia Bowman, Cathy Lazarus, Mary Anne Heiser, Theresa Baker

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

30 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)179-186
Number of pages8
JournalDysphagia
Volume7
Issue number4
DOIs
StatePublished - Dec 1992

Keywords

  • Bedside examination
  • Deglutition
  • Deglutition disorders
  • Partial laryngectomees
  • Swallowing evaluation
  • Videofluoroscopy

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Gastroenterology
  • Speech and Hearing

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