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Rehabilitation Practice and Science

Translated Title

透視螢光吞嚥檢查與吞嚥內視鏡檢查在吞嚥障礙評估的角色

Abstract

Dysphagia is a prevailing complication of various central nervous diseases and oral pharyngeal cancer. Once dysphagia occurred, it may affect a patient's physical and psychological condition and thus their quality of daily activities. Therefore, early detection and the application of appropriate treatments for patients with dysphagia is essential. Videofluoroscopic swallowing study (VFSS) and fiberoptic endoscopic evaluation of swallowing (FEES) are two common instrument modalities used to evaluate swallowing function. VFSS has been acknowledged as the gold standard for the diagnosis of dysphagia by most scholars. Nevertheless, there is debate that FEES is superior to VFSS as it provides additional information with sufficient accuracy. Therefore, we conducted a comprehensive literature reviewarticle to compare the differences between the two instrument modalities. Our results showed that FEES is more suitable for the evaluation of the local structures of the pharynx, whereas VFSS is more appropriate for the evaluation of swallowing physiology. Both VFSS and FEES in assessing post-swallowing pharyngeal residue and penetration-aspiration scale had high consistency. Besides, the pneumonia incidence showed no difference in terms of the treatment strategy based on the results of either FEES or VFSS. Hence, both VFSS and FEES can be used as an objective assessment tool for dysphagia.

Language

Traditional Chinese

First Page

73

Last Page

80

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