Through the looking glass: Endoscopic Predictions of dysphagia
| Sunday, June 15, 2025 |
| 11:20 AM - 11:30 AM |
Overview
Details
⏲️ 11.20am - 11.40am
⌛20-minutes
📚 Assumed knowledge of attendees: Intermediate (Some previous learning/working knowledge of topic e.g. treated a few cases)
Presenter
Through the looking glass: Endoscopic Predictions of dysphagia
11:20 AM - 11:40 AMPresentation summary
Findings are based on a scoping review which used the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews1 and four different databases. Multiphase synthesis of results included; concept analysis, meta-analysis and prevalence (where possible), inclusion of statistical analysis attempting to demonstrate an association and frequency of co-occurrence.
117 articles provided data for synthesis into 24 pharyngolaryngeal abnormalities (PLAs), within six subgroups; motion impairment, glottic insufficiency, obstructive to bolus flow or airflow, mucosal abnormalities, change of shape and abnormal movement pattern. PLAs with both frequency of co-occurrence and statistical analysis attempting to demonstrate an association with dysphagia included unilateral vocal fold motion impairment (UVFMI), velopharyngeal insufficiency, arytenoid motion impairment, incomplete glottic closure, vocal fold atrophy/bowing, oedema, and haematoma.
This presentation highlights important abnormalities to consider in conjunction with validated swallowing tools, to support swallowing diagnostics and management. It provides a framework of strength of evidence and terminology that clinicians can take away to quantify the risk of swallowing dysfunction. This will ultimately support clinicians to make evidence-based dysphagia management decisions informed by abnormalities .
Refrences
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The information contained in this program is current at of the time of publishing but is subject to changes made without notice.
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