Top

Published in:

01-03-2022 | Ultrasound | Review

Reliability of Ultrasound Examination of Hyoid Bone Displacement Amplitude: A Systematic Review and Meta-Analysis

Authors: Rodrigo Alves de Andrade, Maria das Graças Wanderley do Sales Coriolano, Eduarda Lopes Honorato de Souza, Jamilly Henrique Costa da Silva, Maria Deluana da Cunha, Leandro Pernambuco, Vanessa Veis Ribeiro, Hilton Justino da Silva

Published in: Dysphagia | Issue 6/2022

Abstract

In swallowing, the hyoid bone moves up and forward in response to the activation of suprahyoid muscles, opening the upper esophageal sphincter and aiding the airway protection mechanism. This displacement measure has been analyzed with ultrasound images because this method does not expose the patient to radiation, has a good cost–benefit ratio, and is safe for the patient. However, there is no consensus on the reliability of this ultrasound measure. The objective of this study was to analyze the reliability of measuring hyoid bone displacement amplitude in swallowing with ultrasound. The systematic review encompassed five databases (MEDLINE, Scopus, EMBASE, Web of Science, Cochrane Library) and gray literature. There was no limitation of language or year of publication. The search/selection/extraction methodology was conducted by two authors blindly and independently, and differences were solved by a third rater. Three studies met the eligibility criteria: two of them analyzed the reliability in non-dysphagic populations and the other, in dysphagic patients. The transducer was positioned in the submandibular region in all studies. The authors were not clear about the training time to acquire and analyze ultrasound images. The meta-analysis had an interrater reliability of 0.858 (95% CI: 0.744–0.924) and intrarater reliability of 0.968 (95% CI: 0.903–0.990). There was, however, heterogeneity of p = 0.005 for intrarater reliability. Despite good reliability, the heterogeneity reinforces the importance of training and protocol standardization for image acquisition and analysis.

Available only for authorised users

Pearson WG, Langmore SE, Zumwalt AC. Evaluating the structural properties of suprahyoid muscles and their potential for moving the hyoid. Dysphagia. 2011;26(4):345–51. https://doi.org/10.1007/s00455-010-9315-z.CrossRefPubMed

Khan YS, Bordoni B. Anatomy, Head and Neck, Suprahyoid Muscle. StatPearls. June 2021. https://www.ncbi.nlm.nih.gov/books/NBK546710/. Accessed July 31, 2021.

Mioche L, Hiiemae KM, Palmer JB. A postero-anterior videofluorographic study of the intra-oral management of food in man. Arch Oral Biol. 2002;47(4):267–80. https://doi.org/10.1016/S0003-9969(02)00007-9.CrossRefPubMed

Logemann JA, Kahrilas PJ, Cheng J, et al. Closure mechanisms of laryngeal vestibule during swallow. Am J Physiol - Gastrointest Liver Physiol. 1992;262(2):G338–44.CrossRef

Pearson WG Jr, Langmore SE, Yu LB, Zumwalt AC. Structural analysis of muscles elevating the hyolaryngeal complex. Dysphagia. 2012;27(4):445. https://doi.org/10.1007/S00455-011-9392-7.CrossRefPubMedPubMedCentral

Padovani AR, Moraes DP, Mangili LD, de Andrade CRF. Dysphagia risk evaluation protocol. Rev da Soc Bras Fonoaudiol. 2007;12(3):199–205. https://doi.org/10.1590/s1516-80342007000300007.CrossRef

Kim Y, McCullough GH. Maximum hyoid displacement in normal swallowing. Dysphagia. 2008;23(3):274–9. https://doi.org/10.1007/s00455-007-9135-y.CrossRefPubMed

Chi-Fishman G, Sonies BC. Effects of systematic bolus viscosity and volume changes on hyoid movement kinematics. Dysphagia. 2002;17(4):278–87. https://doi.org/10.1007/s00455-002-0070-7.CrossRefPubMed

Hsiao MY, Chang YC, Chen WS, Chang HY, Wang TG. Application of ultrasonography in assessing oropharyngeal dysphagia in stroke patients. Ultrasound Med Biol. 2012;38(9):1522–8. https://doi.org/10.1016/j.ultrasmedbio.2012.04.017.CrossRefPubMed

10.

Bingjie TZ, Xinting S, Jianmin X, Guijun J. Quantitative videofluoroscopic analysis of penetration-aspiration in post-stroke patients. Neurol India. 2010;58(1):42.CrossRefPubMed

11.

Chen YC, Hsiao MY, Wang YC, Fu CP, Wang TG. Reliability of ultrasonography in evaluating hyoid bone movement. J Med Ultrasound. 2017;25(2):90–5. https://doi.org/10.1016/j.jmu.2017.01.002.CrossRefPubMedPubMedCentral

12.

Ohkubo M, Scobbie JM. Tongue shape dynamics in swallowing using sagittal ultrasound. Dysphagia. 2019;34(1):112–8. https://doi.org/10.1007/s00455-018-9921-8.CrossRefPubMed

13.

Sonies BC, Chi-Fishman G, Miller JL. Ultrasound Imaging and Swallowing. In: Normal and Abnormal Swallowing. New York: Springer; 2003. p. 119–38.CrossRef

14.

Scarborough DR, Waizenhofer S, Siekemeyer L, Hughes M. Sonographically measured hyoid bone displacement during swallow in preschool children: a preliminary study. J Clin Ultrasound. 2010;38(8):430–4. https://doi.org/10.1002/jcu.20733.CrossRefPubMed

15.

de Leite KKA, Mangilli LD, Sassi FC, Limongi SCO, de Andrade CRF. Ultrassonografia e deglutição: revisão crítica da literatura. Audiol - Commun Res. 2014;19(4):412–20.CrossRef

16.

Rocha SG, da Silva RG, Berti LC. Qualitative and quantitative ultrasound analysis of oropharyngeal swallowing. CODAS. 2015;27(5):437–45. https://doi.org/10.1590/2317-1782/20152015015.CrossRefPubMed

17.

Okada T, Aoyagi Y, Inamoto Y, et al. Dynamic change in hyoid muscle length associated with trajectory of hyoid bone during swallowing: analysis using 320-row area detector computed tomography. J App Physiol. 2013;115(8):1138–45.CrossRef

18.

Allen JE, Clunie GM, Winiker K. Ultrasound: an emerging modality for the dysphagia assessment toolkit? Curr Opin Otolaryngol Head Neck Surg. 2021;29(3):213–8. https://doi.org/10.1097/MOO.0000000000000708.CrossRefPubMedPubMedCentral

19.

Page MJ, McKenzie J, Bossuyt P. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. Int J Surg. 2020;88:105906.CrossRef

20.

Akobeng AK. Principles of evidence based medicine. Arch Dis Child. 2005;90:837–40. https://doi.org/10.1136/adc.2005.071761.CrossRefPubMedPubMedCentral

21.

Higgins JPT, Thomas J, Chandler J, Cumpston M, Li T, Page MJ, Welch VA (editors). Cochrane Handbook for Systematic Reviews of Interventions version 6.2 (updated February 2021). Cochrane, 2021. Available from www.training.cochrane.org/handbook

22.

Lucas NP, Macaskill P, Irwig L, Bogduk N. The development of a quality appraisal tool for studies of diagnostic reliability (QAREL). J Clin Epidemiol. 2010;63(8):854–61. https://doi.org/10.1016/j.jclinepi.2009.10.002.CrossRefPubMed

23.

Miura Y, Tamai N, Kitamura A, et al. Diagnostic accuracy of ultrasound examination in detecting aspiration and pharyngeal residue in patients with dysphagia: a systematic review and meta-analysis. Japan J Nurs Sci. 2021;18(2):e12396.CrossRef

24.

Macrae PR, Doeltgen SH, Jones RD, Huckabee ML. Intra- and inter-rater reliability for analysis of hyoid displacement measured with sonography. J Clin Ultrasound. 2012;40(2):74–8. https://doi.org/10.1002/jcu.20874.CrossRefPubMed

25.

Stone M. A three-dimensional model of tongue movement based on ultrasound and x-ray microbeam data. J Acoust Soc Am. 1990;87(5):2207–17. https://doi.org/10.1121/1.399188.CrossRefPubMed

26.

da Costa BOI, de Rodrigues DSB, de Magalhães DDD, et al. Quantitative ultrasound assessment of hyoid bone displacement during swallowing following thyroidectomy. Dysphagia. 2020. https://doi.org/10.1007/s00455-020-10180-5.CrossRefPubMed

27.

Chi-Fishman G, Sonies BC. Kinematic strategies for hyoid movement in rapid sequential swallowing. J Speech, Lang Hear Res. 2002;45(3):457–68. https://doi.org/10.1044/1092-4388(2002/036).CrossRef

28.

Feng X, Cartwright MS, Walker FO, Bargoil JH, Hu Y, Butler SG. Ultrasonographic evaluation of geniohyoid muscle and hyoid bone during swallowing in young adults. Laryngoscope. 2015;125(8):1886–91. https://doi.org/10.1002/lary.25224.CrossRefPubMed

29.

Huckabee M-L, Macrae P, Lamvik K. Expanding instrumental options for dysphagia diagnosis and research: ultrasound and manometry. Folia Phoniatr Logop. 2015;67(6):269–84. https://doi.org/10.1159/000444636.CrossRefPubMed

30.

Shawker TH, Sonies B, Stone M, Baum BJ. Real-time ultrasound visualization of tongue movement during swallowing. J Clin Ultrasound. 1983;11(9):485–90. https://doi.org/10.1002/jcu.1870110906.CrossRefPubMed

31.

Sonies BC, Wang C, Sapper DJ. Evaluation of normal and abnormal hyoid bone movement during swallowing by use of ultrasound duplex-Doppler imaging. Ultrasound Med Biol. 1996;22(9):1169–75. https://doi.org/10.1016/S0301-5629(96)00158-5.CrossRefPubMed

32.

Kwak HJ, Kim L, Ryu BJ, et al. Influence of nasogastric tubes on swallowing in stroke patients: Measuring hyoid bone movement with ultrasonography. Ann Rehabil Med. 2018;42(4):551–9. https://doi.org/10.5535/arm.2018.42.4.551.CrossRefPubMedPubMedCentral

33.

Steele C, Sasse C, Bressmann T. Tongue-pressure and hyoid movement timing in healthy liquid swallowing. Int J Lang Commun Disord. 2012;47(1):77–83. https://doi.org/10.1111/j.1460-6984.2011.00082.x.CrossRefPubMed

Title: Reliability of Ultrasound Examination of Hyoid Bone Displacement Amplitude: A Systematic Review and Meta-Analysis
Authors: Rodrigo Alves de Andrade
Maria das Graças Wanderley do Sales Coriolano
Eduarda Lopes Honorato de Souza
Jamilly Henrique Costa da Silva
Maria Deluana da Cunha
Leandro Pernambuco
Vanessa Veis Ribeiro
Hilton Justino da Silva
Publication date: 01-03-2022
Publisher: Springer US
Keywords: Ultrasound
Ultrasound
Dysphagia
Dysphagia
Dysphagia
Published in: Dysphagia / Issue 6/2022
Print ISSN: 0179-051X
Electronic ISSN: 1432-0460
DOI: https://doi.org/10.1007/s00455-022-10429-1

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Reliability of Ultrasound Examination of Hyoid Bone Displacement Amplitude: A Systematic Review and Meta-Analysis

Abstract

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 6/2022

The Effectiveness of Transcranial Stimulation in Improving Swallowing Outcomes in Adults with Poststroke Dysphagia: A Systematic Review and Meta-analysis

Dysphagia in Intensive Care Evaluation (DICE): An International Cross-Sectional Survey

Identifying Dysphagia and Demographic Associations in Older Adults Using Electronic Health Records: A National Longitudinal Observational Study in Wales (United Kingdom) 2008–2018

The Cross-Sectional Area of the Middle and Base of the Tongue is Associated with Swallowing-Related Muscle Strength

Predictive Factors for Oral Intake Recovery After Acute Stroke: Analysis of a Japanese Nationwide Inpatient Database

Zenker’s Diverticulum: Readability and Quality of Online Written Education Materials