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Published in: Pediatric Radiology 9/2006

01-09-2006 | Review

Current practice in paediatric videofluoroscopy

Authors: Melanie P. Hiorns, Martina M. Ryan

Published in: Pediatric Radiology | Issue 9/2006

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Abstract

Use of the videofluoroscopy swallow study (VFSS), also known as the modified barium swallow (MBS), continues to increase in children. This article reviews the scope and limitations of the examination, explores the current techniques and illustrates some of the main findings. As moving images are key to the understanding of the use of this technique short videos are available in the on-line version of this paper.
Appendix
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Literature
1.
go back to reference Miller CK, Willging JP (2003) Advances in the evaluation and management of pediatric dysphagia. Curr Opin Otolaryngol Head Neck Surg 11:442–446PubMedCrossRef Miller CK, Willging JP (2003) Advances in the evaluation and management of pediatric dysphagia. Curr Opin Otolaryngol Head Neck Surg 11:442–446PubMedCrossRef
2.
go back to reference Mercado-Deane MG, Burton EM, Harlow SA, et al (2001) Swallowing dysfunction in infants less than 1 year of age. Pediatr Radiol 31:423–428CrossRefPubMed Mercado-Deane MG, Burton EM, Harlow SA, et al (2001) Swallowing dysfunction in infants less than 1 year of age. Pediatr Radiol 31:423–428CrossRefPubMed
3.
go back to reference Reilly S, Oates J, Douglas J (2003) Evidence based practice in speech pathology. Whurr, London Reilly S, Oates J, Douglas J (2003) Evidence based practice in speech pathology. Whurr, London
4.
go back to reference Logemann J (1983) Evaluation and treatment of swallowing disorders. College-Hill Press, San Diego Logemann J (1983) Evaluation and treatment of swallowing disorders. College-Hill Press, San Diego
5.
go back to reference DeMatteo C, Matovich D, Hjartarson A (2005) Comparison of clinical and videofluoroscopic evaluation of children with feeding and swallowing difficulties. Dev Med Child Neurol 47:149–157CrossRefPubMed DeMatteo C, Matovich D, Hjartarson A (2005) Comparison of clinical and videofluoroscopic evaluation of children with feeding and swallowing difficulties. Dev Med Child Neurol 47:149–157CrossRefPubMed
6.
go back to reference Newman LA, Keckley C, Petersen MC, et al (2001) Swallowing function and medical diagnoses in infants suspected of dysphagia. Pediatrics 108:E106CrossRefPubMed Newman LA, Keckley C, Petersen MC, et al (2001) Swallowing function and medical diagnoses in infants suspected of dysphagia. Pediatrics 108:E106CrossRefPubMed
7.
go back to reference Arvedson J, Rogers B, Buck G, et al (1994) Silent aspiration prominent in children with dysphagia. Int J Pediatr Otorhinolaryngol 28:173–181CrossRefPubMed Arvedson J, Rogers B, Buck G, et al (1994) Silent aspiration prominent in children with dysphagia. Int J Pediatr Otorhinolaryngol 28:173–181CrossRefPubMed
8.
go back to reference Rogers B, Arvedson J, Buck G, et al (1994) Characteristics of dysphagia in children with cerebral palsy. Dysphagia 9:69–73CrossRefPubMed Rogers B, Arvedson J, Buck G, et al (1994) Characteristics of dysphagia in children with cerebral palsy. Dysphagia 9:69–73CrossRefPubMed
9.
go back to reference Mann G, Hankey GJ, Cameron D (2000) Swallowing disorders following acute stroke: prevalence and diagnostic accuracy. Cerebrovasc Dis 10:380–386CrossRefPubMed Mann G, Hankey GJ, Cameron D (2000) Swallowing disorders following acute stroke: prevalence and diagnostic accuracy. Cerebrovasc Dis 10:380–386CrossRefPubMed
10.
go back to reference Shaw JL, Sharpe S, Dyson SE, et al (2004) Bronchial auscultation: an effective adjunct to speech and language therapy bedside assessment when detecting dysphagia and aspiration? Dysphagia 19:211–218CrossRefPubMed Shaw JL, Sharpe S, Dyson SE, et al (2004) Bronchial auscultation: an effective adjunct to speech and language therapy bedside assessment when detecting dysphagia and aspiration? Dysphagia 19:211–218CrossRefPubMed
11.
go back to reference Langmore SE (2003) Evaluation of oropharyngeal dysphagia: which diagnostic tool is superior? Curr Opin Otolaryngol Head Neck Surg 11:485–489PubMedCrossRef Langmore SE (2003) Evaluation of oropharyngeal dysphagia: which diagnostic tool is superior? Curr Opin Otolaryngol Head Neck Surg 11:485–489PubMedCrossRef
12.
go back to reference Langmore SE, Schatz K, Olsen N (1988) Fiberoptic endoscopic examination of swallowing safety: a new procedure. Dysphagia 2:216–219PubMedCrossRef Langmore SE, Schatz K, Olsen N (1988) Fiberoptic endoscopic examination of swallowing safety: a new procedure. Dysphagia 2:216–219PubMedCrossRef
13.
go back to reference Willging JP (1995) Endoscopic evaluation of swallowing in children. Int J Pediatr Otorhinolaryngol 32 Suppl:S107–S108CrossRefPubMed Willging JP (1995) Endoscopic evaluation of swallowing in children. Int J Pediatr Otorhinolaryngol 32 Suppl:S107–S108CrossRefPubMed
14.
go back to reference Madden C, Fenton J, Hughes J, et al (2000) Comparison between videofluoroscopy and milk-swallow endoscopy in the assessment of swallowing function. Clin Otolaryngol Allied Sci 25:504–506CrossRefPubMed Madden C, Fenton J, Hughes J, et al (2000) Comparison between videofluoroscopy and milk-swallow endoscopy in the assessment of swallowing function. Clin Otolaryngol Allied Sci 25:504–506CrossRefPubMed
15.
go back to reference Leder SB, Karas DE (2000) Fiberoptic endoscopic evaluation of swallowing in the pediatric population. Laryngoscope 110:1132–1136CrossRefPubMed Leder SB, Karas DE (2000) Fiberoptic endoscopic evaluation of swallowing in the pediatric population. Laryngoscope 110:1132–1136CrossRefPubMed
16.
go back to reference Rosenbek JC, Robbins JA, Roecker EB, et al (1996) A penetration-aspiration scale. Dysphagia 11:93–98CrossRefPubMed Rosenbek JC, Robbins JA, Roecker EB, et al (1996) A penetration-aspiration scale. Dysphagia 11:93–98CrossRefPubMed
17.
go back to reference Colodny N (2002) Interjudge and intrajudge reliabilities in fiberoptic endoscopic evaluation of swallowing (fees) using the penetration-aspiration scale: a replication study. Dysphagia 17:308–315CrossRefPubMed Colodny N (2002) Interjudge and intrajudge reliabilities in fiberoptic endoscopic evaluation of swallowing (fees) using the penetration-aspiration scale: a replication study. Dysphagia 17:308–315CrossRefPubMed
18.
go back to reference Reilly S, Skuse D, Poblete X (1996) Prevalence of feeding problems and oral motor dysfunction in children with cerebral palsy: a community survey. J Pediatr 129:877–882CrossRefPubMed Reilly S, Skuse D, Poblete X (1996) Prevalence of feeding problems and oral motor dysfunction in children with cerebral palsy: a community survey. J Pediatr 129:877–882CrossRefPubMed
19.
go back to reference Sullivan PB, Lambert B, Rose M, et al (2000) Prevalence and severity of feeding and nutritional problems in children with neurological impairment: Oxford Feeding Study. Dev Med Child Neurol 42:674–680CrossRefPubMed Sullivan PB, Lambert B, Rose M, et al (2000) Prevalence and severity of feeding and nutritional problems in children with neurological impairment: Oxford Feeding Study. Dev Med Child Neurol 42:674–680CrossRefPubMed
20.
go back to reference Vazquez JL, Buonomo C (1999) Feeding difficulties in the first days of life: findings on upper gastrointestinal series and the role of the videofluoroscopic swallowing study. Pediatr Radiol 29:894–896CrossRefPubMed Vazquez JL, Buonomo C (1999) Feeding difficulties in the first days of life: findings on upper gastrointestinal series and the role of the videofluoroscopic swallowing study. Pediatr Radiol 29:894–896CrossRefPubMed
21.
go back to reference Morgan A, Ward E, Murdoch B, et al (2002) Acute characteristics of pediatric dysphagia subsequent to traumatic brain injury: videofluoroscopic assessment. J Head Trauma Rehabil 17:220–241PubMedCrossRef Morgan A, Ward E, Murdoch B, et al (2002) Acute characteristics of pediatric dysphagia subsequent to traumatic brain injury: videofluoroscopic assessment. J Head Trauma Rehabil 17:220–241PubMedCrossRef
22.
go back to reference Field D, Garland M, Williams K (2003) Correlates of specific childhood feeding problems. J Paediatr Child Health 39:299–304CrossRefPubMed Field D, Garland M, Williams K (2003) Correlates of specific childhood feeding problems. J Paediatr Child Health 39:299–304CrossRefPubMed
23.
go back to reference Arvedson J, Lefton-Grief M (1998) Pediatric videofluoroscopic swallow studies: a professional manual with caregiver guidelines. Communication Skill Builders/Psychological Corporation, San Antonia Arvedson J, Lefton-Grief M (1998) Pediatric videofluoroscopic swallow studies: a professional manual with caregiver guidelines. Communication Skill Builders/Psychological Corporation, San Antonia
24.
go back to reference Logemann J (1993) Manual for the videofluorographic study of swallowing. Pro-Ed, Austin Logemann J (1993) Manual for the videofluorographic study of swallowing. Pro-Ed, Austin
25.
go back to reference Huggins PS, Tuomi SK, Young C (1999) Effects of nasogastric tubes on the young, normal swallowing mechanism. Dysphagia 14:157–161PubMedCrossRef Huggins PS, Tuomi SK, Young C (1999) Effects of nasogastric tubes on the young, normal swallowing mechanism. Dysphagia 14:157–161PubMedCrossRef
26.
go back to reference O’Donoghue S, Bagnall A (1999) Videofluoroscopic evaluation in the assessment of swallowing disorders in paediatric and adult populations. Folia Phoniatr Logop 51:158–171CrossRefPubMed O’Donoghue S, Bagnall A (1999) Videofluoroscopic evaluation in the assessment of swallowing disorders in paediatric and adult populations. Folia Phoniatr Logop 51:158–171CrossRefPubMed
27.
go back to reference Linden P, Siebens AA (1983) Dysphagia: predicting laryngeal penetration. Arch Phys Med Rehabil 64:281–284PubMed Linden P, Siebens AA (1983) Dysphagia: predicting laryngeal penetration. Arch Phys Med Rehabil 64:281–284PubMed
28.
go back to reference Cichero JA, Jackson O, Halley PJ, et al (2000) How thick is thick? Multicenter study of the rheological and material property characteristics of mealtime fluids and videofluoroscopy fluids. Dysphagia 15:188–200CrossRefPubMed Cichero JA, Jackson O, Halley PJ, et al (2000) How thick is thick? Multicenter study of the rheological and material property characteristics of mealtime fluids and videofluoroscopy fluids. Dysphagia 15:188–200CrossRefPubMed
29.
go back to reference Palmer JB, Kuhlemeier KV, Tippett DC, et al (1993) A protocol for the videofluorographic swallowing study. Dysphagia 8:209–214CrossRefPubMed Palmer JB, Kuhlemeier KV, Tippett DC, et al (1993) A protocol for the videofluorographic swallowing study. Dysphagia 8:209–214CrossRefPubMed
30.
go back to reference Wright RE, Boyd CS, Workman A (1998) Radiation doses to patients during pharyngeal videofluoroscopy. Dysphagia 13:113–115PubMedCrossRef Wright RE, Boyd CS, Workman A (1998) Radiation doses to patients during pharyngeal videofluoroscopy. Dysphagia 13:113–115PubMedCrossRef
31.
go back to reference Chan CB, Chan LK, Lam HS (2002) Scattered radiation level during videofluoroscopy for swallowing study. Clin Radiol 57:614–616CrossRefPubMed Chan CB, Chan LK, Lam HS (2002) Scattered radiation level during videofluoroscopy for swallowing study. Clin Radiol 57:614–616CrossRefPubMed
32.
go back to reference Scott A, Perry A, Bench J (1998) A study of interrater reliability when using videofluoroscopy as an assessment of swallowing. Dysphagia 13:223–227PubMedCrossRef Scott A, Perry A, Bench J (1998) A study of interrater reliability when using videofluoroscopy as an assessment of swallowing. Dysphagia 13:223–227PubMedCrossRef
33.
go back to reference Stoeckli SJ, Huisman TA, Seifert B, et al (2003) Interrater reliability of videofluoroscopic swallow evaluation. Dysphagia 18:53–57CrossRefPubMed Stoeckli SJ, Huisman TA, Seifert B, et al (2003) Interrater reliability of videofluoroscopic swallow evaluation. Dysphagia 18:53–57CrossRefPubMed
34.
go back to reference Ott DJ (1998) Observer variation in evaluation of videofluoroscopic swallowing studies: a continuing problem. Dysphagia 13:148–150PubMed Ott DJ (1998) Observer variation in evaluation of videofluoroscopic swallowing studies: a continuing problem. Dysphagia 13:148–150PubMed
35.
go back to reference Taniguchi MH, Moyer RS (1994) Assessment of risk factors for pneumonia in dysphagic children: significance of videofluoroscopic swallowing evaluation. Dev Med Child Neurol 36:495–502PubMedCrossRef Taniguchi MH, Moyer RS (1994) Assessment of risk factors for pneumonia in dysphagic children: significance of videofluoroscopic swallowing evaluation. Dev Med Child Neurol 36:495–502PubMedCrossRef
36.
go back to reference Pikus L, Levine MS, Yang YX, et al (2003) Videofluoroscopic studies of swallowing dysfunction and the relative risk of pneumonia. AJR 180:1613–1616PubMed Pikus L, Levine MS, Yang YX, et al (2003) Videofluoroscopic studies of swallowing dysfunction and the relative risk of pneumonia. AJR 180:1613–1616PubMed
37.
go back to reference Friedman B, Frazier JB (2000) Deep laryngeal penetration as a predictor of aspiration. Dysphagia 15:153–158PubMed Friedman B, Frazier JB (2000) Deep laryngeal penetration as a predictor of aspiration. Dysphagia 15:153–158PubMed
38.
go back to reference Logemann JA, Lazarus CL, Keeley SP, et al (2000) Effectiveness of four hours of education in interpretation of radiographic studies. Dysphagia 15:180–183CrossRefPubMed Logemann JA, Lazarus CL, Keeley SP, et al (2000) Effectiveness of four hours of education in interpretation of radiographic studies. Dysphagia 15:180–183CrossRefPubMed
Metadata
Title
Current practice in paediatric videofluoroscopy
Authors
Melanie P. Hiorns
Martina M. Ryan
Publication date
01-09-2006
Publisher
Springer-Verlag
Published in
Pediatric Radiology / Issue 9/2006
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-006-0124-3

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