Merati Albert L
Division of Laryngology, Department of Otolaryngology-HNS, University of Washington School of Medicine, Seattle, WA 98195, USA.
Otolaryngol Clin North Am. 2013 Feb;46(1):31-9. doi: 10.1016/j.otc.2012.08.015.
Dysphagia matters and endoscopic examination of patients with swallowing complaints is an important part of their evaluation. The 3 key adjuncts to flexible fiber optic laryngoscopy are (1) flexible endoscopic evaluation of swallowing, (2) assessment of pharyngeal squeeze, and (3) sensory testing. Patients undergoing flexible fiber optic laryngoscopy are then challenged with liquid or solid materials for intake. Fundamental clinical signs of swallowing parameters are noted. The threshold at which the laryngeal adductor reflex is triggered is believed to be helpful in predicting swallowing capacity. This report deals solely with adult dysphagia evaluation.
吞咽困难至关重要，对有吞咽主诉的患者进行内镜检查是其评估的重要组成部分。软性纤维喉镜检查的3项关键辅助手段为：（1）吞咽的软性内镜评估；（2）咽缩评估；（3）感觉测试。然后让接受软性纤维喉镜检查的患者摄入液体或固体物质进行挑战。记录吞咽参数的基本临床体征。据信，触发喉内收肌反射的阈值有助于预测吞咽能力。本报告仅涉及成人吞咽困难评估。
