Endoscopic Evaluation and Treatment of Swallowing Disorders

Endoscopic Evaluation and Treatment of Oropharyngeal Dysphagia: A Comprehensive Guide

Introduction

In the past decade, Dr. Susan Langmore’s pioneering work in endoscopic techniques for assessing pharyngeal swallowing function has revolutionized the field. Flexible endoscopy (FEES) has become an indispensable tool for evaluating and treating oropharyngeal dysphagia worldwide.

The Advantages of FEES

FEES is a minimally invasive, portable technique that provides real-time visualization of the swallowing process. Compared to other imaging modalities, such as fluoroscopy, FEES offers several distinct advantages:

• Ease of use: FEES can be performed at the bedside or in an outpatient setting, eliminating the need for transportation to a hospital.
• Cost-effectiveness: FEES is significantly less expensive than fluoroscopy, making it a more accessible option for patients.
• Patient comfort: FEES is typically well-tolerated by patients and requires minimal sedation.

Comprehensive Coverage

Dr. Langmore’s seminal work provides a comprehensive overview of the role of endoscopy in oropharyngeal dysphagia management. The book covers all aspects of the technique, from anatomy and physiology to clinical applications and rehabilitative strategies.

Key Features

• Step-by-step instructions: The book provides detailed protocols for performing FEES, including scoring systems and interpretation of abnormal findings.
• Wide range of applications: FEES is shown to be a valuable tool for evaluating swallowing in various populations, including infants, children, geriatric patients, and patients with head and neck cancer.
• Rehabilitative and compensatory techniques: The book offers practical guidance on rehabilitating dysphagia and teaching compensatory strategies to improve swallowing safety and efficiency.
• Evidence-based data: Safety data from the three largest clinical studies on FEES are summarized, providing scientific support for its use.
• Case studies: The book includes numerous case studies that illustrate best practices and demonstrate the effectiveness of FEES in real-world clinical settings.

Conclusion

Dr. Langmore’s comprehensive guide to endoscopic evaluation and treatment of oropharyngeal dysphagia is an essential resource for speech-language pathologists, otolaryngologists, and other healthcare professionals involved in the care of patients with swallowing disorders. Its evidence-based approach, detailed instructions, and wide range of applications make it an invaluable tool for improving patient outcomes and enhancing the understanding of swallowing function.