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Otorinolaringologia 2009 March;59(1):19-29

Copyright © 2009 EDIZIONI MINERVA MEDICA

language: English

The videofluorographic swallowing study

Martin-Harris B. 1, 2, 3, Jones B. 4, 5, 6

1 Evelyn Trammell Institute for Voice and Swallowing Department of Otolaryngology-Head and Neck Surgery Medical University of South Carolina, Charleston, SC, USA 2 Department of Communication Sciences & Disorders Medical University of South Carolina, Charleston, SC, USA 3 Evelyn Trammel Voice and Swallowing Center Saint Joseph’s Hospital, Atlanta, GA, USA 4 The Russell H. Morgan Department of Radiology and Radiological Sciences The Johns Hopkins University School of Medicine Baltimore, MD, USA 5 Department of Radiology The Johns Hopkins Hospital, Baltimore, MD, USA 6 Johns Hopkins Swallowing Center The Johns Hopkins Hospital, Baltimore, MD, USA


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The evidence for the physiologic foundation and interpretation of the videofluorographic swallowing study (VFSS) is described. The purpose and clinical utility of VFSS are explained. Standardization of the VFSS procedure, protocol, interpretation and reporting are highlighted as a critical step in future clinical practice and in clinical research. Individualized, evidenced-based rehabilitation strategies are presented as key components that are systematically applied during the VFSS procedure and integrated into the swallowing management plan. A new tool that has been developed and tested for the quantification of swallowing impairment is introduced.

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