Format

Send to

Choose Destination
Eur Ann Otorhinolaryngol Head Neck Dis. 2018 Feb;135(1S):S17-S21. doi: 10.1016/j.anorl.2017.12.009. Epub 2018 Feb 1.

International consensus (ICON) on assessment of oropharyngeal dysphagia.

Author information

1
Department of Otolaryngology-Head and Neck Surgery, CHU de Nantes, 44093 Nantes, France. Electronic address: florent.espitalier@chu-nantes.fr.
2
Department of Otolaryngology-Head and Neck Surgery, McGill University, Montreal, Quebec, Canada.
3
Department of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine, Mount Sinai Hospital, New York, USA.
4
Department of Otolaryngology-Head and Neck Surgery, Ain Shams University, Cairo, Egypt.
5
Department of Otolaryngology-Head and Neck Surgery, Voice & Swallowing Clinic, Cliniques universitaires Saint-Luc, Université catholique de Louvain, Brussels, Belgium.
6
Department of Otolaryngology-Head and Neck Surgery, Bombay Hospital, Mumbai, India.
7
Department of Otolaryngology, Center for Voice, Airway and Swallowing Disorders, Medical College of Georgia at Augusta University, Augusta, GA, USA.
8
Department of Otolaryngology-Head and Neck Surgery, hôpital européen Geroges-Pompidou, 75015 Paris, France.

Abstract

OBJECTIVE:

To present international recommendations regarding the proper evaluation of oropharyngeal dysphagia (OD), both objectively and subjectively (self-evaluation).

METHODS:

Following a thorough review of the literature, 5 experts in the field from 4 different continents answered separately a questionnaire regarding the work-up of OD. Individual answers were presented and discussed during the world ENT conference that was held in Paris in June 2017. This article will present the recommendations issued from that meeting.

RESULTS:

For the initial objective assessment of OD, it is recommended to perform either a functional endoscopic evaluation of swallowing (FEES) or a videofluoroscopic swallowing study (VFSS). FEES is the more popular investigation given its increased ease of use and accessibility. When evaluating for the presence of aspiration during the objective evaluation of OD, it is recommended to perform either a FEES or a VFSS. In this case, FEES is the favored investigation given its likely increased sensitivity. In order to highlight the presence of oropharyngeal food residue following the deglutition process, it is recommended to perform either a FEES or a VFSS; FEES likely being the more sensitive investigation while VFSS allows a better quantification of the amount of pharyngeal residue. Is it also recommended to objectify the quality of the deglutition process by means of a score during the objective evaluation of OD. Finally, it is recommended to utilize a self-evaluation questionnaire during research studies exploring the deglutition process.

KEYWORDS:

Deglutition self-evaluation questionnaire; Endoscopic evaluation of swallowing; Oropharyngeal dysphagia; Swallowing score; Videofluoroscopic swallowing study

PMID:
29396225
DOI:
10.1016/j.anorl.2017.12.009
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center