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

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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.

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Acknowledgment

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

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Author notes

  1. Cathy Lazarus

    Present address: New York University School of Medicine, New York, NY, 10016, USA

  2. Guy Boeckxstaens

    Present address: Katholieke Universiteit Leuven, Leuven, Belgium

Authors and Affiliations

  1. Communication Sciences and Disorders, Northwestern University, 2240 Campus Drive, Evanston, IL, 60208-3540, USA

    Barbara Roa Pauloski, Cathy Lazarus & Jerilyn A. Logemann

  2. Preventive Medicine, Robert H. Lurie Comprehensive Cancer Center, Northwestern University Feinberg School of Medicine, Chicago, 60611, IL, USA

    Alfred W. Rademaker

  3. Department of Gastroenterology, Northwestern University Feinberg School of Medicine, Chicago, IL, 60611, USA

    Guy Boeckxstaens & Peter J. Kahrilas

Authors
  1. Barbara Roa Pauloski
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  2. Alfred W. Rademaker
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  3. Cathy Lazarus
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  4. Guy Boeckxstaens
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  5. Peter J. Kahrilas
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  6. Jerilyn A. Logemann
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Correspondence to Barbara Roa Pauloski.

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Pauloski, B.R., Rademaker, A.W., Lazarus, C. et al. Relationship Between Manometric and Videofluoroscopic Measures of Swallow Function in Healthy Adults and Patients Treated for Head and Neck Cancer with Various Modalities. Dysphagia 24, 196–203 (2009). https://doi.org/10.1007/s00455-008-9192-x

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  • DOI: https://doi.org/10.1007/s00455-008-9192-x

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