Parmi les conférences de consensus proposées à l’IFOS à Paris (Palais des Congrès), retrouvez celle consacrée à l’évaluation des dysphagies le lundi 26 juin 2017 à 14h00 en salle 352B.
Dysphagia assessment guidelines
Chair: Lise Crevier Buchman
Moderator: Florent Espitalier
Speakers: Jonathan Aviv (USA); Gauthier Desuter (Belgque); Nupur Nerurkar (India); Samia Bassiounys (Egype)
Oropharyngeal dysphagia increases the risk of pneumonia and malnutrition, resulting in increased mortality, morbidity, and impaired quality of life for patients who suffer from it. Oropharyngeal dysphagia is term referred to alterations in the transfer of the bolus from the mouth to the esophagus. The origin of oropharyngeal dysphagia may be multiple. This guideline is thus concerned with the dysphagia encountered in the cancers of the upper aerodigestive tract, after treatment by surgery and/or radio-chemotherapy, but also after cervical or thoracic surgery or in the case of discovery of neuro-degenerative or muscular pathologies. Neurovascular pathologies have been deliberately excluded from these guidelines.
Different tools exist to assess swallowing disorders, whether objective or subjective. The best tests for objectively evaluating oropharyngeal dysphagia are fiberoptic endoscopic evaluation of swallowing (FEES) and videofluoroscopic swallowing study (VFSS). Many questionnaires exist to allow the patient to self-assess his swallowing disorders. However, there is no international consensus to assess oropharyngeal dysphagia today.
The objective of these guidelines was to compare the opinions of experts from the different continents on instrumental and self-questionnaire evaluation of oropharyngeal dysphagia in order to discuss the place of each evaluation method in the assessment of oropharyngeal dysphagia. A questionnaire containing 14 questions was sent to the 5 expert panelists making up this session. The results will be presented and commented on the day of the presentation of the guidelines, with a practical contribution by the presentation of clinical cases illustrating the different situations that the clinician may be confronted, according to his mode and his environment of practice.