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Anales de Otorrinolaringología Mexicana

2015, Number 3

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Otorrinolaringología 2015; 60 (3)

Assessment of swallowing in patients whit head and neck cancer of Military Central Hospital, Mexico City

Hernández-Abarca É, Moreno-Reynoso AS, Muñoz-Hernández G

Language: Spanish
References: 50
Page: 119-129
PDF size: 355.84 Kb.


ABSTRACT

Background: The evaluation of endoscopic fiberoptic swallowing was given by Langmore in 1988 as an alternative to videofluoroscopy for evaluation of dysphagia; however, unlike health systems in developed countries, in ours is not available with an appropriate nutritional assessment to tell us which could be brought to the test.
Objective: To determine the usefulness as a screening test of the clinical nutritional assessment plus laryngoscopy (CNA+L) for swallowing disorders when compared to the fiberoptic endoscopic evaluation of swallowing in patients with cancer of head and neck of the Military Central Hospital, Mexico City.
Material and method: An observational, analytical, prospective and comparative study was done doing initial laryngoscopy with rigid endoscope 70° or fiberoptic laryngoscope after nutritional screening in the study group and control group, integrated with 70 patients each, subsequently fiberoptic endoscopic evaluation of swallowing was performed in addition to laboratory studies, and finally the register was completed as well as the corresponding statistical analysis.
Results: Clinical nutritional assessment plus laryngoscopy obtained sensitivity: 84%, specificity: 94%, PPV: 93%, NPV: 87% and LR: 14. Using the test of χ2, we obtained a value of 101.07, with p value±0.01, stating that the there was a statistically significant difference.
Conclusions: Clinical nutritional assessment plus laryngoscopy cannot be used as a screening method to detect alterations in swallowing; however, to analyze the test groups it did show utility in patients with head and neck cancer, but not for benign pathology.


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