The influence of videofluoroscopy on the management of the dysphagic patient

This pilot study was conducted to compare the results of clinical and videofluoroscopic examinations of ten patients with dysphagia of neurologic origin and to determine whether patient management was influenced by videofluoroscopic data. Results are discussed in relation to the advantages and limitations of both modes of evaluation of dysphagia. Seven of ten decisions concerning the institution of oral versus nonoral feeding were based on videofluoroscopy alone. In six of the seven cases aspiration was detected upon videofluoroscopic examination, although it was not suspected at bedside. In seven of ten cases, indirect therapy techniques were based on bedside examination alone. In six of ten cases, direct therapy techniques were based on both bedside and videofluoroscopic observations. Most decisions regarding food consistency and positioning were based on both procedures.