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Lookup NU author(s): Dr Michael DrinnanORCiD
This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).
© 2018 The Author(s) This study investigates the post-laryngectomy swallow. Presence and degree of residue on the post-laryngectomy swallow as observed on videofluoroscopy and FEES is described. In addition, videofluoroscopy and FEES are assessed for reliability and inter-instrument agreement. 30 laryngectomy subjects underwent dysphagia evaluation using simultaneous videofluoroscopy and FEES. These were reviewed post-examination by three expert raters using a rating scale designed for this purpose. Raters were blinded to subject details, type of laryngectomy surgery, pairing of FEES and videofluoroscopy examinations and the scores of other raters. There was a finding of residue in 78% of videofluoroscopy ratings, and 83% of FEES ratings. Comparison of the tools indicated poor inter-rater reliability and poor inter-instrument agreement. Dysphagia is an issue post laryngectomy as measured by patient self-report and by instrumental evaluation. However, alternative dysphagia rating tools and dysphagia evaluation tools are required to enable accurate identification and intervention for underlying swallow physiology post laryngectomy.
Author(s): Coffey MM, Tolley N, Howard D, Drinnan M, Hickson M
Publication type: Article
Publication status: Published
Journal: Dysphagia
Year: 2018
Volume: 33
Issue: 3
Pages: 369-379
Print publication date: 01/06/2018
Online publication date: 19/01/2018
Acceptance date: 07/11/2017
Date deposited: 30/01/2018
ISSN (print): 0179-051X
ISSN (electronic): 1432-0460
Publisher: Springer New York LLC
URL: https://doi.org/10.1007/s00455-017-9862-7
DOI: 10.1007/s00455-017-9862-7
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