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Scientific Papers Session VII: Novel Methods in the Evaluation of Dysphagia

 Friday, March 8 ,2019

2:00-3:30 p.m.

 Moderator:

Reza Shaker, MD


 

Objective Video-fluoroscopic Swallow Study (VFSS) Parameters Predict the Incidence of Aspiration Pneumonia

Peter Belafsky

Identify objective VFSS parameters that predict the incidence of aspiration pneumonia is discussed in this research.

 

Aural Stimulation with Capsaicin Ointment Can Prevent Pneumonia in Elderly Dementia Patients with a High Risk of Aspiration.

Osamu Jinnouchi

In the present study, we examined the effects of daily application with capsaicin ointment to the external auditory canal for 6 months on the development of pneumonia in elderly dementia patients with a high risk of aspiration.

 

A High-Resolution Pharyngeal Manometry Protocol and Metrics: Recommendations of an International Working Group

Ashli O'Rourke

The establishment of a recommended protocol and swallow function metrics for High Resolution Pharyngeal Manometry (HRPM) would provide a starting point for the development of a framework for unambiguous scientific and clinical communication. A HRPM International Working Group was formed to address the diagnostic and therapeutic utility of HRPM technology in relation to oropharyngeal dysphagia. The Working Group aimed to establish a consensus on the minimum standard protocol (MSP) for conducting a HRPM procedure and to develop a core outcome set (COS) of swallowing metrics.

 

The First 30 Years of Research in Dysphagia: A Scoping Review

Martin Brodsky

This research characterizes primary data studies in the journal Dysphagia during its first 30 years of publication and to identify potential gaps in existing deglutology science.

 

Revelations of Pharyngeal and UES Dysfunction in Symptomatic Patients with “Normal” Esophageal Manometry Using Large Scale Manometric Database Techniques

Mark Kern

A significant number of symptomatic patients referred for clinical esophageal manometry exhibit normal manometric findings based on currently established metrics derived from high resolution manometry. This can pose a diagnostic dilemma and a difficult management challenge. We hypothesized that characterization and comparison of the entire deglutitive esophageal isocontour between these manometrically “normal” symptomatic patients (MNSP) and healthy controls may provide enhanced differentiating ability compared to the currently used metrics.

 

Impact of Sensory Stimulation on Pharyngeal Swallowing Biomechanics in Adults with Dysphagia: A High Resolution Manometry Study

Julie Regan

High resolution manometry (HRM) has established biomechanical changes to pharyngeal swallowing with increasing bolus volume and consistency. The effects of sensory stimulation on pharyngeal pressures during swallowing have not been investigated to date using HRM. Evidence to support sensory stimulation as a dysphagia intervention based on videofluoroscopy and fiberoptic endoscopy is limited. In this feasibility study, the impact of sensory stimulation on pharyngeal swallowing biomechanics in adults with dysphagia was investigated for the first time using HRM.

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