Zkušenosti s objektivním vyšetřením schopnosti polykání pomocí flexibilní endoskopie v letech 2014–2021

Title in English Experiences with the objective examination of swallowing using the flexible endoscopy in the years 2014–2021


Year of publication 2023
Type Article in Periodical
Magazine / Source Otorinolaryngologie a foniatrie
MU Faculty or unit

Faculty of Medicine

Web https://www.orlaf.cz/casopisy/otorinolaryngologie-foniatrie/2023-2-12/zkusenosti-s-objektivnim-vysetrenim-schopnosti-polykani-pomoci-fl-exibilni-endoskopie-v-letech-2014-2021-134427
Doi http://dx.doi.org/10.48095/ccorl202378
Keywords risk assessment; dysphagia; endoskopy; diagnostic techniques and procedures
Description Flexible endoscopic evaluation of swallowing (FEES) is an objective diagnostic method designed to assess the oropharyngeal dysphagia. The presence of swallowing disorder and the optimal management settings significantly affect patients’ clinical status and quality of life. Methods: From 2014 to 2021, FEES was prospectively evaluated against the penetration-aspiration scale for eight disease categories – stroke, other focal brain lesions, head and neck tumours, neurodegenerative diseases, reflux diseases, polyneuropathy associated with artificial lung ventilation, cervical spine surgery and other diseases. Results: A total of 2 601 FEES examinations were carried out at our workplace. Oropharyngeal dysphagia was confirmed in two-thirds of all cases. The highest incidence of penetration and aspiration, i.e. in more than 70% of examinations, has been shown in stroke and other focal brain lesions. In one quarter of all examinations in the total set, silent aspiration was demonstrated. Conclusion: The objective examination of swallowing FEES should be part of comprehensive hospital care for a patient at risk of dysphagia. Early detection of swallowing pathology reduces the risk of complications associated with dysphagia. FEES examination is an important diagnostic method within the framework of interdisciplinary cooperation, not only in patients with diseases in the ENT area.
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