Application of fibreoptic endoscope evaluating of oropharyngeal swallowing in post-irradiated patients with nasopharyngeal carcinoma
10.13201/j.issn.1001-1781.2020.02.014
- Author:
Jianli ZHANG
1
;
Weixiong CHEN
1
;
Jingjia LI
1
;
Ruikai CHEN
1
;
Debin KUANG
1
;
Guanying YANG
2
;
Hongmei FENG
2
Author Information
1. Department of Otorhinolaryngology Head and Neck Surgery，the First People's Hospital of Foshan，Foshan，528000，China
2. Department of Radiology，the First People's Hospital of Foshan
- Publication Type:Journal Article
- Keywords:
dysphagia;
nasopharyngeal neoplasms;
radiotherapy;
laryngocopes
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2020;34(2):158-161
- CountryChina
- Language:Chinese
-
Abstract:
Objective:The aim of this study is to investigate the effect of fibreoptic endoscopic of sallowing （FEES） in the assessment of pharyngeal dysphagia in post-irradiated patients with nasopharyngeal carcinoma.
Method:Fifty-three NPC patients with post-irradiated underwent FEES and video fluoroscopy（VF）.The results were analyzed using the Bolus Residue Scale and Rosenbek's penetration aspiration scale.
Result:The agreement in the detection of penetration and aspiration between FEES and VF of liquid（κ=0.56, 95%CI 0.38-0.73） and porridge（κ=0.64, 95%CI 0.43-0.81） was "fair". The detection rates of penetration on FEES with liquid and porridge were 60% and 51%, the detection rates of aspiration on VF with liquid and porridge were 70% and 53%. There were no statistical differences. The agreement in the detection of pharyngeal residue between FEES and VF of liquid （κ=0.38, 95%CI0.12-0.62） and porridge （κ=0.66, 95%CI 0.44-0.86） was "fair". The detection rates of pharyngeal residue on FEES and VF with porridge were 43% and 45%, the difference was not statistically significant. The detection rates of pharyngeal residue on FEES and VF with liquid were 44% and 24%, and the difference was statistically significant.
Conclusion:FEES is an effective and valuable tool for evaluating pharyngeal dysphagia in post-irradiated patients with nasopharyngeal carcinoma.
