Article Sidebar

pdf
Date Published: 06/03/2024
Online Published: 28/12/2023
Abstract Views: 203
Views pdf: 108
DOI: https://doi.org/10.55046/vjrnm.03.1068.2023
Issue
No. 03 (2023): tieng anh
Section
Scientific research
How to Cite
Nguyen , T. T. N. ., Dam , T. T., Le, C. C., Do , D. T., & Vu, D. L. (2023). EVALUATION OF OROPHARYNGEAL DYSPHAGIA USING THE VIDEO-FLUOROSCOPIC SWALLOWING STUDY IN STROKE PATIENTS . Vietnamese Journal of Radiology and Nuclear Medicine, 03, 17-21. https://doi.org/10.55046/vjrnm.03.1068.2023

EVALUATION OF OROPHARYNGEAL DYSPHAGIA USING THE VIDEO-FLUOROSCOPIC SWALLOWING STUDY IN STROKE PATIENTS

Nguyen Thi Thanh Nhan1,, Dam Thuy Trang2, Le Chi Cong2, Do Dang Tan2, Dr Vu Dang Luu1
1 Hanoi Medical University
2 Radiology Center, Bach Mai Hospital, Hanoi, Vietnam

Main Article Content

Abstract

Purpose: This study aimed to describe imaging characteristics of oropharyngeal dysphagia on a video-fluoroscopic swallowing study (VFSS) using an assessment questionnaire in post-stroke patients.


Materials and methods: We assessed the oropharyngeal dysphasia in post-stroke patients using an assessment questionnaire with the modified barium swallow impairment profile (MBSImP) and penetration aspiration scale (PAS) at Bach Mai Hospital from January 2020 to June 2023.


Results: The study was conducted on 26 post-stroke patients (17 men and 9 women), consisting of 12 patients who have oral phase dysphagia (46%), 6 patients with pharyngeal phase (23%), 3 patients with oral and pharyngeal phase dysphagia (12%), 5 patients without dysphagia. Twelve patients had penetration aspiration (46,2%), of which 4 patients had a risk of aspiration (15,4%) and 8 patients had positive aspiration (30,8%).


Conclusion: Swallowing disorders are common in patients with stroke. The VFSS is an examination method with tools that help assess the stage of swallowing disorders and aspiration, especially silent aspiration.

Article Details

Keywords

The video-fluorographic swallowing study (VFSS), the modified barium swallow impairment profile (MBSImP), and the penetration aspiration scale (PAS).

References

1. Lidetu T, Muluneh EK, Wassie GT. Incidence and Predictors of Aspiration Pneumonia Among Stroke Patients in Western Amhara Region, North-West Ethiopia: A Retrospective Follow-Up Study.: Int J Gen Med; 2023 Apr 15.
2. Costa MM. Videofluoroscopy: the gold standard exam for studying swallowing and its dysfunction: Arq Gastroenterol; 2010.
3. Martin-Harris B, Brodsky MB, Michel Y, et al. MBS measurement tool for swallow impairment--MBSImp: establishing a standard: Dysphagia; 2008.
4. Rosenbek JC, Robbins JA, Roecker EB, Coyle JL, Wood JL. A penetration-aspiration scale: Dysphagia; 1996.
5. Mo SJ, Jeong HJ, Han YH, Hwang K, Choi JK. Association of Brain Lesions and Videofluoroscopic Dysphagia Scale Parameters on Patients With Acute Cerebral Infarctions: Ann Rehabil Med; 2018.
6. Falsetti P, Acciai C, Palilla R, et al. Oropharyngeal dysphagia after stroke: incidence, diagnosis, and clinical predictors in patients admitted to a neurorehabilitation unit: J Stroke Cerebrovasc Dis; 2009.