Videofluoroscopic Swallow Studies: Similarities and Differences for Pediatric Versus Adult Patients With Dysphagia The videofluoroscopic swallow study (VFSS) evolved from the recognition that fluoroscopy had the capacity of capturing the rapid and dynamic movements of swallowing and the need to manage adult patients with dysphagia. The VFSS is regarded as the gold standard for the assessment of oropharyngeal dysphagia because it defines ... Article
Article  |   April 01, 1999
Videofluoroscopic Swallow Studies: Similarities and Differences for Pediatric Versus Adult Patients With Dysphagia
Author Affiliations & Notes
  • M.A. Lefton-Greif
    Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD
Article Information
Pediatric Practice
Article   |   April 01, 1999
Videofluoroscopic Swallow Studies: Similarities and Differences for Pediatric Versus Adult Patients With Dysphagia
SIG 13 Perspectives on Swallowing and Swallowing Disorders (Dysphagia), April 1999, Vol. 8, 6-8. doi:10.1044/sasd8.1.6
SIG 13 Perspectives on Swallowing and Swallowing Disorders (Dysphagia), April 1999, Vol. 8, 6-8. doi:10.1044/sasd8.1.6
The videofluoroscopic swallow study (VFSS) evolved from the recognition that fluoroscopy had the capacity of capturing the rapid and dynamic movements of swallowing and the need to manage adult patients with dysphagia. The VFSS is regarded as the gold standard for the assessment of oropharyngeal dysphagia because it defines the physiology of the pharyngeal phase of swallowing and identifies the concomitant risk of aspiration so that a management plan can be developed which minimizes the dysfunction (Langmore & Logemann, 1991; Logemann, 1993). It is used to evaluate patients with dysphagia across the age spectrum and with differing underlying diagnostic conditions. Despite the common use of this assessment tool, there is little agreement about specific procedural protocols (Palmer, Kuhemeier, Tippett, & Lynch, 1993). Some reasons for variations in protocols are differences in patient populations, unique characteristics of individual patients, and the differences in the training and experience of clinicians conducting the examination.
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