caa a22 4500 469050519 CHVBK 20180323132829.0 cr unu---uuuuu 170328e19921201xx s 000 0 eng 10.1007/BF02493468 doi (NATIONALLICENCE)springer-10.1007/BF02493468 Impact of the diagnostic procedure on outcome measures of swallowing rehabilitation in head and neck cancer patients [Elektronische Daten] [Jeri Logemann, Barbara Pauloski, Alfred Rademaker, Barbara Cook, Darlene Graner, Frank Milianti, Quinter Beery, David Stein, Julia Bowman, Cathy Lazarus, Mary Heiser, Theresa Baker] This study was designed to determine whether swallow rehabilitation outcomes were affected by the type of evaluation procedure utilized by the clinician. The two evaluation techniques compared were the bedside examination and videofluoroscopy (the modified barium swallow). Ten institutions participated in this study, enrolling a total of 103 partial laryngectomized patients, 21 in the bedside arm and 82 in the videofluoroscopy arm. Data on recovery of oral intake were collected weekly. All patients received an X-ray study of swallow at 3 months after the operation. Mean time to oral intake of food was significantly lower in patients assessed with bedside examination. Overall swallow measures of transit times and swallow efficiencies after 3 months revealed significantly better function in the videofluoroscopy group. Results are discussed in terms of the visibility of swallow physiology with the two assessment techniques, the accuracy of therapy planning with the bedside examination versus videofluoroscopy and the ability of head and neck cancer patients to tolerate some aspiration without developing aspiration pneumonia. Springer-Verlag New York Inc, 1992 Videofluoroscopy nationallicence Swallowing evaluation nationallicence Bedside examination nationallicence Partial laryngectomees nationallicence Deglutition nationallicence Deglutition disorders nationallicence Logemann Jeri Communication Sciences and Disorders, North-western University, 2299 Sheridan Road, 60208, Evanston, IL, USA aut Pauloski Barbara Communication Sciences and Disorders, North-western University, 2299 Sheridan Road, 60208, Evanston, IL, USA aut Rademaker Alfred Communication Sciences and Disorders, North-western University, 2299 Sheridan Road, 60208, Evanston, IL, USA aut Cook Barbara Hines V.A. Hospital, USA aut Graner Darlene Hines V.A. Hospital, USA aut Milianti Frank Hines V.A. Hospital, USA aut Beery Quinter Eye and Ear Hospital of Pittsburgh, USA aut Stein David Eye and Ear Hospital of Pittsburgh, USA aut Bowman Julia Anderson Hospital and Tumor Institute, USA aut Lazarus Cathy Communication Sciences and Disorders, North-western University, 2299 Sheridan Road, 60208, Evanston, IL, USA aut Heiser Mary Roswell Park Memorial Institute, USA aut Baker Theresa Illinois Cancer Council, USA aut Dysphagia Springer-Verlag 7/4(1992-12-01), 179-186 0179-051X 7:4<179 1992 7 455 https://doi.org/10.1007/BF02493468 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF02493468 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Logemann Jeri Communication Sciences and Disorders, North-western University, 2299 Sheridan Road, 60208, Evanston, IL, USA aut NATIONALLICENCE 700 1- Pauloski Barbara Communication Sciences and Disorders, North-western University, 2299 Sheridan Road, 60208, Evanston, IL, USA aut NATIONALLICENCE 700 1- Rademaker Alfred Communication Sciences and Disorders, North-western University, 2299 Sheridan Road, 60208, Evanston, IL, USA aut NATIONALLICENCE 700 1- Cook Barbara Hines V.A. Hospital, USA aut NATIONALLICENCE 700 1- Graner Darlene Hines V.A. Hospital, USA aut NATIONALLICENCE 700 1- Milianti Frank Hines V.A. Hospital, USA aut NATIONALLICENCE 700 1- Beery Quinter Eye and Ear Hospital of Pittsburgh, USA aut NATIONALLICENCE 700 1- Stein David Eye and Ear Hospital of Pittsburgh, USA aut NATIONALLICENCE 700 1- Bowman Julia Anderson Hospital and Tumor Institute, USA aut NATIONALLICENCE 700 1- Lazarus Cathy Communication Sciences and Disorders, North-western University, 2299 Sheridan Road, 60208, Evanston, IL, USA aut NATIONALLICENCE 700 1- Heiser Mary Roswell Park Memorial Institute, USA aut NATIONALLICENCE 700 1- Baker Theresa Illinois Cancer Council, USA aut NATIONALLICENCE 773 0- Dysphagia Springer-Verlag 7/4(1992-12-01), 179-186 0179-051X 7:4<179 1992 7 455 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer