Prediction of Aspiration by Perceptual Evaluation of Pre-swallow Wet Voice and Wet Expiratory Sounds in Adults Diagnosed with Head and Neck Cancer

• YAMAKAWA Michiyo

  Department of Special Needs Dentistry, Division of Oral Rehabilitation Medicine, Showa University School of Dentistry

• YOKOYAMA Kaoru

  Department of Special Needs Dentistry, Division of Oral Rehabilitation Medicine, Showa University School of Dentistry

• TAKEI Yoshiko

  Department of Special Needs Dentistry, Division of Oral Rehabilitation Medicine, Showa University School of Dentistry

• KAWABATA Kazuyoshi

  Department of Head and Neck, Cancer Institute Hospital

• TAKAHASHI Koji

  Department of Special Needs Dentistry, Division of Oral Rehabilitation Medicine, Showa University School of Dentistry

• GROHER Michael E.

  Truesdail Center for Communicative Disorders, University of Redlands

抄録

This study investigated the relationships between the perceptual evaluation of “wetness” of both pre-swallow voice and expiratory sound and video fluoroscopic swallowing study (VFSS) findings. Pre-swallow phonation of the vowel “a” and expiratory sounds were recorded immediately before VFSS in 51 patients with head and neck cancer. During VFSS, subjects were requested to swallow 3 ml of a jelly-like, radiopaque test food. A total of 61 samples of “a” phonations and expiratory sounds were investigated in this study. These sound samples were randomized and presented to 12 examiners with various years of experience in dysphagia management. The examiners perceptually evaluated the wetness of sound samples using a 5-point “wetness” grade. VFSS findings were evaluated using the 8-point penetration aspiration (PA) scale. The relationships between the wetness of sound samples and VFSS findings were analyzed. Penetration/aspiration without materials ejected out of the airway can be predicted by the wetness of sound samples. In this study, both the pre-swallow wet voice and wet expiratory sounds were suitable for predicting penetration/aspiration after swallowing. High inter-rater and intra-rater reliabilities were verified in the high – and low-experience examiners, with no significant difference evident between these groups. These findings suggest that clinicians could predict penetration/aspiration in head and neck cancer patients by perceptually evaluating the wetness of pre-swallow voice and expiratory sounds regardless of clinical experience.

収録刊行物

• Ｔｈｅ　Ｓｈｏｗａ　Ｕｎｉｖｅｒｓｉｔｙ　Ｊｏｕｒｎａｌ　ｏｆ　Ｍｅｄｉｃａｌ　Ｓｃｉｅｎｃｅｓ

  Ｔｈｅ　Ｓｈｏｗａ　Ｕｎｉｖｅｒｓｉｔｙ　Ｊｏｕｒｎａｌ　ｏｆ　Ｍｅｄｉｃａｌ　Ｓｃｉｅｎｃｅｓ 29 (1), 27-36, 2017

  昭和大学学士会

キーワード

• pre-swallow wet voice
• pre-swallow wet expiratory sound
• video fluoroscopic swallowing study
• dysphagia prediction
• 8-point penetration-aspiration scale

詳細情報

• CRID: 1390282679350289280
• NII論文ID: 130005864964
• NII書誌ID: AA10781651
• DOI: 10.15369/sujms.29.27
• ISSN: 21850968
• ISSN: 09156380
• Web Site: http://id.nii.ac.jp/1670/00000516/
• Web Site: https://www.jstage.jst.go.jp/article/sujms/29/1/29_27/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2018212359
• 本文言語コード: en
• データソース種別:
  • JaLC
  • IRDB
  • Crossref
  • CiNii Articles
  • KAKEN
• 抄録ライセンスフラグ: 使用不可