Dysphagia

, Volume 24, Issue 2, pp 196–203 | Cite as

Relationship Between Manometric and Videofluoroscopic Measures of Swallow Function in Healthy Adults and Patients Treated for Head and Neck Cancer with Various Modalities

  • Barbara Roa Pauloski
  • Alfred W. Rademaker
  • Cathy Lazarus
  • Guy Boeckxstaens
  • Peter J. Kahrilas
  • Jerilyn A. Logemann
Original Article

Abstract

Pharyngeal manometry complements the modified barium swallow with videofluoroscopy (VFS) in diagnosing pressure-related causes of dysphagia. When manometric analysis is not feasible, it would be ideal if pressure information about the swallow could be inferred accurately from the VFS evaluation. Swallowing function was examined using VFS and concurrent manometry in 18 subjects (11 head and neck patients treated with various modalities and 7 healthy adults). Nonparametric univariate and multivariate analyses revealed significant relationships between manometric and fluoroscopic variables. Increases in pressure wave amplitude were significantly correlated with increased duration of tongue base to pharyngeal wall contact, reduced bolus transit times, and oropharyngeal residue. Pharyngeal residue was the most important VFS variable in reflecting pharyngeal pressure measurements. Certain VFS measures were significantly correlated with measures of pressure assessed with manometry. Further research is needed before observations and measures from VFS alone may be deemed sufficient for determining pressure-generation difficulties during the swallow in patients who are unable or unwilling to submit to manometric testing.

Keywords

Deglutition Deglutition disorders Videofluoroscopy Manometry Cancer Correlation 

Notes

Acknowledgment

This work was funded by the National Institutes of Health grant NIH/NCI P01CA40007.

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Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Barbara Roa Pauloski
    • 1
  • Alfred W. Rademaker
    • 2
  • Cathy Lazarus
    • 1
    • 4
  • Guy Boeckxstaens
    • 3
    • 5
  • Peter J. Kahrilas
    • 3
  • Jerilyn A. Logemann
    • 1
  1. 1.Communication Sciences and DisordersNorthwestern UniversityEvanstonUSA
  2. 2.Preventive Medicine, Robert H. Lurie Comprehensive Cancer CenterNorthwestern University Feinberg School of MedicineChicagoUSA
  3. 3.Department of GastroenterologyNorthwestern University Feinberg School of MedicineChicagoUSA
  4. 4.New York University School of MedicineNew YorkUSA
  5. 5.Katholieke Universiteit LeuvenLeuvenBelgium

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