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The Laryngoscope Lippincott Williams & Wilkins © 2007 The American Laryngological, Rhinological and Otological Society, Inc. Assessing Penetration and Aspiration: How Do Videofluoroscopy and Fiberoptic Endoscopic Evaluation of Swallowing Compare? Annette M. Kelly, MSc; Michael J. Drinnan, PhD; Paula Leslie, PhD Objectives/Hypothesis: We aimed to investigate Key Words: Deglutition, swallowing, dysphagia, fi- whether the type of dysphagia examination (fiberoptic beroptic endoscopic evaluation of swallowing, videofluoros- endoscopic evaluation of swallowing [FEES] or videofluo- copy, penetration, aspiration. roscopy) influences the scoring of penetration and Laryngoscope, 117:1723–1727, 2007 aspiration. Study Design: Prospective, single-blind study. Methods: Fifteen dysphagic participants were re- INTRODUCTION cruited and underwent one FEES and one videofluoros- Fiberoptic endoscopic evaluation of swallowing (FEES) copy examination, performed and recorded simulta- and videofluoroscopy are complementary examinations used neously. Fifteen independent raters from 12 centers routinely to diagnose oropharyngeal swallowing disorders scored penetration and aspiration from recordings using and guide dysphagia management. Both examinations are the Penetration Aspiration Scale. Raters were blind to well established as clinical tools, but their respective participant details, the pairing of the FEES and video- strengths, limitations and health outcomes continue to be fluoroscopy recordings, and the other raters’ scores. Inter- 1–4 debated in the literature. rater and
The Laryngoscope – Wolters Kluwer Health
Published: Oct 1, 2007
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