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Comparative Study
. 2020 Jun;130(6):1590-1594.
doi: 10.1002/lary.28263. Epub 2019 Aug 26.

Static endoscopic swallow evaluation in children

Kara D Meister  1   2 , Tyler Okland  1 , April Johnson  3 , Rhona Galera  3 , Noel Ayoub  1 , Douglas R Sidell  1   2
Affiliations
Comparative Study

Static endoscopic swallow evaluation in children

Kara D Meister et al. Laryngoscope. 2020 Jun.

Abstract

Objectives: Static Endoscopic Evaluation of Swallowing (SEES) has been demonstrated to have a strong correlation with the Videofluoroscopic Swallow Study (VFSS) in adults. In children, Fiberoptic Endoscopic Evaluations of Swallow (FEES) are frequently performed to avoid repeated VFSS; however, a subset of the population does not tolerate FEES. The purpose of this study was to evaluate the utility of a modified SEES in children.

Methods: Charts of 50 consecutive patients who underwent FEES evaluations were reviewed. Patients age 3 months to 12 years undergoing SEES, FEES, and VFSS were extracted. We compared a binary assessment of outcome on SEES versus VFSS as the diagnostic standard to report characteristics, including sensitivity, specificity, and positive and negative predicted value.

Results: A total of 36 patients met all inclusion criteria (mean age 2.8 years). Using the VFSS as the diagnostic standard, residue seen on SEES had a sensitivity of 80.0%, specificity of 85.7%, a positive predictive value of 88.9%, and a negative predictive value of 75.0% for predicting deep penetration or aspiration.

Conclusion: SEES may be helpful for developing an initial diagnostic impression and may serve as a platform for patient and caregiver counseling. In children who are unable to cooperate with FEES, SEES may provide clinical insight in predicting an abnormal swallow study; however, a normal SEES was less reliable in predicting a safe swallow on subsequent VFSS in this patient population.

Level of evidence: 4 Laryngoscope, 130:1590-1594, 2020.

Keywords: FEES: VFSS; Swallowing/dysphagia; pediatrics.

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References

BIBLIOGRAPHY

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