Rees Catherine J
University of California Davis, Otolaryngology Head and Neck Surgery, Center for Voice and Swallowing, Sacramento, California 95825, USA.
Curr Opin Otolaryngol Head Neck Surg. 2006 Dec;14(6):425-30. doi: 10.1097/MOO.0b013e328010ba88.
Flexible endoscopic examination of swallowing with and without sensory testing is rapidly becoming a significant tool in the otolaryngologist's armamentarium for diagnosing dysphagia. Patients with swallowing disorders often present to the otolaryngologist, and an understanding of the utility of these techniques is critical.
Recent studies have confirmed that flexible endoscopic examination of swallowing with and without sensory testing is an exceptionally safe procedure with excellent portability. Flexible endoscopic examination of swallowing is accurate in diagnosing aspiration when compared with videofluoroscopy. Laryngopharyngeal sensory deficits as assessed by flexible endoscopic evaluation of swallowing with sensory testing are associated with cough, reflux disease, penetration, and aspiration. Both techniques have emerged as complementary to videofluoroscopic studies, rather than as replacements for the modified barium swallow.
Flexible endoscopic evaluation of swallowing with and without sensory testing is a safe technique that should be considered in the workup of patients with dysphagia presenting to the otolaryngologist.
进行或不进行感觉测试的吞咽功能灵活内镜检查正迅速成为耳鼻喉科医生诊断吞咽困难的重要工具。吞咽障碍患者常就诊于耳鼻喉科医生，了解这些技术的效用至关重要。
近期研究证实，进行或不进行感觉测试的吞咽功能灵活内镜检查是一种极其安全且便携性极佳的检查方法。与视频荧光吞咽造影相比，吞咽功能灵活内镜检查在诊断误吸方面准确性较高。通过进行感觉测试的吞咽功能灵活内镜评估所检测出的喉咽感觉功能障碍与咳嗽、反流性疾病、食物进入气道和误吸相关。这两种技术已成为视频荧光吞咽造影研究的补充手段，而非替代改良钡餐吞咽检查。
进行或不进行感觉测试的吞咽功能灵活内镜评估是一种安全的技术，对于就诊于耳鼻喉科的吞咽困难患者，在检查过程中应予以考虑。
