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Made available in DSpace on 2020-12-12T01:00:10Z (GMT). No. of bitstreams: 0 Previous issue date: 2020-01-01. Added 1 bitstream(s) on 2021-07-15T15:25:22Z : No. of bitstreams: 1 S2317-17822020000100303.pdf: 762735 bytes, checksum: eb327283b21377b0e086449dfed35ff1 (MD5) Purpose: This study aimed to compare the fiberoptic endoscopic findings of oropharyngeal swallowing of distinct food consistencies in Amyotrophic Lateral Sclerosis (ALS). Methods: This was a retrospective clinical study of a convenience sample of 20 individuals (13 males and seven females aged 34 to 78 years old) with a diagnosis of ALS and oropharyngeal dysphagia confirmed by clinical and objective evaluation of swallowing, regardless of the bulbar or skeletal type and of the time of neurological diagnosis. The fiberoptic endoscopic evaluation of swallowing (FEES) of the liquid (N = 18), thickened liquid (N = 19) and pureed samples (N = 20) in a volume of 5 ml were analyzed. Data related to posterior oral spillage, pharyngeal residues, laryngeal penetration and/or aspiration after swallowing the three food consistencies were analyzed statistically by the Friedman ANOVA test. Results: No impairment of laryngeal sensitivity was found in this population. There was no statistically significant difference in posterior oral spillage, penetration and/or aspiration between food consistencies. There was a statistically significant difference only related to pharyngeal residues of the thickened liquid and pureed consistency. Conclusion: Among the fiberoptic endoscopic findings of swallowing in ALS, only pharyngeal residues had a higher frequency depending on the consistency of food. Laboratório de Disfagia Universidade Estadual Júlio de Mesquita Filho-UNESP Laboratório de Otorrinolaringologia Universidade Estadual Júlio de Mesquita Filho-UNESP Universidade de Marília-UNIMAR Laboratório de Disfagia Universidade Estadual Júlio de Mesquita Filho-UNESP Laboratório de Otorrinolaringologia Universidade Estadual Júlio de Mesquita Filho-UNESP

Made available in DSpace on 2020-12-12T01:57:28Z (GMT). No. of bitstreams: 0 Previous issue date: 2020-01-01. Added 1 bitstream(s) on 2021-07-15T15:25:46Z : No. of bitstreams: 1 S2317-17822020000200308.pdf: 808943 bytes, checksum: 32a3d0209248f3692f46a0ae649ce4a3 (MD5) Purpose: The objective of the present study was to describe the total oral transit time (TOTT) of children with neurological impairment (CNI) and with an indication of gastrostomy. Method: A cross-sectional clinical study was conducted on 15 children (10 male and 5 female ranging in age from 1 to 14 years; mean 5.7 years) with CNI and gastrostomy indication. The patients were monitored by a Multidisciplinary Group of Pediatric Gastroenterology of Universidade de Marilia-UNIMAR, which 13 of them with previous exclusive oral feeding and 2 fed by a nasogastric tube. Swallowing was analyzed by videofluoroscopy swallowing study and 19 images of TOTT were obtained using specific software, with analysis of pureed food (13 images) and liquid (six images). TTOT was categorized as short or long based on definitions already evidenced in the literature. Results: The mean and standard deviation of TOTT values was 10.75 s and 11.76 s for pureed food and 4.22 s and 1.54 s for liquid food. Conclusion: The total oral transit time of pureed or liquid consistency was long in children with neurological involvement and with an indication of gastrostomy. Departamento de Medicina Universidade de Marília-UNIMAR Departamento de Fonoaudiologia Universidade Estadual Paulista-UNESP Departamento de Fonoaudiologia Universidade Estadual Paulista-UNESP

Made available in DSpace on 2020-12-12T01:41:38Z (GMT). No. of bitstreams: 0 Previous issue date: 2019-01-01. Added 1 bitstream(s) on 2021-07-15T15:25:35Z : No. of bitstreams: 1 S2317-17822019000600301.pdf: 821887 bytes, checksum: f110dec272e731612a5bee7ec403e914 (MD5) Purpose: To compare pharyngeal residues of different consistencies among groups of individuals with neurogenic oropharyngeal dysphagia. Methods: In a cross-sectional study, a fiberoptic endoscopic evaluation was performed in 30 swallowing exams of individuals diagnosed with neurological disease and oropharyngeal dysphagia, regardless of the time or stage of the disease. The individuals were divided into three groups according to etiology: group I, 10 post-stroke, 8 male and 2 female, aged 51 to 80 years (average age: 67 years); group II, 10 individuals with amyotrophic lateral sclerosis, 5 male and 5 female, aged 39 to 78 years (average age: 57 years); group III, 10 examinations of individuals with Parkinson's disease, 5 male and 5 female aged 65-88 years (average age: 74 years). The Yale Pharyngeal Residue Severity Rating Scale was applied by two independent raters in a blind manner for the analysis of pharyngeal residues in valleculae and pyriform sinuses based on the first swallowing of 5 mL of pureed and thickened liquid. Results: No statistically significant difference was observed among groups in the degree of pharyngeal residues of puree food or thickened liquid in the valleculae (p = 0.25/p = 0.18) or the pyriform sinuses (p = 1.41/0.49). Conclusion: The pharyngeal residue levels of pureed and thickened liquid were similar for the groups studied, with less severe levels being more frequent. Laboratório de Disfagia Departamento de Fonoaudiologia Universidade Estadual Paulista 'Júlio de Mesquita Filho' - UNESP Departamento de Medicina Universidade de Marília - UNIMAR Laboratório de Disfagia Departamento de Fonoaudiologia Universidade Estadual Paulista 'Júlio de Mesquita Filho' - UNESP

Made available in DSpace on 2018-12-11T17:35:08Z (GMT). No. of bitstreams: 0 Previous issue date: 2017-01-01. Added 1 bitstream(s) on 2019-10-09T18:33:05Z : No. of bitstreams: 1 S2317-17822017000600400.pdf: 753830 bytes, checksum: 98624540cc04e03a67a084fbd4f3aafc (MD5) Purpose: To describe the qualitative and quantitative temporal analysis of oropharyngeal swallowing in children diagnosed with Down syndrome (DS) through a case series study of six individuals aged 4 to 17 months (mean age = 11.16 months; median = 12 months). Methods: Qualitative and quantitative temporal analysis of swallowing using videofluoroscopy and specific software. The following parameters were assessed: presence or absence of oral incoordination, labial sphincter sealing incompetence, oral residue, posterior oral spillage, laryngotracheal penetration and aspiration, pharyngeal and total oral transit time (TOTT). Results: Qualitative analysis identified individuals with disorders in at least four of the swallowing parameters investigated. Only one individual presented total oral transit time (TOTT) different from the others. No difference was observed between the cases regarding pharyngeal transit time. Conclusion: Qualitative swallowing disorders are observed in children with DS, with difference in TOTT only in the case report of the youngest infant. Universidade Estadual Paulista - UNESP Universidade de Marília - UNIMAR Universidade Estadual Paulista - UNESP

Made available in DSpace on 2018-12-11T17:30:48Z (GMT). No. of bitstreams: 0 Previous issue date: 2016-01-01. Added 1 bitstream(s) on 2019-10-09T18:32:45Z : No. of bitstreams: 1 S2317-17822016000100071.pdf: 697114 bytes, checksum: da21cf2202347c939a6cd3d118fe4046 (MD5) Objective: To characterize the oropharyngeal swallowing profile of patients with chronic renal failure. Methods: A cross-sectional clinical study involving 20 adults diagnosed with chronic renal failure in hospital stay was conducted. The evaluation of swallowing was performed by videofluoroscopy, and characterization of findings was based on effectiveness and safety parameters. Functional Oral Intake Scale (FOIS) was also applied. Results: On videofluoroscopy, 16 patients presented changes in oral and pharyngeal patterns, three individuals presented impairment at the pharyngeal phase, and only one individual presented changes only at the oral phase of swallowing. Furthermore, videofluoroscopy showed penetration and tracheal aspiration in 30% of the sample. Before the videofluoroscopy, four individuals (20%) were at level 5 of FOIS scale, whereas 16 individuals (80%) were at level 7. After adjustments of the oral diet consistency because of safety and swallowing effectiveness, FOIS classification was six individuals at level 1, seven at level 4, four at level 5, and three at level 6. Conclusion: The characterization of oropharyngeal swallowing profile in chronic renal patients showed abnormalities at oral and pharyngeal phase, including penetration and tracheal aspiration, which requires oral intake changes. Santa Casa de Misericórdia de Marília Graduate Program of Speech-Language Pathology and Audiology Universidade Estadual Paulista Júlio de Mesquita Filho UNESP Graduate Program of Speech-Language Pathology and Audiology Universidade Estadual Paulista Júlio de Mesquita Filho UNESP