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Evaluation of oropharyngeal dysphagia: which diagnostic tool is superior?

TLDR
It is likely that both instrumental examinations will continue to be used and will be seen as complementary rather than competitors, and the use of the term gold standard as applied to fluoroscopy is no longer appropriate.
Abstract
Purpose of reviewAs flexible endoscopic examinations of swallowing become more widely used to evaluate patients with oropharyngeal dysphagia, it is important to be aware of research regarding the efficacy of this procedure as compared with the videofluoroscopy procedure. A recent evidence-based revi

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Dysphagia in Parkinson's Disease

TL;DR: An overview on current stages of epidemiology, pathophysiology, diagnosis, and treatment of PD-associated dysphagia is given, which might be helpful for neurologists, speech-language therapists, and other clinicians in their daily work with PD patients and associated swallowing difficulties.
Journal ArticleDOI

Assessing penetration and aspiration: how do videofluoroscopy and fiberoptic endoscopic evaluation of swallowing compare?

TL;DR: This research aimed to investigate whether the type of dysphagia examination (fiberoptic endoscopic evaluation of swallowing [FEES] or videofluoroscopy] influences the scoring of penetration and aspiration.
Journal ArticleDOI

Late swallowing dysfunction and dysphagia after radiotherapy for pharynx cancer: frequency, intensity and correlation with dose and volume parameters.

TL;DR: Both subjective and objective swallowing problems were frequent and severe after radiotherapy for pharynx cancer and swallowing dysfunction was correlated with dose and volume parameters of the upper aerodigestive tract.
References
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Journal ArticleDOI

A penetration-aspiration scale

TL;DR: The development and use of an 8-point, equalappearing interval scale to describe, penetration and aspiration events are described and clinical and scientific uses of the scale are discussed.
Journal ArticleDOI

Predictors of aspiration pneumonia: how important is dysphagia?

TL;DR: Dysphagia was concluded to be an important risk for aspiration pneumonia, but generally not sufficient to cause pneumonia unless other risk factors are present as well, and a dependency upon others for feeding emerged as the dominant risk factor.
Journal ArticleDOI

Fiberoptic endoscopic examination of swallowing safety: A new procedure

TL;DR: A new procedure for assessing the pharyngeal stage of swallowing in patients with dysphagia is described, being used to detect aspiration and to determine the safety of oral feeding in patients for whom the traditional videofluoroscopic evaluation may be difficult or impossible to perform.
Journal ArticleDOI

The SWAL-QOL and SWAL-CARE outcomes tool for oropharyngeal dysphagia in adults: III. Documentation of reliability and validity.

TL;DR: It is intended that the standardization and publication of the SWAL–QOL and theSWAL–CARE will facilitate their use in clinical research and clinical practice to better understand treatment effectiveness as a critical step toward improving patients' quality of life and quality of care.
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