%0 Journal Article
%A Giraldo Cadavid, Luis Fernando
%A Burguete, Javier
%A Rueda, Felipe
%A Castaneda, Natalia
%A Arbulú, Mario
%A Balaguera, Jorge I.
%A Paez, Nelson
%A Fernández González, Secundino
%8 2017-07-27
%@ 0179-051X
%U http://hdl.handle.net/10818/41124
%X Recent studies have shown an association
between alterations in laryngopharyngeal mechanosensitivity (LPMS) and dysphagia, obstructive sleep apnea, and
chronic cough hypersensitivity syndrome. A previous
reliability study of a new laryngopharyngeal endoscopic
esthesiometer and rangefinder (LPEER) showed high intraand inter-rater reliability; however, its accuracy has not
been tested. We performed an accuracy study of the
LPEER in a prospectively and consecutively recruited
cohort of 118 patients at two tertiary care university hospitals. Most of the patients were suffering from dysphagia,
and all of them underwent a standard clinical evaluation
and fiberoptic endoscopic evaluation of swallowing with
sensory testing (FEESST) using a new sensory testing
protocol. The sensory test included determinations of the
laryngeal adductor reflex threshold (LART), the cough
reflex threshold (CRT) and the gag reflex threshold (GRT).
Abnormalities on these reflex thresholds were evaluated for
associations with major alterations in swallowing safety
(pharyngeal residues, penetration, and aspiration).
%I Dysphagia
%K Deglutition
%K Deglutition disorders
%K Sensitivity
%K Specificity
%K Larynx
%K Mechanoreceptor
%K Sensory thresholds
%T Accuracy of a Laryngopharyngeal Endoscopic Esthesiometer (LPEER) for Evaluating Laryngopharyngeal Mechanosensitivity: A Validation Study in a Prospectively Recruited Cohort of Patients
%R 10.1007/s00455-017-9826-y
%~ Intellectum