A comparison of 2 methods of endoscopic laryngeal sensory testing: a preliminary study.
Ann Otol Rhinol Laryngol
; 124(3): 187-93, 2015 Mar.
Article
em En
| MEDLINE
| ID: mdl-25225213
ABSTRACT
OBJECTIVE:
This study examined the association between laryngeal sensory deficits and penetration or aspiration. Two methods of testing laryngeal sensation were carried out to determine which was more highly correlated with Penetration-Aspiration Scale (PAS) scores.METHODS:
Healthy participants and patients with dysphagia received an endoscopic swallowing evaluation including 2 sequential laryngeal sensory tests-air pulse followed by touch method. Normal/impaired responses were correlated with PAS scores.RESULTS:
Fourteen participants completed the endoscopic swallowing evaluation and both sensory tests. The air pulse method identified sensory impairment with greater frequency than the touch method (P<.0001). However, the impairment identified by the air pulse method was not associated with abnormal PAS scores (P=.46). The sensory deficits identified by the touch method were associated with abnormal PAS scores (P=.05).CONCLUSION:
Sensory impairment detected by the air pulse method does not appear to be associated with risk of penetration/aspiration. Significant laryngeal sensory loss revealed by the touch method is associated with compromised airway protection.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Sensação
/
Transtornos de Deglutição
/
Deglutição
/
Nervos Laríngeos
/
Laringoscopia
/
Laringe
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Aged
/
Female
/
Humans
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Male
/
Middle aged
Idioma:
En
Revista:
Ann Otol Rhinol Laryngol
Ano de publicação:
2015
Tipo de documento:
Article
País de afiliação:
Estados Unidos