Accuracy of Endoscopic and Videofluoroscopic Evaluations of Swallowing for Oropharyngeal Dysphagia
The Laryngoscope
Giraldo-Cadavid, L. F., Leal-Leano, L. R., et al. (2017).
The Laryngoscope, 127(9), 2002-2010.
This systematic review investigates the diagnostic accuracy of the videofluoroscopic swallowing study and fiberoptic endoscopic evaluation of swallowing in adults with oropharyngeal dysphagia, not due to tumors or other obstructive lesions.
No funding received
Between Jan. 1, 1983 and Mar. 31, 2016 (videofluoroscopic swallowing study); between Jan. 1, 1988 and Mar. 31, 2016 (flexible endoscopic evaluation of swallowing)
Not specified
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Results indicated "[fiberoptic endoscopic evaluation of swallowing (FEES)] tends to be more sensitive than [videofluoroscopic swallowing study (VFSS)] to penetration, aspiration, and residues, and that both tests are equally sensitive to premature spillage" (p. 2009). These results do not apply "to head and neck cancer patients and other causes of mechanical dysphagia" (p. 2006), as these individuals were excluded from the review's analysis.
