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Instrumental FEES Examination in the Assessment of Swallowing Disorders in Patients with Acute and Subacute Vascular Brain Injury – Advantages and Disadvantages

100%
Misiowiec P., Zomkowska E., Jarmołowicz-Aniołkowska N., Hortis-Dzierzbicka M.
Logopedia
|
2018
|
vol. 47 EN
|
issue 1
247-253
EN
Neurogenic dysphagia, as the most common cause of swallowing disorders in the oral and pharyngeal phase, often leads to potentially fatal clinical consequences such as malnutrition, dehydration, aspiration pneumonia, and also worsens the overall functioning of the patient, including the appearance of depression. Thus early diagnosis of dysphagia and appropriate therapeutic measures are important in preventing the above-mentioned complications. Endoscopic assessment of swallowing disorders using a flexible nasofiberoscope (fiberoptic endoscopic evaluation of swallowing – FEES), together with a videofluoroscopic swallow study (VFSS), are the fundamental instrumental examinations in the evaluation of swallowing disorders in patients with neurogenic dysphagia (1, 2). FESS is currently considered to be the gold standard in the diagnosis of neurogenic dysphagia, because it not only allows direct visualization of the act of swallowing, but is safe for the patient, does not require a contrast agent and does not expose the patient and staff to radiation. However, it has some disadvantages and risks for the patient. The aim of this paper is to present the advantages and disadvantages of the FEES method in the assessment of neurogenic dysphagia, with particular emphasis on patients with acute or subacute vascular brain injury.
2
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Instrumentalne badanie FEES w ocenie zaburzeń połykania u chorych z naczyniopochodnym uszkodzeniem OUN – wady i zalety

67%
Misiowiec P., Zomkowska E., Jarmołowicz-Aniołkowska N., Hortis-Dzierzbicka M.
Logopedia
|
2018
|
vol. 47
|
issue 1
279-285
PL
Dysfagia neurogenna, jako najczęstsza przyczyna zaburzeń połykania, często prowadzi do potencjalnie śmiertelnych klinicznych konsekwencji takich, jak niedożywienie, odwodnienie, zachłystowe zapalenie płuc, a także pogarsza ogólne funkcjonowanie pacjenta, z pojawieniem się depresji włącznie. Wczesne rozpoznanie dysfagii i odpowiednio szybkie podjęcie działań terapeutycznych ma istotne znaczenie w zapobieganiu wyżej wymienionym powikłaniom. Badanie endoskopowej oceny zaburzeń połykania przy użyciu giętkiego nasofiberoskopu (fiberoptic endoscopic examination of swallowing – FEES), obok badania wideofluoroskopowego (video fluoroscopic swallow study – VFSS), jest podstawowym badaniem instrumentalnej oceny zaburzeń połykania u chorych z objawami dysfagii neurogennej (1, 2). Badanie FEES, które wydaje się „złotym środkiem” w diagnostyce dysfagii neurogennej, jest badaniem bezpiecznym dla pacjenta, nie wymaga podawania środka kontrastowego ani nie naraża pacjenta i personelu na promieniowanie rtg. Posiada jednak pewne ograniczenia oraz niesie ryzyko dla pacjenta. Celem niniejszej pracy jest przedstawienie zalet oraz wad metody FEES w ocenie dysfagii neurogennej, ze szczególnym uwzględnieniem pacjentów z ostrym lub podostrym naczyniopochodnym uszkodzeniem mózgowia.
EN
Neurogenic dysphagia, as the most common cause of swallowing disorders in the oral and pharyngeal phase, often leads to potentially fatal clinical consequences such as malnutrition, dehydration, aspiration pneumonia, and also worsens the overall functioning of the patient, including the appearance of depression. Thus early diagnosis of dysphagia and appropriate therapeutic measures are important in preventing the above-mentioned complications. Endoscopic assessment of swallowing disorders using a flexible nasofiberoscope (fiberoptic endoscopic evaluation of swallowing – FEES), together with a videofluoroscopic swallow study (VFSS), are the fundamental instrumental examinations in the evaluation of swallowing disorders in patients with neurogenic dysphagia (1, 2). FESS is currently considered to be the gold standard in the diagnosis of neurogenic dysphagia, because it not only allows direct visualization of the act of swallowing, but is safe for the patient, does not require a contrast agent and does not expose the patient and staff to radiation. However, it has some disadvantages and risks for the patient. The aim of this paper is to present the advantages and disadvantages of the FEES method in the assessment of neurogenic dysphagia, with particular emphasis on patients with acute or subacute vascular brain injury.
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