KBB-Forum 2019 , Cilt 18, Sayı 1

COMPARISON OF FLEXIBLE ENDOSCOPIC SWALLOWING STUDY AND MODIFIED BARIUM SWALLOWING STUDIES IN PATIENTS WITH PATIENTS OF NEUROGENIC DYSPHAGIA

Dr. Mehmet Burak AŞIK1, Fzyt. Nimet EVİN1, Dr. Emine Ceren ERSÖZ ÜNLÜ1, Dr. Umut EROL1, Dr. Hakan GENÇ1
1Gülhane Eğitim ve Araştırma Hastanesi, Kulak Burun Boğaz Hastalıkları, Ankara, Türkiye Introduction: Many patients with neurological diseases also have dysphagia complaints. As with all dysphagia patients, swallowing specific diagnostic tools, flexible endoscopic swallowing studies (FESS) and swallowing radiographs are also present in patients with late-stage neurogenic dysphagia. The aim of this study was to compare the aspirastion-penetration scale (APS) scores of FESS and swallow radiographs and to compare the severity of dysphagia between the two techniques.

Materials and Methods: FESS and modified barium swallowing study (MBSS) were performed in the late period of 23 patients with neurogenic disease accompanied by liquid and semi-solid foods. After these studies, severity scoring of dysphagia was performed with APS scoring. FESS and MBSS scores were compared. Statistical analysis was performed using SPSS version 15.0 software. P-values below 0.05 were considered statistically significant.

Results: When the APS scores of the patients with FESS and MBSS during fluid were compared, a statistically significant difference was found between the groups in terms of fluid APS scores. (P = 0.028) There was no statistically significant difference in semi-solid APS scores between the groups when compared to the FESS and MBSS.. (P = 0.268)

Conclusion: According to the dysphagia scale scores, we think that FESS results of fluids could be more serious in neurogenic patients and FESS should be checked and confirmed with MBSS. We evaluate that during FESS patients may have difficulty in examination conditions and may show more serious aspiration and penetration problems. Keywords : Dysphagia, Modified Barium Swallowing Study, Flexible Endoscopic Swallowing Study, Neurogenic Dysphagia