EN
TÜRKÇE
Oral Presentation - 21
Comparison of videofleuroscopic and fiberoptic endoscopic evaluation of swallowing in children with esophageal atresia
T Soyer*, Ş Hoşal**, N Demir***
*Department of Pediatric Surgery, Faculty of Medicine, Hacettepe University, Ankara, Turkiye
**Atılım University Faculty of Medicine, Department of Otorhinolaryngology, Ankara, Turkiye
***Hacettepe University Faculty of Physical Therapy and Rehabilitation, Department of Physical Therapy and Rehabilitation
Aim: Dysphagia is a common cause of long-term morbidity in children with esophageal atresia (EA). While both fiberoptic endoscopic evaluation of swallowing (FEES) and videofleuroscopic swallowing evaluation (VFSE) can be used to evaluate swallowing function, it is unclear whether of these techniques is better at assessing dysphagia in children with EA. A retrospective study was conducted to correlate the results of VFSE and FEES in children with EA.
Methods: Children with primary repair for Type-C EA were evaluated for age, gender, recurrent respiratory infections (RRI). VFSE and FEES results including penetration aspiration scores (PAS) and Dynamic Imaging Grade of Swallowing Toxicity Scale (DIGEST) were evaluated in liquid, semi-solid and solid consistencies. Bolus residual scores (BRS) in VFSE and Yale residual scores in FEES were evaluated at the level of vallecula and pyriform sinus. Murray secretion scales (MSS) and oral defense were also evaluated. The results of VFSE and FEES were correlated to compare the diagnostic efficacy of two methods in the diagnosis of dysphagia in patents with EA.
Results: Fifty patients with a median age of 16 months (3-120 months, 44% of them were boys) were included. PAS and DIGEST scores showed high correlation between in all constancies [rs=0,974 (liquids), rs=0.841 (semi-solids), rs=0.875 (solids), p<0.01]. BRS scores showed moderate correlation with YALE scores at the level of vallecula (rs=0,386 p=0.006 in semi-solids, rs=0.286, p=0.044 in solids) and high correlation at pyriform sinus (rs=0.888, p<0.01). A high correlation was found with MSS and PAS (rs=0.755, liquids, p<0.01) and DIGEST evaluations [rs=0,778 (safety), rs=0,668 (efficacy), rs=0.763 (total), p<0.01]. MSS has positive correlation with RRI (rS=0,870, p<0.01) and patients with oral defense (n=20, 40%) had higher BRS scores compared (p=0,04).
Conclusion: VFSE and FEES results showed a significant correlation for PAS and DIGEST scores in all constancies. BRS and Yale scores were also well correlated in two methods depending on the anatomical level of evaluations.