Voice Outcomes in Surgical Repair of Zenker's Diverticulum.

Abstract:

:The purpose of the study was to define the impact of Zenker's diverticula on voice and potential benefit from repair. Retrospective chart review of prospectively collected data from eleven patients with a Zenker's diverticulum treated surgically in a tertiary care center from November 2014 through January 2016. The voice handicap index-10 (VHI-10) and eating assessment tool-10 (EAT-10) questionnaires were collected as part of pre- and post-operative evaluation, with an average post-operative follow-up of 69 days. Surgical techniques included: trans-oral endoscopic diverticulotomy with laser assistance, or trans-cervical approach with diverticulopexy or diverticulectomy. The primary outcome was subjective voice improvement. Secondary outcome was swallowing function improvement. Statistical analysis was performed using Wilcoxon Signed-Ranks and Mann-Whitney U tests. In patients undergoing surgical treatment of Zenker's diverticula, there is a statistically significant improvement (p = 0.001) in patient-reported dysphagia symptoms measured by the EAT-10. There is also a clinically relevant improvement in subjective voice quality (average pre-operative total 6.55, post-operative 2.09, p = 0.022) as measured by the VHI-10. Many patients suffering from Zenker's diverticula experience subjective voice handicap. Most note improvement in voice quality post-operatively, which we were able to quantify using the voice handicap index. We consider this a relevant consideration in pre-operative evaluation.

journal_name

Dysphagia

journal_title

Dysphagia

authors

Schoeff S,Freeman M,Daniero J

doi

10.1007/s00455-017-9813-3

subject

Has Abstract

pub_date

2017-10-01 00:00:00

pages

678-682

issue

5

eissn

0179-051X

issn

1432-0460

pii

10.1007/s00455-017-9813-3

journal_volume

32

pub_type

杂志文章
  • Number of Gastrointestinal Symptoms is a Useful Means of Identifying Patients with Cancer for Dysphagia.

    abstract::Dysphagia is a symptom suggestive of severe underlying pathology, although its causes include organic and non-organic disorders. The epidemiology of dysphagia is, however, poorly understood. We evaluated the prevalence of dysphagia in outpatients in Japan, measured the proportion ultimately found to have an organic ca...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-016-9712-z

    authors: Tsukamoto M,Manabe N,Kamada T,Hirai T,Hata J,Haruma K,Inoue K

    更新日期:2016-08-01 00:00:00

  • Silent aspiration: what do we know?

    abstract::Although clinically evident aspiration is common in subjects with dysphagia, a significant proportion may aspirate silently, i.e., without any outward signs of swallowing difficulty. This article reviews the literature on the prevalence, etiology, and prognostic significance of silent aspiration. An electronic databas...

    journal_title:Dysphagia

    pub_type: 杂志文章,评审

    doi:10.1007/s00455-005-0018-9

    authors: Ramsey D,Smithard D,Kalra L

    更新日期:2005-07-01 00:00:00

  • Inter-rater Reliability of the Dysphagia Outcome and Severity Scale (DOSS): Effects of Clinical Experience, Audio-Recording and Training.

    abstract::The Dysphagia Outcome and Severity Scale (DOSS) is widely used to measure dysphagia severity based on videofluoroscopy (VFSS). This study investigated inter-rater reliability (IRR) of the DOSS. It also determined the effect of clinical experience, VFSS audio-recording and training on DOSS IRR. A quantitative prospecti...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-017-9857-4

    authors: Zarkada A,Regan J

    更新日期:2018-06-01 00:00:00

  • Consistently inconsistent: commercially available starch-based dysphagia products.

    abstract::Individuals with dysphagia may be prescribed thickened fluids to promote a safer and more successful swallow. Starch-based thickening agents are often employed; however, these exhibit great variation in consistency. The aim of this study was to compare viscosity and the rheological profile parameters complex (G*), vis...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-009-9263-7

    authors: Payne C,Methven L,Fairfield C,Bell A

    更新日期:2011-03-01 00:00:00

  • Non-invasive Assessment of Swallowing and Respiration Coordination for the OSA Patient.

    abstract::The objectives of this study are to investigate swallowing and its coordination with respiration in patients with obstructive sleep apnea (OSA). This is a prospective cohort study conducted in a tertiary referred Medical Center. A non-invasive method of assessing swallowing was used to detect the oropharyngeal swallow...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-016-9740-8

    authors: Wang CM,Li HY,Lee LA,Shieh WY,Lin SW

    更新日期:2016-12-01 00:00:00

  • Dysphagia in Multiple Sclerosis: Evaluation and Validation of the DYMUS Questionnaire.

    abstract:OBJECTIVE:The 10-item Dysphagia in Multiple Sclerosis (DYMUS) questionnaire is a self-administered tool used to identify swallowing problems in adults with MS. The questionnaire was not validated against other existing questionnaires to assess its convergent validity. Moreover, its test-retest reliability was not measu...

    journal_title:Dysphagia

    pub_type: 杂志文章,评审

    doi:10.1007/s00455-017-9864-5

    authors: Alali D,Ballard K,Vucic S,Bogaardt H

    更新日期:2018-06-01 00:00:00

  • Clinical and radiologic evaluation reveals high prevalence of abnormalities in young adults with dysphagia.

    abstract::The purpose of this study was to retrospectively evaluate the radiologic findings in young adults with dysphagia undergoing barium swallow and to compare these with the final clinical diagnosis. Clinical history, barium swallow, endoscopy (21 patients), manometry (18 patients), 24 h pH monitoring (4 patients), and out...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/PL00009572

    authors: Lundquist A,Olsson R,Ekberg O

    更新日期:1998-10-01 00:00:00

  • The Landscape of Videofluoroscopy in the UK: A Web-Based Survey.

    abstract::Videofluoroscopy (VFS) is considered one of the gold-standard assessments of swallowing. Whilst guidelines for the application and conduct of VFS exist, their translation into clinical practice remain challenging. To build a greater understanding on how VFS clinics operate in the UK. A web-based survey was shared with...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-020-10130-1

    authors: Benfield JK,Michou E,Everton LF,Mills C,Hamdy S,Bath PM,England TJ

    更新日期:2020-05-16 00:00:00

  • Long-term results of external upper esophageal sphincter myotomy for oropharyngeal Dysphagia.

    abstract::The aim of this work was to assess the efficacy of external myotomy of the upper esophageal sphincter (UES) for oropharyngeal dysphagia. In the period 1991-2006, 28 patients with longstanding dysphagia and/or aspiration problems of different etiologies underwent UES myotomy as a single surgical treatment. The main sym...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-009-9236-x

    authors: Kos MP,David EF,Klinkenberg-Knol EC,Mahieu HF

    更新日期:2010-09-01 00:00:00

  • Functional dysphagia therapy and PEG treatment in a clinical geriatric setting.

    abstract::Functional dysphagia therapy (FDT) is a noninvasive procedure that can accompany percutaneous endoscopic gastrostomy (PEG) treatment and supports transitioning from tube to oral feeding. In this retrospective study, we investigated the outcome of FDT with or without PEG feeding. Patients with dysphagia were divided in...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-009-9270-8

    authors: Becker R,Nieczaj R,Egge K,Moll A,Meinhardt M,Schulz RJ

    更新日期:2011-06-01 00:00:00

  • Predictors of aspiration pneumonia: how important is dysphagia?

    abstract::Aspiration pneumonia is a major cause of morbidity and mortality among the elderly who are hospitalized or in nursing homes. Multiple risk factors for pneumonia have been identified, but no study has effectively compared the relative risk of factors in several different categories, including dysphagia. In this prospec...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/PL00009559

    authors: Langmore SE,Terpenning MS,Schork A,Chen Y,Murray JT,Lopatin D,Loesche WJ

    更新日期:1998-04-01 00:00:00

  • Dysphagia following strokes: clinical observations of swallowing rehabilitation employing palatal training appliances.

    abstract::A retrospective study was undertaken to evaluate the progress of a group of dysphagic stroke patients for whom a dental prosthesis the Palatal Training Appliance (PTA), was used in the active rehabilitation of the swallowing mechanism. Patients selected were those who had sustained a stroke uncomplicated by other neur...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/BF00261277

    authors: Selley WG,Roche MT,Pearce VR,Ellis RE,Flack FC

    更新日期:1995-01-01 00:00:00

  • A comparison of the reliability and stability of oro-lingual swallowing pressures in patients with head and neck cancer and healthy adults.

    abstract::The ability to measure normality and abnormality and to accurately assess true changes in swallowing function over time, is important for the management of dysphagia. Despite this, there is a paucity of information regarding the stability and reliability of measurements tools used for dysphagia research. As both head ...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-008-9181-0

    authors: White R,Cotton SM,Hind J,Robbins J,Perry A

    更新日期:2009-06-01 00:00:00

  • Relationship between swallowing function and gas exchange during day and night in patients with obstructive sleep apnea syndrome.

    abstract::Patients with obstructive sleep apnea syndrome (OSAS) are likely to exhibit an impaired swallowing reflex. However, mechanisms of disturbed swallowing reflex have not been determined. Because the upper-airway function is inhibited by hypoxia and hypercapnia, we examined the relationship between the swallowing function...

    journal_title:Dysphagia

    pub_type: 临床试验,杂志文章

    doi:10.1007/s00455-001-0083-7

    authors: Teramoto S,Ishii T,Matsuse T

    更新日期:2001-10-01 00:00:00

  • Oral bolus kneading and shaping measured with chewing gum.

    abstract::A masticatory test using two-colored chewing gum is presented and analyzed. Two separate parameters of chewing were studied on the same chewing gum bolus after 10 strokes of oral preparation, color mixing, and bolus shaping. The two parameters were evaluated in indices 1-5. A test series should preferably contain thre...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/BF00440079

    authors: Liedberg B,Owall B

    更新日期:1995-04-01 00:00:00

  • Pilot study of 12-month outcomes of nursing home patients with aspiration on videofluoroscopy.

    abstract::The 12-month clinical outcomes of nursing home patients who underwent videofluoroscopic swallowing evaluation was determined. A retrospective review of 40 patients in a teaching nursing home who had videofluoroscopic swallowing studies from 1987 through 1989 was performed. Clinical outcomes measured included feeding t...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/BF00341256

    authors: Croghan JE,Burke EM,Caplan S,Denman S

    更新日期:1994-07-01 00:00:00

  • Prevalence of aspiration and laryngeal penetration in patients with unilateral vocal fold motion impairment.

    abstract::The adverse consequences of aspiration in regard to patient health and quality of life are well documented. It is generally accepted that the probability of aspiration is increased in patients with unilateral vocal fold motion impairment, however, the incidence and proposed mechanism of aspiration vary depending on th...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s004550000026

    authors: Heitmiller RF,Tseng E,Jones B

    更新日期:2000-10-01 00:00:00

  • Oropharyngeal and esophageal function in scleroderma.

    abstract::Fifty-one patients with systemic sclerosis (scleroderma) underwent videofluoroscopy during barium swallow to evaluate the incidence of oropharyngeal deglutition abnormalities and to correlate the radiologic patterns of esophageal motility abnormalities with patients' clinical features. Thirteen patients (26%) showed s...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/BF02493531

    authors: Montesi A,Pesaresi A,Cavalli ML,Ripa G,Candela M,Gabrielli A

    更新日期:1991-01-01 00:00:00

  • MBS measurement tool for swallow impairment--MBSImp: establishing a standard.

    abstract::The aim of this study was to test reliability, content, construct, and external validity of a new modified barium swallowing study (MBSS) tool (MBSImp) that is used to quantify swallowing impairment. Multiple regression, confirmatory factor, and correlation analyses were used to analyze 300 in- and outpatients with he...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-008-9185-9

    authors: Martin-Harris B,Brodsky MB,Michel Y,Castell DO,Schleicher M,Sandidge J,Maxwell R,Blair J

    更新日期:2008-12-01 00:00:00

  • Co-occurrence of Dystonic and Dyskinetic Tongue Movements with Oral Apraxia in Post-regression Dysphagia in Classical Rett Syndrome Years of Life 1 Through 5.

    abstract::We do not know the natural history of dysphagia in classical Rett syndrome (RTT) by stage or age. This study investigated swallowing physiology in 23 females ages 1:7 to 5:8 (years, months) with classical Rett syndrome to determine common and distinguishing features of dysphagia in post-regression early Pseudostationa...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-014-9587-9

    authors: Abraham SS,Taragin B,Djukic A

    更新日期:2015-04-01 00:00:00

  • Differential Response Pattern of Oropharyngeal Pressure by Bolus and Dry Swallows.

    abstract::The aim of this study was to determine if bolus and dry swallow showed similar pressure changes in the oropharynx using our newly developed device. A unique character of it includes that baropressure can be measured with the sensor being placed in the balloon and can assess the swallowing mechanics in terms of pressur...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-017-9836-9

    authors: Hasegawa M,Kurose M,Okamoto K,Yamada Y,Tsujimura T,Inoue M,Sato T,Narumi T,Fujii N,Yamamura K

    更新日期:2018-02-01 00:00:00

  • Predictors of Patient-Reported Dysphagia Following IMRT Plus Chemotherapy in Oropharyngeal Cancer.

    abstract::The aim of this cross-sectional study is to evaluate the factors associated with patient-reported dysphagia in patients affected by locally advanced oropharyngeal cancer (OPC) treated with definitive intensity-modulated radiation therapy (IMRT) and concurrent chemotherapy (CHT), with or without induction CHT. We evalu...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-018-9913-8

    authors: Orlandi E,Miceli R,Infante G,Mirabile A,Alterio D,Cossu Rocca M,Denaro N,Vigna-Taglianti R,Merlotti A,Schindler A,Pizzorni N,Fallai C,Licitra L,Bossi P

    更新日期:2019-02-01 00:00:00

  • Implementation of high-resolution manometry in the clinical practice of speech language pathology.

    abstract::Visual imaging modalities, videofluoroscopic swallow study (VFSS) and fiberoptic endoscopic evaluation of swallow, for assessment of oropharyngeal dysphagia have been part of the speech language pathologist's (SLPs) armamentarium for the diagnosis and treatment of dysphagia for decades. Recently, the addition of high-...

    journal_title:Dysphagia

    pub_type: 杂志文章,评审

    doi:10.1007/s00455-013-9494-5

    authors: Knigge MA,Thibeault S,McCulloch TM

    更新日期:2014-02-01 00:00:00

  • Neuroplasticity and swallowing.

    abstract::Recent research has suggested that the central nervous system controlling swallowing can undergo experience-dependent plasticity. Moreover, swallowing neuroplastic change may be associated with behavioural modulation. This article presents research evidence suggesting that nonbehavioural and behavioural interventions,...

    journal_title:Dysphagia

    pub_type: 杂志文章,评审

    doi:10.1007/s00455-008-9193-9

    authors: Martin RE

    更新日期:2009-06-01 00:00:00

  • Combined neuromuscular electrical stimulation (NMES) with fiberoptic endoscopic evaluation of swallowing (FEES) and traditional swallowing rehabilitation in the treatment of stroke-related dysphagia.

    abstract::Dysphagia is common after stroke. Neuromuscular electrical stimulation (NMES) and fiberoptic endoscopic evaluation of swallowing (FEES) for the treatment of dysphagia have gained in popularity, but the combined application of these promising modalities has rarely been studied. We aimed to evaluate whether combined NME...

    journal_title:Dysphagia

    pub_type: 临床试验,杂志文章

    doi:10.1007/s00455-013-9466-9

    authors: Sun SF,Hsu CW,Lin HS,Sun HP,Chang PH,Hsieh WL,Wang JL

    更新日期:2013-12-01 00:00:00

  • Screening for Dysphagia in Adult Patients with Stroke: Assessing the Accuracy of Informal Detection.

    abstract::Early identification of dysphagia by screening is recommended best practice for patients admitted to hospital with acute stroke. Screening can reduce the risk of pneumonia and promote stroke recovery, yet some institutions do not utilize a formal screening protocol. This study assessed the accuracy of informal dysphag...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-018-9885-8

    authors: Sherman V,Flowers H,Kapral MK,Nicholson G,Silver F,Martino R

    更新日期:2018-10-01 00:00:00

  • Evaluation of swallowing in children with vomiting after feeding.

    abstract::Vomiting after feeding is a symptom of gastroesophageal reflux (GER) and of eosinophilic esophagitis (EE), which are considered to be a cause of infant feeding disorder. The objective of the present study was to evaluate swallowing in children with feeding disorder manifested by vomiting after feeding. Using clinical ...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-007-9122-3

    authors: Duca AP,Dantas RO,Rodrigues AA,Sawamura R

    更新日期:2008-06-01 00:00:00

  • Developmental approach to pediatric neurogenic dysphagia.

    abstract::The approach to children with neurogenic dysphagia is unique due to their development, growth, and behavior. Multiple streams of development (cognitive, oral-motor, fine and gross motor) have direct and indirect effects on feeding. Provision of an appropriate feeding program requires that the multiple needs, abilities...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/BF02407131

    authors: Christensen JR

    更新日期:1989-01-01 00:00:00

  • Esophageal motility, heartburn, and gastroesophageal reflux: variations in clinical presentation of esophageal dysphagia.

    abstract::Dysphagia is a potentially important symptom, often leading to the finding of an anatomical or motility disorder of the esophagus. Dysphagia and heartburn represent two of the most common symptoms associated with esophageal motility disorders. To explore the relationship of symptomatic esophageal dysphagia and heartbu...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/BF02412689

    authors: Decktor DL,Allen ML,Robinson M

    更新日期:1990-01-01 00:00:00

  • Treatment Effects for Dysphagia in Adults with Multiple Sclerosis: A Systematic Review.

    abstract::Dysphagia or swallowing difficulties have been reported to be a concern in adults with multiple sclerosis (MS). This problem can result in several complications including aspiration pneumonia, reduced quality of life and an increase in mortality rate. No previous systematic reviews on treatment effects for dysphagia i...

    journal_title:Dysphagia

    pub_type: 杂志文章,评审

    doi:10.1007/s00455-016-9738-2

    authors: Alali D,Ballard K,Bogaardt H

    更新日期:2016-10-01 00:00:00