New Scoring Proposed for Endoscopic Swallowing Evaluation and Clinical Significance
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- Hyodo Masamitsu
- Department of Otolaryngology, Kochi University
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- Nishikubo Kaori
- Department of Otolaryngology, Kochi University
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- Hirose Kahori
- Department of Otolaryngology, Kochi University
Bibliographic Information
- Other Title
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- 嚥下内視鏡検査におけるスコア評価基準(試案)の作成とその臨床的意義
- エンカ ナイシキョウ ケンサ ニ オケル スコア ヒョウカ キジュン シアン ノ サクセイ ト ソノ リンショウテキ イギ
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Abstract
Dysphagia is becoming a critical medical and social issue with aging population. Appropriate treatment requires that swallowing be assessed objectively. The simple, clinic-based scoring we developed for flexible endoscopic evaluation of swallowing (FEES) uses four parameters—(1) the salivary pooling degree at the vallecula and piriform sinuses, (2) the glottal closure reflex induced by touching the epiglottis or arytenoid with the endoscope, (3) swallowing reflex initiation assessed by “white-out” timing, and (4) pharyngeal clearance after blue-dyed water is swallowed-categorized as 0 for normal, 1 for mildly impaired, 2 for moderate, or 3 for severe. Scores given by experienced otolaryngologists expert in treating dysphagic subjects correlated significantly with those of nonexpert otolaryngologists and speech-language-hearing therapists. Pharyngeal clearance evaluated by videofluorography correlated with FEES clearance scores, as did aspiration severity with total scores statistically significantly. Feeding procedures related significantly to total scores for the four parameters, indicating its usefulness in deciding oral food intake. Our new scoring is thus simple and reliable in evaluating dysphagia severity and features, and potentially clinically advantageous.
Journal
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- Nippon Jibiinkoka Gakkai Kaiho
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Nippon Jibiinkoka Gakkai Kaiho 113 (8), 670-678, 2010
Japanese Society of Otorhinolaryngology-Head and neck surgery
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Details 詳細情報について
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- CRID
- 1390282679987859584
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- NII Article ID
- 10027692603
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- NII Book ID
- AN00191551
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- COI
- 1:STN:280:DC%2BC3cfivFOhsQ%3D%3D
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- ISSN
- 18830854
- 00306622
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- NDL BIB ID
- 10813555
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- PubMed
- 20845709
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
- PubMed
- CiNii Articles
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- Abstract License Flag
- Disallowed