STUDY OF CLINICAL PROFILE OF OROPHARYNGEAL DYSPHAGIA USING FIBEROPTIC ENDOSCOPIC EVALUATION OF SWALLOWING (FEES) TECHNIQUE

Abstract

In elderly, dysphagia and its consequences have a marked effect on quality of life. Patients with oropharyngeal dysphagia shows various structural and functional alterations. Fiberoptic Endoscopic Evaluation of Swallowing (FEES) is now widely accepted method for assessment of swallowing. This study was undertaken to know the prevalence of swallowing disorders and also assess anatomical and physiological changes seen in oropharyngeal dysphagia cases. A cross sectional study was conducted in the Methods: tertiary care hospital from January 2019 to June 2020. All patients underwent FEES examination using exible breoptic nasopharyngoscope. Anatomy and physiology of the pharynx, and larynx was assessed. Presence of oropharyngeal secretions, penetration, aspiration, residue, and spontaneous swallowing was observed. In 37 patients of Oropharyngeal dysphagia mean age Results: was 53.56 years with male preponderance (73%). In our study, oropharyngeal, laryngopharyngeal and supraglottic growth (40.54%) was the most common cause of oropharyngeal dysphagia, followed by LPR (18.9%) and neurological disorders (18.9%). In 37 patients examined 43.24% cases had secretions, 40.5% cases showed penetration, 35.1% cases showed aspiration. The most common cause of oropharyngeal Conclusion: dysphagia was oropharyngeal, laryngopharyngeal and supraglottic growth and was more frequently seen in elderly patients. FEES can be used as screening procedure and gives complete assessment of pharyngeal phase of swallowing