Assessment of vocal fold movement through anterior–posterior view of videofluoroscopic swallowing study
Abstract Objective The aim of this study is to assess the value of using videofluoroscopic swallowing study (VFSS) for assessing vocal fold paralysis. Methods This was a retrospective study of patients who underwent VFSS with a vocal fold testing maneuver from June 2020 to February 2022, and who had...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2023-10-01
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| Series: | Laryngoscope Investigative Otolaryngology |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/lio2.1147 |
| _version_ | 1797648946982551552 |
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| author | JoonHee Lee Hye Joon Ahn Min Soo Kang Kyoung Hyo Choi Yoon Se Lee Byung‐Mo Oh Seung Hak Lee |
| author_facet | JoonHee Lee Hye Joon Ahn Min Soo Kang Kyoung Hyo Choi Yoon Se Lee Byung‐Mo Oh Seung Hak Lee |
| author_sort | JoonHee Lee |
| collection | DOAJ |
| description | Abstract Objective The aim of this study is to assess the value of using videofluoroscopic swallowing study (VFSS) for assessing vocal fold paralysis. Methods This was a retrospective study of patients who underwent VFSS with a vocal fold testing maneuver from June 2020 to February 2022, and who had undergone laryngoscopy within 2 weeks before or after VFSS. The vocal fold testing maneuver consisted of making an ‘e’ sound for about 2–3 seconds during VFSS anterior–posterior (AP) view. The diagnostic value of the VFSS was evaluated by a trained reviewer, who assessed the presence and laterality of vocal fold paralysis by examining videos of the patients performing the vocal fold testing maneuver. Intra‐rater reliability was determined by evaluation of the videos by the same reviewer 2 weeks later, and inter‐rater reliability was determined by evaluation by a second reviewer. Results Seventy patients were enrolled in the study. The positive predictive value was 91.43% and the intra‐rater and inter‐rater reliabilities, as determined by Cohen's kappa value, were 0.746 and 0.824 respectively. Conclusions The presence and laterality of vocal fold paralysis were identified accurately and reliably by the reviewers, showing that VFSS can be used to assess vocal fold paralysis. Level of evidence 2. |
| first_indexed | 2024-03-11T15:39:18Z |
| format | Article |
| id | doaj.art-87b5837384d541798f5206278534e776 |
| institution | Directory Open Access Journal |
| issn | 2378-8038 |
| language | English |
| last_indexed | 2024-03-11T15:39:18Z |
| publishDate | 2023-10-01 |
| publisher | Wiley |
| record_format | Article |
| series | Laryngoscope Investigative Otolaryngology |
| spelling | doaj.art-87b5837384d541798f5206278534e7762023-10-26T12:36:34ZengWileyLaryngoscope Investigative Otolaryngology2378-80382023-10-01851319132310.1002/lio2.1147Assessment of vocal fold movement through anterior–posterior view of videofluoroscopic swallowing studyJoonHee Lee0Hye Joon Ahn1Min Soo Kang2Kyoung Hyo Choi3Yoon Se Lee4Byung‐Mo Oh5Seung Hak Lee6Department of Rehabilitation Medicine Asan Medical Center, University of Ulsan College of Medicine Seoul Republic of KoreaDepartment of Rehabilitation Medicine Asan Medical Center, University of Ulsan College of Medicine Seoul Republic of KoreaDepartment of Rehabilitation Medicine Asan Medical Center, University of Ulsan College of Medicine Seoul Republic of KoreaDepartment of Rehabilitation Medicine Asan Medical Center, University of Ulsan College of Medicine Seoul Republic of KoreaDepartment of Otolaryngology Asan Medical Center, University of Ulsan College of Medicine Seoul Republic of KoreaDepartment of Rehabilitation Medicine Seoul National University Hospital, Seoul National University College of Medicine Seoul Republic of KoreaDepartment of Rehabilitation Medicine Asan Medical Center, University of Ulsan College of Medicine Seoul Republic of KoreaAbstract Objective The aim of this study is to assess the value of using videofluoroscopic swallowing study (VFSS) for assessing vocal fold paralysis. Methods This was a retrospective study of patients who underwent VFSS with a vocal fold testing maneuver from June 2020 to February 2022, and who had undergone laryngoscopy within 2 weeks before or after VFSS. The vocal fold testing maneuver consisted of making an ‘e’ sound for about 2–3 seconds during VFSS anterior–posterior (AP) view. The diagnostic value of the VFSS was evaluated by a trained reviewer, who assessed the presence and laterality of vocal fold paralysis by examining videos of the patients performing the vocal fold testing maneuver. Intra‐rater reliability was determined by evaluation of the videos by the same reviewer 2 weeks later, and inter‐rater reliability was determined by evaluation by a second reviewer. Results Seventy patients were enrolled in the study. The positive predictive value was 91.43% and the intra‐rater and inter‐rater reliabilities, as determined by Cohen's kappa value, were 0.746 and 0.824 respectively. Conclusions The presence and laterality of vocal fold paralysis were identified accurately and reliably by the reviewers, showing that VFSS can be used to assess vocal fold paralysis. Level of evidence 2.https://doi.org/10.1002/lio2.1147AP viewlaryngoscopyVFSSvocal fold paralysis |
| spellingShingle | JoonHee Lee Hye Joon Ahn Min Soo Kang Kyoung Hyo Choi Yoon Se Lee Byung‐Mo Oh Seung Hak Lee Assessment of vocal fold movement through anterior–posterior view of videofluoroscopic swallowing study Laryngoscope Investigative Otolaryngology AP view laryngoscopy VFSS vocal fold paralysis |
| title | Assessment of vocal fold movement through anterior–posterior view of videofluoroscopic swallowing study |
| title_full | Assessment of vocal fold movement through anterior–posterior view of videofluoroscopic swallowing study |
| title_fullStr | Assessment of vocal fold movement through anterior–posterior view of videofluoroscopic swallowing study |
| title_full_unstemmed | Assessment of vocal fold movement through anterior–posterior view of videofluoroscopic swallowing study |
| title_short | Assessment of vocal fold movement through anterior–posterior view of videofluoroscopic swallowing study |
| title_sort | assessment of vocal fold movement through anterior posterior view of videofluoroscopic swallowing study |
| topic | AP view laryngoscopy VFSS vocal fold paralysis |
| url | https://doi.org/10.1002/lio2.1147 |
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