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pp 1-11 | Cite as

Evaluation of Symptoms

Chapter
Part of the Medical Radiology book series

Abstract

Symptoms of pharyngeal/oesophageal diseases are related to swallowing function, such as dysphagia, odynophagia, globus sensation or heartburn. Patients often do not differentiate between these symptoms and report “swallowing problems”. The crossing of airway and digestive tract in the hypopharynx is a critical region for swallowing and respiration: if protection of the airway during swallowing is not secured, aspiration occurs. Moreover, the pharynx is not only part of the upper digestive tract, but also of the vocal tract and therefore influences resonance and articulation.

References

  1. Al Hawat A, Woisard V, Perez-Begout L, Sarrabère E, Grand S, Puech M (2014) Validity of cervical auscultation in the screening for aspiration. Rev Laryngol OtolRhinol (Bord) 135(2):51–6Google Scholar
  2. Aviv JE, Kim T, Sacco RL, Kaplan S, Goodhart K, Diamond B, Close LG.(1998). FEESST: a new bedside endoscopic test of the motor and sensory components of swallowing. Ann Otol Rhinol Laryngol.;107(5 Pt 1):378–387Google Scholar
  3. Bastian RW (1991) Videoendoscopic evaluation of patients with dysphagia: an adjunct to the modified barium swallow. Otol HNS 104:339–350Google Scholar
  4. Bigenzahn W, Denk D-M (1999) Oropharyngeale Dysphagien (Oropharyngeal Dysphagia). Ätiologie, Klinik, Diagnostik und Therapie von Schluckstörungen. Thieme, StuttgartGoogle Scholar
  5. Brown M, Glassenberg M (1973) Mortality factors in patients with acute stroke. JAMA 224:1493–1495CrossRefPubMedGoogle Scholar
  6. Chen AY, Frankowski R, Bishop-Leone J, Hebert T, Leyk S, Lewin J, Goepfert H (2001) The development and validation of a dysphagia-specific quality-of-life questionnaire for patients with head and neck cancer: the MD Anderson Dysphagia Inventory. Arch Otolaryngol Head Neck Surg 127:870–876PubMedGoogle Scholar
  7. Denk D-M, Bigenzahn W (1999) Diagnostik oropharyngealer Dysphagien (Diagnostics of oropharyngeal dysphagia). In: Bigenzahn W, Denk D-M (eds) Oropharyngeale Dysphagien. Ätiologie, Klinik, Diagnostik und Therapie von Schluckstörungen. Thieme, Stuttgart, pp 33–65Google Scholar
  8. Denk DM, Bigenzahn W (2005) Management oropharyngealer Dysphagien. Eine Standortbestimmmung (Management of oropharyngeal dysphagia. Current status). HNO 53(7):661–672CrossRefPubMedGoogle Scholar
  9. Denk D-M, Kaider A (1997) Videoendoscopic biofeedback: a simple method to improve the efficacy of swallowing rehabilitation of patients after head and neck surgery. ORL J Otorhinolaryngol Relat Spec 59:100–105CrossRefPubMedGoogle Scholar
  10. Ekberg O (1992) Radiologic evaluation of swallowing. In: Groher ME (ed) Dysphagia. Diagnosis and management. Butterworth-Heinemann, Stoneham, pp 163–195Google Scholar
  11. Ekberg O, Hamdy S, Woisard V, Wuttge-Hannig A, Ortega P (2002) Social and psychological burden of dysphagia: its impact on diagnosis and treatment. Dysphagia 17:139–146CrossRefPubMedGoogle Scholar
  12. Folstein MF, Folstein SE, McHugh PR (1975) Mini-Mental State (a practical method for grading the state of patients for the clinician). J Psychiatr Res 12:189–198CrossRefPubMedGoogle Scholar
  13. Garliner D (1974) Myofunctional therapy in dental practice. Bartel, New YorkGoogle Scholar
  14. Groher ME, Bukatman R (1986) The prevalence of swallowing disorders in two teaching hospitals. Dysphagia 1:1–3CrossRefGoogle Scholar
  15. Hannig C, Wuttge-Hannig A, Hess U (1995) Analyse und radiologisches Staging des Typs und Schweregrades einer Aspiration (Analysis and radiological staging of type and grade of aspiration). Radiologe 358:741–746Google Scholar
  16. Jones B, Donner MW (eds) (1991) Normal and abnormal swallowing. Springer, Berlin, Heidelberg, New YorkGoogle Scholar
  17. Kuhlemeier KV (1994) Epidemiology and dysphagia. Dysphagia 9:209–217CrossRefPubMedGoogle Scholar
  18. Langmore S, Schatz K, Olsen N (1988) Fiberoptic examination of swallowing safety: a new procedure. Dysphagia 2:216–219CrossRefPubMedGoogle Scholar
  19. Langmore SE, Terpenning MS, Schork A, Chen Y, Murray JT, Lopatin D, Loesche WJ (1998) Predictors of aspiration pneumonia: how important is dysphagia? Dysphagia 13:69–81CrossRefPubMedGoogle Scholar
  20. Leder SB (2000) Use of arterial oxygen saturation, heart rate, and blood pressure as indirect objective physiologic markers to predict aspiration. Dysphagia 15(4):201–205CrossRefPubMedGoogle Scholar
  21. Leopold NA, Kagel MA (1996) Prepharyngeal dysphagia in Parkinson’s disease. Dysphagia 11:14–22CrossRefPubMedGoogle Scholar
  22. Lim SH, Lieu PK, Phua SY, Seshadri R, Venketasubramanian N, Lee SH, Choo PW (2001) Accuracy of bedside clinical methods compared with fiberoptic endoscopic examination of swallowing (FEES) in determining the risk of aspiration in acute stroke patients. Dysphagia 16(1):1–6CrossRefPubMedGoogle Scholar
  23. Logemann JA (1983) Evaluation and treatment of swallowing disorders. Pro-Ed, Austin, TXGoogle Scholar
  24. Logemann JA (1993) Manual for the videofluorographic study of swallowing, 2nd edn. Pro-Ed, Austin, TXGoogle Scholar
  25. Logemann JA (1995) Dysphagia: evaluation and treatment. Folia Phoniatr Logop 47:140–164CrossRefPubMedGoogle Scholar
  26. Logemann JA (1998) Evaluation and treatment of swallowing disorders. Pro-Ed, Austin, TXGoogle Scholar
  27. Marks B, Schober E, Swoboda H (1998) Diffuse idiopathic skeletal hyperostosis causing obstructive laryngeal edema. Eur Arch Otolaryngol 255:256–258CrossRefGoogle Scholar
  28. Martino R, Silver F, Teasell R, Bayley M, Nicholson G, Streiner DL, Diamant NE (2009) The Toronto Bedside Swallowing Screening Test (TOR-BSST): development and validation of a dysphagia screening tool for patients with stroke. Stroke 40(2):555–561CrossRefPubMedGoogle Scholar
  29. Miller FR, Eliachar J (1994) Managing the aspirating patient. Am J Otolaryngol 15:1–17CrossRefPubMedGoogle Scholar
  30. Rosenbek JC, Robbins JA, Roecker EB, Coyle JL, Wood JL (1996) A penetration-aspiration scale. Dysphagia 11(2):93–98CrossRefPubMedGoogle Scholar
  31. Sasaki H (1991) Management of respiratory diseases in the elderly. Nippon-Kyobu-Shikkan-Gakkai-Zasshi 29:1227–1233PubMedGoogle Scholar
  32. Schröter-Morasch H (1993) Klinische Untersuchung der am Schluckvorgang beteiligten Organe (clinical examination). In: Bartolome G et al (eds) Diagnostik und Therapie neurologisch bedingter Schluckstörungen. Gustav Fischer, Stuttgart, pp 73–108Google Scholar
  33. Schröter-Morasch H (1996) Schweregradeinteilung der Aspiration bei Patienten mit Schluckstörung (Severity of aspiration in dysphagic patients). In: Gross VM (ed) Aktuelle phoniatrisch-pädaudiologische Aspekte. R. Gross Verlag, Berlin, pp 145–146Google Scholar
  34. Silbergleit AK, Schultz L, Jacobson BH, Beardsley T, Johnson AF (2012) The dysphagia handicap index: development and validation. Dysphagia 27:46–52CrossRefPubMedGoogle Scholar
  35. Suiter DM, Leder SB (2008) Clinical utility of the 3-ounce water swallow test. Dysphagia 23(3):244–250CrossRefPubMedGoogle Scholar
  36. Trapl M, Enderle P, Nowotny M, Teuschl Y, Matz K, Dachenhausen A, Brainin M (2007) Dysphagia bedside screening for acute-stroke patients: the Gugging Swallowing Screen. Stroke 38(11):2948–2952CrossRefPubMedGoogle Scholar
  37. Woisard V, Lepage B (2010) The “Deglutition Handicap Index” a self-administrated dysphagia-specific quality of life questionnaire: temporal reliability. Rev Laryngol Otol Rhinol (Bord) 131(1):19–22Google Scholar

Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.Interim Head of Section of Phoniatrics, Department of OtorhinolaryngologyMedical University of Vienna, Vienna General HospitalViennaAustria

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