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Vol. 70. Issue 6.
Pages 327-335 (November - December 2019)
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Vol. 70. Issue 6.
Pages 327-335 (November - December 2019)
Original article
The Importance of the Quantification of Hyoid Displacement in the Evaluation of the Score and Evolution of Oropharyngeal Dysphagia
Importancia de la cuantificación del desplazamiento hioideo en la valoración del estadio y evolución de la disfagia orofaríngea
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Gemma Garmendia Merinoa,
Corresponding author
dragarmendia@gemmagarmendia.com

Corresponding author.
, Helena Bascuñana Ambrósb
a Departamento de Otorrinolaringología, Hospital Quironsalud Donostia, San Sebastián, Guipúzcoa, Spain
b Servicio de Medicina Física y Rehabilitación, Hospital de Sant Pau y de la Santa Creu, Barcelona, Spain
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Tables (3)
Table 1. Clinical Data by Patient: Diagnosis and Changes in Oral and Pharyngeal Phase.
Table 2. Values at the Beginning and End of the Process of the PAS and FOIS Scales and of the Upper, Anterior and Total Displacement of the Hyoids by Patient.
Table 3. Variation by Patient in the PAS, FOIS Scales and Total Displacement of the Hyoid Between Initiation and Termination of the Process by Patient.
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Abstract
Introduction and objectives

The objective of this paper was to show our experience and considerations when quantifying hyoid bone displacement and to observe its correlation with the qualitative scales that evaluate dysphagia.

Methods

Hyoid displacement was assessed using the method described by Molfenter and Steele’s group in 2014 in a series of 14 patients affected by oropharyngeal dysphagia. The degree of dysphagia was also qualitatively assessed with the Rosenbek Penetration and Aspiration Scale (PAS) of 1996 and with the Functional Oral Intake Scale (FOIS) of Crary of 2005. All assessments were done before and after treatment.

Results

All patients increased their hyoid bone total displacement after the treatment. These variations were highly correlated with the variations in the PAS scale with aspiration or penetration. However, the variations of hyoid bone displacement did not correlate with the FOIS scale.

Conclusions

The improvement in total hyoid bone displacement is a clinical indicator of improved aspiration of patients suffering dysphagia. However, the improvement of this displacement is not related to the oral intake tolerance of the patients.

Keywords:
Aspiration
Penetration
Hyoid displacement
Qualitative scales
Resumen
Introducción y objetivos

El objetivo de este trabajo es mostrar nuestra experiencia y consideraciones al cuantificar el desplazamiento hioideo, así como observar su correlación con las escalas cualitativas de valoración de la disfagia.

Métodos

Se mide el desplazamiento hioideo mediante el método descrito por el grupo de Molfenter y Steele 2014 en una serie de 14 pacientes con disfagia orofaríngea antes y después del tratamiento, y se valora su correlación con la Escala de penetración y aspiración de Rosenbek de 1996, y con la Functional Oral Intake Scale de Crary de 2005.

Resultados

Todos los pacientes variaron el desplazamiento total del hioides tras el tratamiento aplicado. Esta variación se correlacionó con las variaciones de la Escala de penetración y aspiración en todos los pacientes que presentaban aspiración o penetración. Sin embargo, las modificaciones del desplazamiento total hioideo no se correlacionaron con las variaciones de la Functional Oral Intake Scale.

Conclusiones

La mejora en el desplazamiento total del hioides es un indicador clínico de la mejora en la aspiración del paciente con disfagia orofaríngea, y puede ser utilizado en su diagnóstico y seguimiento. Sin embargo, no lo es como indicador de la tolerancia de la dieta oral.

Palabras clave:
Aspiración
Penetración
Desplazamiento hioideo
Escalas cualitativas

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