Investigation of Pharyngeal Swallow Function of Healthy Older Adults Using Visual Analysis of Swallowing Efficiency and Safety Scale.

IF 0.6 Q4 SURGERY Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2024-12-01 Epub Date: 2024-09-21 DOI:10.1007/s12070-024-05030-x

Sivaranjani Palani, N Swapna, T K Prakash

引用次数: 0

Abstract

To assess the pharyngeal swallow function of older adults in terms of safety and efficiency using the VASES scale. Twenty healthy individuals aged 60-80 years were included. They were evaluated using the EAT-10 K and VVST, followed by the FEES assessment. VASES was used to assess the residue in the oropharynx, hypopharynx, Epiglottis, Laryngeal vestibule, Vocal folds, and Sub glottis, and the aspiration and penetration during swallowing. Residue was present in the oropharynx, hypopharynx, epiglottis, and laryngeal vestibule for 95%, 85%, 45%, and 15% of the swallowing trials. The median residue amount was found to be 2% in the oropharynx and 1% in the hypopharynx. 70% of swallows yielded a score of PAS score of 1, followed by PAS 3 for 20% and PAS 2 for 10%. VASES facilitated the quantification of the residue across anatomical sites. Older adults did have compromised swallow safety and efficiency.

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使用吞咽效率和安全性视觉分析量表调查健康老年人的咽吞咽功能

使用 VASES 量表评估老年人咽部吞咽功能的安全性和效率。研究对象包括 20 名 60-80 岁的健康人。使用 EAT-10 K 和 VVST 对他们进行评估，然后进行 FEES 评估。VASES 用于评估口咽、下咽、会厌、喉前庭、声带和声门下的残留物，以及吞咽过程中的吸入和穿透情况。在 95%、85%、45% 和 15% 的吞咽试验中，残留物分别出现在口咽、下咽、会厌和喉前庭。口咽部残留量的中位数为 2%，下咽部为 1%。70% 的吞咽试验的 PAS 评分为 1 分，20% 的吞咽试验的 PAS 评分为 3 分，10% 的吞咽试验的 PAS 评分为 2 分。VASES 有助于量化各解剖部位的残留物。老年人的吞咽安全性和效率确实受到了影响。

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来源期刊

Indian Journal of Otolaryngology and Head and Neck Surgery Medicine-Otorhinolaryngology

CiteScore

0.80

自引率

0.00%

发文量

226

审稿时长

6-12 weeks

期刊介绍： Indian Journal of Otolaryngology and Head & Neck Surgery was founded as Indian Journal of Otolaryngology in 1949 as a scientific Journal published by the Association of Otolaryngologists of India and was later rechristened as IJOHNS to incorporate the changes and progress. IJOHNS, undoubtedly one of the oldest Journals in India, is the official publication of the Association of Otolaryngologists of India and is about to publish it is 67th Volume in 2015. The Journal published quarterly accepts articles in general Oto-Rhino-Laryngology and various subspecialities such as Otology, Rhinology, Laryngology and Phonosurgery, Neurotology, Head and Neck Surgery etc. The Journal acts as a window to showcase and project the clinical and research work done by Otolaryngologists community in India and around the world. It is a continued source of useful clinical information with peer review by eminent Otolaryngologists of repute in their respective fields. The Journal accepts articles pertaining to clinical reports, Clinical studies, Research articles in basic and applied Otolaryngology, short Communications, Clinical records reporting unusual presentations or lesions and new surgical techniques. The journal acts as a catalyst and mirrors the Indian Otolaryngologist’s active interests and pursuits. The Journal also invites articles from senior and experienced authors on interesting topics in Otolaryngology and allied sciences from all over the world. The print version is distributed free to about 4000 members of Association of Otolaryngologists of India and the e-Journal shortly going to make its appearance on the Springer Board can be accessed by all the members. Association of Otolaryngologists of India and M/s Springer India group have come together to co-publish IJOHNS from January 2007 and this bondage is going to provide an impetus to the Journal in terms of international presence and global exposure.