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EVALUATION OF OROPHARYNGEAL DYSPHAGIA USING THE VIDEO-FLUOROSCOPIC SWALLOWING STUDY IN STROKE PATIENTS

Thi Thanh Nhan Nguyen,Thuy Trang Dam,2 Authors,Dang Luu Vu

2023 · DOI: 10.55046/vjrnm.03.1068.2023
Vietnamese Journal of Radiology and Nuclear Medicine · 1 Citations

TLDR

Swallowing disorders are common in patients with stroke and the VFSS is an examination method with tools that help assess the stage of swallowing disorders and aspiration, especially silent aspiration.

Abstract

Purpose: This study aimed to describe imaging characteristics of oropharyngeal dysphagia on a video-fluoroscopic swallowing study (VFSS) using an assessment questionnaire in post-stroke patients.

Materials and methods: We assessed the oropharyngeal dysphasia in post-stroke patients using an assessment questionnaire with the modified barium swallow impairment profile (MBSImP) and penetration aspiration scale (PAS) at Bach Mai Hospital from January 2020 to June 2023.

Results: The study was conducted on 26 post-stroke patients (17 men and 9 women), consisting of 12 patients who have oral phase dysphagia (46%), 6 patients with pharyngeal phase (23%), 3 patients with oral and pharyngeal phase dysphagia (12%), 5 patients without dysphagia. Twelve patients had penetration aspiration (46,2%), of which 4 patients had a risk of aspiration (15,4%) and 8 patients had positive aspiration (30,8%).

Conclusion: Swallowing disorders are common in patients with stroke. The VFSS is an examination method with tools that help assess the stage of swallowing disorders and aspiration, especially silent aspiration.