• G. DelahautEmail author
  • S. Van der Vorst


Videofluoroscopy is a standard procedure to evaluate swallowing dynamics and swallowing disorders. It has been described as a useful method to assess the degree and potential cause of aspiration and/or penetration, to identify possible obstruction or the lack of bolus propulsion involved in dysphagia, and to guide treatment planning in swallowing rehabilitation. The aim of the present chapter is to describe the technical aspects of videofluoroscopy, its principal indications, the key anatomical landmarks used for analysis, and the swallowing study in normal and pathological conditions. So far, videofluoroscopic swallowing studies mostly rely on subjective analysis of the effectiveness of swallowing mechanisms, reviewed in this chapter. However, studies on quantitative analysis of videofluoroscopy currently remain scarce in the literature.


Videofluoroscopy Aspiration/penetration Dysphagia Swallowing 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.



Many thanks to our colleagues from our radiologic department (Dr. H. Antoine and Dr. B. De Coene) and from our laryngology unit (Dr. V. Bachy, Dr. O. Desgain, and Pr. G. Lawson) for their support and notifications.

Supplementary material

Video 3.1

Oral rumination (11,088 kb)

Video 3.2

Intradeglutitve inhalation 1 (7207 kb)

Video 3.3

Intradeglutitve inhalation 2(8600 kb)

Video 3.4

Pharyngeal stasis + postdeglutitive inhalation (14,363 kb)

Video 3.5

Velar insufficiency (15,225 kb)

Video 3.6

Cricopharyngeal bar (10,818 kb)

Video 3.7

Zenker diverticulum (5568 kb)


  1. 1.
    Levine MS, Rubesin SE. History and evolution of the barium swallow for evaluation of the pharynx and esophagus. Dysphagia. 2017;32(1):55–72.CrossRefGoogle Scholar
  2. 2.
    Martin-Harris B, Brodsky MB, Michel Y, Castell DO, Schleicher M, Sandidge J, et al. MBS measurement tool for swallow impairment—MBSImp: establishing a standard. Dysphagia. 2008;23(4):392–405.CrossRefGoogle Scholar
  3. 3.
    Peterson R. Modified barium swallow for evaluation of dysphagia. Radiol Technol. 2018;89(3):257–75.PubMedGoogle Scholar
  4. 4.
    Rosenbek JC, Robbins JA, Roecker EB, Coyle JL, Wood JL. A penetration-aspiration scale. Dysphagia. 1996;11(2):93–8.CrossRefGoogle Scholar
  5. 5.
    Kendall KA. Evaluation of airway protection: quantitative timing measures versus penetration/aspiration score. Laryngoscope. 2017;127(10):2314–8.CrossRefGoogle Scholar
  6. 6.
    Leonard R, McKenzie S. Hyoid-bolus transit latencies in normal swallow. Dysphagia. 2006;21(3):183–90.CrossRefGoogle Scholar
  7. 7.
    Dodds WJ, Logemann JA, Stewart ET. Radiologic assessment of abnormal oral and pharyngeal phases of swallowing. AJR Am J Roentgenol. 1990;154(5):965–74.CrossRefGoogle Scholar
  8. 8.
    Kahrilas PJ, Lin S, Rademaker AW, Logemann JA. Impaired deglutitive airway protection: a videofluoroscopic analysis of severity and mechanism. Gastroenterology. 1997;113(5):1457–64.CrossRefGoogle Scholar
  9. 9.
    Logemann JA, Kahrilas PJ, Cheng J, Pauloski BR, Gibbons PJ, Rademaker AW, et al. Closure mechanisms of laryngeal vestibule during swallow. Am J Phys. 1992;262(2 Pt 1):G338–44.Google Scholar
  10. 10.
    Shaker R, Dodds WJ, Dantas RO, Hogan WJ, Arndorfer RC. Coordination of deglutitive glottic closure with oropharyngeal swallowing. Gastroenterology. 1990;98(6):1478–84.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of ENT and Head and Neck SurgeryUniversité Catholique de Louvain, CHU UCL Namur-site GodinneYvoirBelgium

Personalised recommendations