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