Smaoui Sana, Shakhtour Leyn Bashar, Ferraro Tatiana, Shaver Timothy Brandon, Awan Bint-E Z, Jordan Tristan, Schottler Jennifer, Boersma Rebecca, Dewey Robert, Goodman Joseph F
Department of Hearing and Speech Sciences Faculty of Allied Health, Kuwait University Safat Kuwait.
Division of Otolaryngology-Head & Neck Surgery George Washington University School of Medicine & Health Sciences Washington DC USA.
Laryngoscope Investig Otolaryngol. 2025 Aug 11;10(4):e70227. doi: 10.1002/lio2.70227. eCollection 2025 Aug.
We aim to determine the frequency of altered swallowing physiology for ratable components of the 17-component grading system, the Modified Barium Swallow Impairment Profile (MBSImp), in its current validated state for a cohort of patients post total laryngectomy (TL).
Retrospective study.
Otolaryngology Head & Neck Surgery, The George Washington University Hospital and George Washington University Medical Faculty Associates.
All participants received a VFSS as part of standard care, which was scored post hoc using the MBSImP protocol and scoring metric by two blinded speech-language pathologists.
Due to anatomical changes post-TL, Components 6, 8, 9, 10, and 11 of the MBSImP were not rated. Efficiency concerns were most prevalent with functional deficits noted for: pharyngeal stripping wave, pharyngoesophageal segment opening, tongue base retraction, pharyngeal residue, and esophageal clearance.
Our work aims to provide further insight into the swallowing characteristics of TL as measured using the MBSImP. A high frequency of biomechanical impairment was identified in this cohort of patients. Although the MBSImP is a validated tool its application to the reconstructed anatomy following TL is not precise and should be regarded with caution in clinical settings. Further work is needed to modify definitions of the MBSImP components and inclusion of additional features that can more accurately describe post-TL dysphagia.
我们旨在确定在目前已验证的状态下，针对全喉切除术后（TL）患者队列，17项分级系统（改良钡剂吞咽障碍概况，MBSImp）中可评分成分的吞咽生理改变频率。
回顾性研究。
乔治华盛顿大学医院耳鼻喉头颈外科以及乔治华盛顿大学医学教职员工协会。
所有参与者均接受了视频荧光吞咽造影检查（VFSS）作为标准护理的一部分，由两名不知情的言语病理学家事后使用MBSImP方案和评分指标进行评分。
由于TL术后的解剖结构改变，MBSImP的第6、8、9、10和11项成分未被评分。效率问题最为普遍，功能缺陷主要表现为：咽部剥离波、咽食管段开放、舌根后缩、咽部残留和食管清除。
我们的工作旨在进一步深入了解使用MBSImP测量的TL患者的吞咽特征。在该患者队列中发现了较高频率的生物力学损伤。尽管MBSImP是一种经过验证的工具，但其应用于TL术后重建的解剖结构并不精确，在临床环境中应谨慎使用。需要进一步开展工作来修改MBSImP成分的定义，并纳入能够更准确描述TL术后吞咽困难的其他特征。
