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Correlations between Aspiration and Pharyngeal Residue Scale Scores for Fiberoptic Endoscopic Evaluation and Videofluoroscopy.
Yonsei Med J. 2019 Dec; 60(12):1181-1186.YM

Abstract

PURPOSE

To examine correlations among rating scales and findings suggestive of tracheal aspiration and pharyngeal residue between fiberoptic endoscopic evaluation of swallowing (FEES) and videofluoroscopic swallowing study (VFSS) in dysphagia patients.

MATERIALS AND METHODS

We studied patients referred to our hospital for dysphagia assessment. Three raters judged the residue severity and laryngeal penetration or tracheal aspiration of FEES and VFSS. The raters applied the Penetration-Aspiration Scale (PAS) for tracheal aspiration and pixel-based circumscribed area ratio and Yale Pharyngeal Residue Severity for post-swallow residue in VFSS and FEES, respectively. Anatomy-physiologic findings during FEES associated with tracheal aspiration were also analyzed.

RESULTS

A total of 178 participants were enrolled in our study. In correlation analysis, PAS (r=0.74), vallecula retention (r=0.76), and pyriform sinus retention (r=0.78) showed strong positive correlations between FEES and VFSS. Intra-rater agreement between VFSS and FEES was good for PAS (κ=0.65) and vallecula (κ=0.65) and pyriform sinus retention (κ=0.69). Among 72 patients who showed subglottic shelf residue, a suspected finding of aspiration, in FEES, 68 had concomitant tracheal aspiration during VFSS. Both vocal fold hypomobility and glottic gap during phonation were significantly associated with findings suggestive of tracheal aspiration during FEES (p<0.05).

CONCLUSION

Quantitative and reliable aspiration and post swallow residue rating scales showed strong positive correlations and good agreement between VFSS and FEES.

Authors+Show Affiliations

Department of Rehabilitation Medicine, Pusan National University School of Medicine and Biomedical Research Institute, Pusan National University Hospital, Busan, Korea.Department of Rehabilitation Medicine, Pusan National University School of Medicine and Biomedical Research Institute, Pusan National University Hospital, Busan, Korea.Department of Rehabilitation Medicine, Pusan National University School of Medicine and Biomedical Research Institute, Pusan National University Hospital, Busan, Korea.Department of Otorhinolaryngology, Pusan National University School of Medicine and Biomedical Research Institute, Pusan National University Hospital, Busan, Korea.Department of Rehabilitation Medicine, Pusan National University School of Medicine and Biomedical Research Institute, Pusan National University Hospital, Busan, Korea. yi0314@gmail.com.

Pub Type(s)

Journal Article
Observational Study

Language

eng

PubMed ID

31769249

Citation

Yoon, Jin A., et al. "Correlations Between Aspiration and Pharyngeal Residue Scale Scores for Fiberoptic Endoscopic Evaluation and Videofluoroscopy." Yonsei Medical Journal, vol. 60, no. 12, 2019, pp. 1181-1186.
Yoon JA, Kim SH, Jang MH, et al. Correlations between Aspiration and Pharyngeal Residue Scale Scores for Fiberoptic Endoscopic Evaluation and Videofluoroscopy. Yonsei Med J. 2019;60(12):1181-1186.
Yoon, J. A., Kim, S. H., Jang, M. H., Kim, S. D., & Shin, Y. B. (2019). Correlations between Aspiration and Pharyngeal Residue Scale Scores for Fiberoptic Endoscopic Evaluation and Videofluoroscopy. Yonsei Medical Journal, 60(12), 1181-1186. https://doi.org/10.3349/ymj.2019.60.12.1181
Yoon JA, et al. Correlations Between Aspiration and Pharyngeal Residue Scale Scores for Fiberoptic Endoscopic Evaluation and Videofluoroscopy. Yonsei Med J. 2019;60(12):1181-1186. PubMed PMID: 31769249.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Correlations between Aspiration and Pharyngeal Residue Scale Scores for Fiberoptic Endoscopic Evaluation and Videofluoroscopy. AU - Yoon,Jin A, AU - Kim,Sang Hun, AU - Jang,Myung Hun, AU - Kim,Sung Dong, AU - Shin,Yong Beom, PY - 2019/05/29/received PY - 2019/10/11/revised PY - 2019/10/28/accepted PY - 2019/11/27/entrez PY - 2019/11/27/pubmed PY - 2020/2/11/medline KW - Deglutition KW - deglutition disorders KW - endoscopes KW - fluoroscopy KW - vocal cord dysfunction SP - 1181 EP - 1186 JF - Yonsei medical journal JO - Yonsei Med. J. VL - 60 IS - 12 N2 - PURPOSE: To examine correlations among rating scales and findings suggestive of tracheal aspiration and pharyngeal residue between fiberoptic endoscopic evaluation of swallowing (FEES) and videofluoroscopic swallowing study (VFSS) in dysphagia patients. MATERIALS AND METHODS: We studied patients referred to our hospital for dysphagia assessment. Three raters judged the residue severity and laryngeal penetration or tracheal aspiration of FEES and VFSS. The raters applied the Penetration-Aspiration Scale (PAS) for tracheal aspiration and pixel-based circumscribed area ratio and Yale Pharyngeal Residue Severity for post-swallow residue in VFSS and FEES, respectively. Anatomy-physiologic findings during FEES associated with tracheal aspiration were also analyzed. RESULTS: A total of 178 participants were enrolled in our study. In correlation analysis, PAS (r=0.74), vallecula retention (r=0.76), and pyriform sinus retention (r=0.78) showed strong positive correlations between FEES and VFSS. Intra-rater agreement between VFSS and FEES was good for PAS (κ=0.65) and vallecula (κ=0.65) and pyriform sinus retention (κ=0.69). Among 72 patients who showed subglottic shelf residue, a suspected finding of aspiration, in FEES, 68 had concomitant tracheal aspiration during VFSS. Both vocal fold hypomobility and glottic gap during phonation were significantly associated with findings suggestive of tracheal aspiration during FEES (p<0.05). CONCLUSION: Quantitative and reliable aspiration and post swallow residue rating scales showed strong positive correlations and good agreement between VFSS and FEES. SN - 1976-2437 UR - https://www.unboundmedicine.com/medline/citation/31769249/Correlations_between_Aspiration_and_Pharyngeal_Residue_Scale_Scores_for_Fiberoptic_Endoscopic_Evaluation_and_Videofluoroscopy L2 - https://www.eymj.org/DOIx.php?id=10.3349/ymj.2019.60.12.1181 DB - PRIME DP - Unbound Medicine ER -