Eliézia Helena de Lima Alvarenga1, Giovana Piovesan Dall'Oglio2, Emi Zuiki Murano3, Márcio Abrahão2. 1. Department of Otolaryngology, Head and Neck Surgery, School of Medicine, Federal University of São Paulo, Rua Conselheiro Brotero 1539, cj33, São Paulo, São Paulo, CEP 01232-011, Brazil. eliezia.alvarenga@terra.com.br. 2. Department of Otolaryngology, Head and Neck Surgery, School of Medicine, Federal University of São Paulo, Rua Conselheiro Brotero 1539, cj33, São Paulo, São Paulo, CEP 01232-011, Brazil. 3. Department of Otolaryngology, Head and Neck Surgery, School of Medicine, University of São Paulo, São Paulo, Brazil.
Abstract
OBJECTIVES: To investigate whether disclosed symptoms (coughing, choking and throat clearing) can be used as early predictors of swallowing disorders in non-hospitalized elderly population. In addition, to determine the presence of early findings of swallowing disorders through fiber optic endoscopic evaluation of swallowing (FEES). MATERIALS AND METHODS: One hundred subjects older than 60 years were recruited from local community social meetings for seniors, they fulfilled inclusion criteria, and were given an oral interview and underwent FEES, with findings classified as: (1) saliva stasis; (2) pharyngeal residue; (3) penetration; (4) aspiration; (5) laryngeal sensitivity. RESULTS: Twenty-one percent of subjects declared previous choking, 10% coughing, and 7% throat clearing, 39% had pharyngeal residue; 6% saliva stasis; 9% penetration; 2% aspiration; and 92% laryngeal sensitivity present. Thirty-three percent showed pharyngeal residue without saliva stasis, while only 6% showed positivity for both (p = 0.003). CONCLUSIONS: Our data suggest that health care professionals should be aware that among an apparently healthy population, some subjects may have swallowing disorders without clinical complaints and that a nasolaryngoscopy exam may not be enough to predict dysphagia. We suggest that FEES should be performed to look for surrogate of dysphagia such as pharyngeal residue, laryngeal penetration, and aspiration.
OBJECTIVES: To investigate whether disclosed symptoms (coughing, choking and throat clearing) can be used as early predictors of swallowing disorders in non-hospitalized elderly population. In addition, to determine the presence of early findings of swallowing disorders through fiber optic endoscopic evaluation of swallowing (FEES). MATERIALS AND METHODS: One hundred subjects older than 60 years were recruited from local community social meetings for seniors, they fulfilled inclusion criteria, and were given an oral interview and underwent FEES, with findings classified as: (1) saliva stasis; (2) pharyngeal residue; (3) penetration; (4) aspiration; (5) laryngeal sensitivity. RESULTS: Twenty-one percent of subjects declared previous choking, 10% coughing, and 7% throat clearing, 39% had pharyngeal residue; 6% saliva stasis; 9% penetration; 2% aspiration; and 92% laryngeal sensitivity present. Thirty-three percent showed pharyngeal residue without saliva stasis, while only 6% showed positivity for both (p = 0.003). CONCLUSIONS: Our data suggest that health care professionals should be aware that among an apparently healthy population, some subjects may have swallowing disorders without clinical complaints and that a nasolaryngoscopy exam may not be enough to predict dysphagia. We suggest that FEES should be performed to look for surrogate of dysphagia such as pharyngeal residue, laryngeal penetration, and aspiration.
Authors: J Tee Todd; Andrew Stuart; Catherine R Lintzenich; Jordan Wallin; Karen Grace-Martin; Susan G Butler Journal: Ann Otol Rhinol Laryngol Date: 2013-05 Impact factor: 1.547
Authors: F Puisieux; C D'Andrea; P Baconnier; D Bui-Dinh; S Castaings-Pelet; B Crestani; B Desrues; C Ferron; A Franco; J Gaillat; H Guenard; B Housset; C Jeandel; G Jebrak; A Leymarie-Saddles; E Orvoen-Frija; F Piette; G Pinganaud; J-Y Salle; D Strubel; J-M Vernejoux; B de Wazières; S Weil-Engerer Journal: Rev Mal Respir Date: 2011-10-22 Impact factor: 0.622
Authors: Rainer Wirth; Rainer Dziewas; Anne Marie Beck; Pere Clavé; Shaheen Hamdy; Hans Juergen Heppner; Susan Langmore; Andreas Herbert Leischker; Rosemary Martino; Petra Pluschinski; Alexander Rösler; Reza Shaker; Tobias Warnecke; Cornel Christian Sieber; Dorothee Volkert Journal: Clin Interv Aging Date: 2016-02-23 Impact factor: 4.458
Authors: Frederico de Lima Alvarenga; Leonardo Haddad; Daniel Marcus San da Silva; Eliézia Helena de Lima Alvarenga Journal: Einstein (Sao Paulo) Date: 2020-01-10
Authors: Anna Gillman; Michelle Hayes; Greg Sheaf; Margaret Walshe; John V Reynolds; Julie Regan Journal: BMC Cancer Date: 2022-01-10 Impact factor: 4.430
Authors: Bendix Labeit; Paul Muhle; Jonas von Itter; Janna Slavik; Andreas Wollbrink; Peter Sporns; Thilo Rusche; Tobias Ruck; Anna Hüsing-Kabar; Reinhold Gellner; Joachim Gross; Rainer Wirth; Inga Claus; Tobias Warnecke; Rainer Dziewas; Sonja Suntrup-Krueger Journal: Front Aging Neurosci Date: 2022-07-28 Impact factor: 5.702