Quantitative Analysis of Videofluoroscopy Following Total Laryngectomy Using the ASPEKT Method

ABSTRACT Introduction Swallowing dysfunction is a common postoperative challenge for patients following total laryngectomy. Videofluoroscopic swallow study (VFSS) can be used to assess the mechanism of swallowing dysfunction in patients; however, many standardized protocols do not account for the an...

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Vydáno v:	Head & neck Ročník 47; číslo 12; s. 3261 - 3267
Hlavní autoři:	Smaoui, Sana, Lee, Sean M., Ganesan, Sandhya, Ankeney, Emily, Ferraro, Tatiana, Dorward, Rebecca, Cardman, Erin‐Anne, Joshi, Arjun
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	Hoboken, USA John Wiley & Sons, Inc 01.12.2025 Wiley Subscription Services, Inc
Témata:	Aged Deglutition - physiology Deglutition Disorders - diagnostic imaging Deglutition Disorders - etiology Deglutition Disorders - physiopathology dysphagia Female Fluoroscopy - methods head and neck cancer Humans Kinematics Laryngectomy - adverse effects Male Middle Aged Patients Pharynx Postoperative Complications - diagnostic imaging Postoperative Complications - physiopathology Retrospective Studies Swallowing Videofluoroscopy head and neck cancer dysphagia Videofluoroscopy
ISSN:	1043-3074, 1097-0347, 1097-0347
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Abstract	ABSTRACT Introduction Swallowing dysfunction is a common postoperative challenge for patients following total laryngectomy. Videofluoroscopic swallow study (VFSS) can be used to assess the mechanism of swallowing dysfunction in patients; however, many standardized protocols do not account for the anatomical changes in patients who have undergone total laryngectomy. In this study, we aim to utilize the ASPEKT (Analysis of Swallowing Physiology: Events, Kinematics & Timing) Method to quantify swallowing mechanics in a cohort of post‐laryngectomy patients. Methods A retrospective study of swallowing post total laryngectomy was performed. All participants received a VFSS as part of standard care up to 10 months following their surgery between 2011–2021. Blinded raters trained in the ASPEKT method scored the VFSS for: number of swallows, UES opening duration, pharyngeal area at maximum pharyngeal constriction (PhAMPC), and total pharyngeal residue. A mixed‐effects beta regression model was fitted to the data, with total pharyngeal residue as the dependent variable and number of swallows, UES duration, and pharyngeal area at maximum constriction as independent variables. Results The average number of swallows per bolus was greater than 2. For patients who required more than 1 swallow to clear the bolus, the average UES opening duration increased with each swallow, from 567 ms during the first swallow to 633 ms during the third swallow. Additionally, the average PhAMPC for patients who required more than one swallow was 40.4% C2–C42 compared with 22.2% C2–C42 in patients who cleared the bolus with one swallow. Results from the mixed‐effects beta regression model showed that PhAMPC (OR = 22.58; p < 0.001; [95% CI 7.39, 64.28]) was a significant predictor of residue. UES opening duration and number of swallows were not significantly predictive of total pharyngeal residue. Conclusions This study represents the application of the ASPEKT Method to more precisely analyze VFSS in patients following total laryngectomy. Changes in swallowing function and efficiency post‐laryngectomy may largely be attributed to ineffective maximal pharyngeal constriction. Future work further characterizing this change in swallowing dynamics is crucial in developing treatment options to address swallowing dysfunction following total laryngectomy.
AbstractList	Swallowing dysfunction is a common postoperative challenge for patients following total laryngectomy. Videofluoroscopic swallow study (VFSS) can be used to assess the mechanism of swallowing dysfunction in patients; however, many standardized protocols do not account for the anatomical changes in patients who have undergone total laryngectomy. In this study, we aim to utilize the ASPEKT (Analysis of Swallowing Physiology: Events, Kinematics & Timing) Method to quantify swallowing mechanics in a cohort of post-laryngectomy patients.INTRODUCTIONSwallowing dysfunction is a common postoperative challenge for patients following total laryngectomy. Videofluoroscopic swallow study (VFSS) can be used to assess the mechanism of swallowing dysfunction in patients; however, many standardized protocols do not account for the anatomical changes in patients who have undergone total laryngectomy. In this study, we aim to utilize the ASPEKT (Analysis of Swallowing Physiology: Events, Kinematics & Timing) Method to quantify swallowing mechanics in a cohort of post-laryngectomy patients.A retrospective study of swallowing post total laryngectomy was performed. All participants received a VFSS as part of standard care up to 10 months following their surgery between 2011-2021. Blinded raters trained in the ASPEKT method scored the VFSS for: number of swallows, UES opening duration, pharyngeal area at maximum pharyngeal constriction (PhAMPC), and total pharyngeal residue. A mixed-effects beta regression model was fitted to the data, with total pharyngeal residue as the dependent variable and number of swallows, UES duration, and pharyngeal area at maximum constriction as independent variables.METHODSA retrospective study of swallowing post total laryngectomy was performed. All participants received a VFSS as part of standard care up to 10 months following their surgery between 2011-2021. Blinded raters trained in the ASPEKT method scored the VFSS for: number of swallows, UES opening duration, pharyngeal area at maximum pharyngeal constriction (PhAMPC), and total pharyngeal residue. A mixed-effects beta regression model was fitted to the data, with total pharyngeal residue as the dependent variable and number of swallows, UES duration, and pharyngeal area at maximum constriction as independent variables.The average number of swallows per bolus was greater than 2. For patients who required more than 1 swallow to clear the bolus, the average UES opening duration increased with each swallow, from 567 ms during the first swallow to 633 ms during the third swallow. Additionally, the average PhAMPC for patients who required more than one swallow was 40.4% C2-C42 compared with 22.2% C2-C42 in patients who cleared the bolus with one swallow. Results from the mixed-effects beta regression model showed that PhAMPC (OR = 22.58; p < 0.001; [95% CI 7.39, 64.28]) was a significant predictor of residue. UES opening duration and number of swallows were not significantly predictive of total pharyngeal residue.RESULTSThe average number of swallows per bolus was greater than 2. For patients who required more than 1 swallow to clear the bolus, the average UES opening duration increased with each swallow, from 567 ms during the first swallow to 633 ms during the third swallow. Additionally, the average PhAMPC for patients who required more than one swallow was 40.4% C2-C42 compared with 22.2% C2-C42 in patients who cleared the bolus with one swallow. Results from the mixed-effects beta regression model showed that PhAMPC (OR = 22.58; p < 0.001; [95% CI 7.39, 64.28]) was a significant predictor of residue. UES opening duration and number of swallows were not significantly predictive of total pharyngeal residue.This study represents the application of the ASPEKT Method to more precisely analyze VFSS in patients following total laryngectomy. Changes in swallowing function and efficiency post-laryngectomy may largely be attributed to ineffective maximal pharyngeal constriction. Future work further characterizing this change in swallowing dynamics is crucial in developing treatment options to address swallowing dysfunction following total laryngectomy.CONCLUSIONSThis study represents the application of the ASPEKT Method to more precisely analyze VFSS in patients following total laryngectomy. Changes in swallowing function and efficiency post-laryngectomy may largely be attributed to ineffective maximal pharyngeal constriction. Future work further characterizing this change in swallowing dynamics is crucial in developing treatment options to address swallowing dysfunction following total laryngectomy. ABSTRACT Introduction Swallowing dysfunction is a common postoperative challenge for patients following total laryngectomy. Videofluoroscopic swallow study (VFSS) can be used to assess the mechanism of swallowing dysfunction in patients; however, many standardized protocols do not account for the anatomical changes in patients who have undergone total laryngectomy. In this study, we aim to utilize the ASPEKT (Analysis of Swallowing Physiology: Events, Kinematics & Timing) Method to quantify swallowing mechanics in a cohort of post‐laryngectomy patients. Methods A retrospective study of swallowing post total laryngectomy was performed. All participants received a VFSS as part of standard care up to 10 months following their surgery between 2011–2021. Blinded raters trained in the ASPEKT method scored the VFSS for: number of swallows, UES opening duration, pharyngeal area at maximum pharyngeal constriction (PhAMPC), and total pharyngeal residue. A mixed‐effects beta regression model was fitted to the data, with total pharyngeal residue as the dependent variable and number of swallows, UES duration, and pharyngeal area at maximum constriction as independent variables. Results The average number of swallows per bolus was greater than 2. For patients who required more than 1 swallow to clear the bolus, the average UES opening duration increased with each swallow, from 567 ms during the first swallow to 633 ms during the third swallow. Additionally, the average PhAMPC for patients who required more than one swallow was 40.4% C2–C42 compared with 22.2% C2–C42 in patients who cleared the bolus with one swallow. Results from the mixed‐effects beta regression model showed that PhAMPC (OR = 22.58; p < 0.001; [95% CI 7.39, 64.28]) was a significant predictor of residue. UES opening duration and number of swallows were not significantly predictive of total pharyngeal residue. Conclusions This study represents the application of the ASPEKT Method to more precisely analyze VFSS in patients following total laryngectomy. Changes in swallowing function and efficiency post‐laryngectomy may largely be attributed to ineffective maximal pharyngeal constriction. Future work further characterizing this change in swallowing dynamics is crucial in developing treatment options to address swallowing dysfunction following total laryngectomy. Introduction Swallowing dysfunction is a common postoperative challenge for patients following total laryngectomy. Videofluoroscopic swallow study (VFSS) can be used to assess the mechanism of swallowing dysfunction in patients; however, many standardized protocols do not account for the anatomical changes in patients who have undergone total laryngectomy. In this study, we aim to utilize the ASPEKT (Analysis of Swallowing Physiology: Events, Kinematics & Timing) Method to quantify swallowing mechanics in a cohort of post‐laryngectomy patients. Methods A retrospective study of swallowing post total laryngectomy was performed. All participants received a VFSS as part of standard care up to 10 months following their surgery between 2011–2021. Blinded raters trained in the ASPEKT method scored the VFSS for: number of swallows, UES opening duration, pharyngeal area at maximum pharyngeal constriction (PhAMPC), and total pharyngeal residue. A mixed‐effects beta regression model was fitted to the data, with total pharyngeal residue as the dependent variable and number of swallows, UES duration, and pharyngeal area at maximum constriction as independent variables. Results The average number of swallows per bolus was greater than 2. For patients who required more than 1 swallow to clear the bolus, the average UES opening duration increased with each swallow, from 567 ms during the first swallow to 633 ms during the third swallow. Additionally, the average PhAMPC for patients who required more than one swallow was 40.4% C2–C42 compared with 22.2% C2–C42 in patients who cleared the bolus with one swallow. Results from the mixed‐effects beta regression model showed that PhAMPC (OR = 22.58; p < 0.001; [95% CI 7.39, 64.28]) was a significant predictor of residue. UES opening duration and number of swallows were not significantly predictive of total pharyngeal residue. Conclusions This study represents the application of the ASPEKT Method to more precisely analyze VFSS in patients following total laryngectomy. Changes in swallowing function and efficiency post‐laryngectomy may largely be attributed to ineffective maximal pharyngeal constriction. Future work further characterizing this change in swallowing dynamics is crucial in developing treatment options to address swallowing dysfunction following total laryngectomy. Swallowing dysfunction is a common postoperative challenge for patients following total laryngectomy. Videofluoroscopic swallow study (VFSS) can be used to assess the mechanism of swallowing dysfunction in patients; however, many standardized protocols do not account for the anatomical changes in patients who have undergone total laryngectomy. In this study, we aim to utilize the ASPEKT (Analysis of Swallowing Physiology: Events, Kinematics & Timing) Method to quantify swallowing mechanics in a cohort of post-laryngectomy patients. A retrospective study of swallowing post total laryngectomy was performed. All participants received a VFSS as part of standard care up to 10 months following their surgery between 2011-2021. Blinded raters trained in the ASPEKT method scored the VFSS for: number of swallows, UES opening duration, pharyngeal area at maximum pharyngeal constriction (PhAMPC), and total pharyngeal residue. A mixed-effects beta regression model was fitted to the data, with total pharyngeal residue as the dependent variable and number of swallows, UES duration, and pharyngeal area at maximum constriction as independent variables. The average number of swallows per bolus was greater than 2. For patients who required more than 1 swallow to clear the bolus, the average UES opening duration increased with each swallow, from 567 ms during the first swallow to 633 ms during the third swallow. Additionally, the average PhAMPC for patients who required more than one swallow was 40.4% C2-C4 compared with 22.2% C2-C4 in patients who cleared the bolus with one swallow. Results from the mixed-effects beta regression model showed that PhAMPC (OR = 22.58; p < 0.001; [95% CI 7.39, 64.28]) was a significant predictor of residue. UES opening duration and number of swallows were not significantly predictive of total pharyngeal residue. This study represents the application of the ASPEKT Method to more precisely analyze VFSS in patients following total laryngectomy. Changes in swallowing function and efficiency post-laryngectomy may largely be attributed to ineffective maximal pharyngeal constriction. Future work further characterizing this change in swallowing dynamics is crucial in developing treatment options to address swallowing dysfunction following total laryngectomy.
Author	Lee, Sean M. Ferraro, Tatiana Ganesan, Sandhya Cardman, Erin‐Anne Smaoui, Sana Dorward, Rebecca Ankeney, Emily Joshi, Arjun
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Cites_doi	10.1007/s00405‐016‐4424‐4 10.1002/hed.2890090103 10.1177/01945998211010435 10.1001/archotol.129.9.1000 10.1002/hed.25508 10.1044/2023_JSLHR‐23‐00246 10.1177/0194599816639249 10.1007/978-3-030-69852-2_4 10.1097/00020840‐200106000‐00004 10.1044/2022_JSLHR‐22‐00047 10.1017/S0022215120000341 10.1097/01.MLG.0000165456.01648.B8 10.3390/cancers11040549 10.1007/s00455‐009‐9209‐0 10.1007/s00455‐024‐10677‐3 10.1177/0194599810390906 10.1002/lary.31825 10.5604/01.3001.0014.5705 10.1007/s00455‐018‐9889‐4 10.1007/s00455‐024‐10721‐2 10.18502/ijph.v52i11.14025 10.21147/j.issn.1000‐9604.2020.01.03 10.1016/S0194‐59980300093‐7 10.1044/2019_JSLHR‐S‐18‐0448
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References_xml	– volume: 134 start-page: 256 issue: 3 year: 2020 end-page: 262 article-title: Complications and Predisposing Factors From a Decade of Total Laryngectomy publication-title: Journal of Laryngology and Otology – volume: 129 start-page: 1000 issue: 9 year: 2003 end-page: 1005 article-title: Evaluation of the Effects of Primary Myotomy in Total Laryngectomy on the Neoglottis With the Use of Quantitative Videofluoroscopy publication-title: Arch Otolaryngol Neck Surg – volume: 9 start-page: 3 issue: 1 year: 1986 end-page: 12 article-title: Examination of Swallowing After Total Laryngectomy Using Manofluorography publication-title: Head & Neck Surgery – volume: 9 start-page: 139 issue: 3 year: 2001 end-page: 146 article-title: Dysphagia After Total Laryngectomy publication-title: Current Opinion in Otolaryngology & Head and Neck Surgery – volume: 274 start-page: 1967 issue: 4 year: 2017 end-page: 1973 article-title: The Influence of Closure Technique in Total Laryngectomy on the Development of a Pseudo‐Diverticulum and Dysphagia publication-title: European Archives of Oto‐Rhino‐Laryngology – volume: 144 start-page: 21 issue: 1 year: 2011 end-page: 28 article-title: Impact of a Laryngectomy and Surgical Closure Technique on Swallow Biomechanics and Dysphagia Severity publication-title: Otolaryngology‐Head and Neck Surgery – volume: 65 start-page: 3798 issue: 10 year: 2022 end-page: 3808 article-title: Determining Swallowing Biomechanics Underlying Modified Barium Swallow Impairment Profile Scoring Using Computational Analysis of Swallowing Mechanics publication-title: Journal of Speech, Language, and Hearing Research – volume: 33 start-page: 691 issue: 5 year: 2018 end-page: 706 article-title: Longitudinal Evaluation of Swallowing With Videofluoroscopy in Patients With Locally Advanced Head and Neck Cancer After Chemoradiation publication-title: Dysphagia – volume: 40 start-page: 2733 issue: 12 year: 2018 end-page: 2748 article-title: Diagnosis and Treatment of Oropharyngeal Dysphagia After Total Laryngectomy With or Without Pharyngoesophageal Reconstruction: Systematic Review publication-title: Head & Neck – volume: 11 issue: 4 year: 2019 article-title: Swallowing Safety and Efficiency After Open Partial Horizontal Laryngectomy: A Videofluoroscopic Study publication-title: Cancers – volume: 62 start-page: 1338 issue: 5 year: 2019 end-page: 1363 article-title: Reference Values for Healthy Swallowing Across the Range From Thin to Extremely Thick Liquids publication-title: Journal of Speech, Language, and Hearing Research – volume: 115 start-page: 1266 issue: 7 year: 2005 end-page: 1271 article-title: Functional Outcomes After Circumferential Pharyngoesophageal Reconstruction publication-title: Laryngoscope – volume: 155 start-page: 295 issue: 2 year: 2016 end-page: 302 article-title: Biomechanics of Pharyngeal Deglutitive Function Following Total Laryngectomy publication-title: Otolaryngology‐Head and Neck Surgery – year: 2021 – volume: 52 start-page: 2248 issue: 11 year: 2023 end-page: 2259 article-title: Laryngeal Cancer: Epidemiology, Etiology, and Prevention: A Narrative Review publication-title: Iranian Journal of Public Health – volume: 32 start-page: 18 issue: 1 year: 2020 end-page: 25 article-title: Updates on Larynx Cancer Epidemiology publication-title: Chinese Journal of Cancer Research – volume: 66 start-page: 3804 issue: 10 year: 2023 end-page: 3824 article-title: Reference Values for Videofluoroscopic Measures of Swallowing: An Update publication-title: Journal of Speech, Language, and Hearing Research – volume: 166 start-page: 511 issue: 3 year: 2022 end-page: 514 article-title: Determining the Impact of Thickened Liquids on Swallowing in Patients Undergoing Irradiation for Oropharynx Cancer publication-title: Otolaryngology‐Head and Neck Surgery – volume: 39 start-page: 964 issue: 5 year: 2024 end-page: 973 article-title: Dysphagia in Open Partial Horizontal Laryngectomy Type IIa: Quantitative Analysis of Videofluoroscopy Using the ASPEKT Method publication-title: Dysphagia – volume: 135 start-page: 809 year: 2024 end-page: 817 article-title: Swallowing Kinematics in Male Patients With Total Laryngectomy publication-title: Laryngoscope – volume: 40 start-page: 220 issue: 1 year: 2025 end-page: 230 article-title: Clinical Implementation of DIGEST as an Evidence‐Based Practice Tool for Videofluoroscopy in Oncology: A Six‐Year Single Institution Implementation Evaluation publication-title: Dysphagia – volume: 9 start-page: 1 year: 2020 end-page: 5 article-title: Dysphagia Among Patients After Total Laryngectomy: Diagnostic and Therapeutic Procedures publication-title: Polski Przegląd Otorynolaryngologiczny – volume: 128 start-page: 691 issue: 5 year: 2003 end-page: 699 article-title: Changes of Esophageal Motility After Total Laryngectomy publication-title: Otolaryngology‐Head and Neck Surgery – volume: 24 start-page: 314 issue: 3 year: 2009 end-page: 321 article-title: Dysphagia Following a Total Laryngectomy: The Effect on Quality of Life, Functioning, and Psychological Well‐Being publication-title: Dysphagia – ident: e_1_2_9_20_1 doi: 10.1007/s00405‐016‐4424‐4 – ident: e_1_2_9_17_1 doi: 10.1002/hed.2890090103 – ident: e_1_2_9_26_1 doi: 10.1177/01945998211010435 – ident: e_1_2_9_24_1 doi: 10.1001/archotol.129.9.1000 – ident: e_1_2_9_21_1 doi: 10.1002/hed.25508 – ident: e_1_2_9_12_1 doi: 10.1044/2023_JSLHR‐23‐00246 – ident: e_1_2_9_16_1 doi: 10.1177/0194599816639249 – ident: e_1_2_9_3_1 doi: 10.1007/978-3-030-69852-2_4 – ident: e_1_2_9_6_1 doi: 10.1097/00020840‐200106000‐00004 – ident: e_1_2_9_10_1 doi: 10.1044/2022_JSLHR‐22‐00047 – ident: e_1_2_9_18_1 doi: 10.1017/S0022215120000341 – ident: e_1_2_9_23_1 doi: 10.1097/01.MLG.0000165456.01648.B8 – ident: e_1_2_9_7_1 doi: 10.3390/cancers11040549 – ident: e_1_2_9_27_1 – ident: e_1_2_9_4_1 doi: 10.1007/s00455‐009‐9209‐0 – ident: e_1_2_9_13_1 doi: 10.1007/s00455‐024‐10677‐3 – ident: e_1_2_9_22_1 doi: 10.1177/0194599810390906 – ident: e_1_2_9_14_1 doi: 10.1002/lary.31825 – ident: e_1_2_9_15_1 – ident: e_1_2_9_5_1 doi: 10.5604/01.3001.0014.5705 – ident: e_1_2_9_9_1 doi: 10.1007/s00455‐018‐9889‐4 – ident: e_1_2_9_8_1 doi: 10.1007/s00455‐024‐10721‐2 – ident: e_1_2_9_2_1 doi: 10.18502/ijph.v52i11.14025 – ident: e_1_2_9_19_1 doi: 10.21147/j.issn.1000‐9604.2020.01.03 – ident: e_1_2_9_25_1 doi: 10.1016/S0194‐59980300093‐7 – ident: e_1_2_9_11_1 doi: 10.1044/2019_JSLHR‐S‐18‐0448
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Snippet	ABSTRACT Introduction Swallowing dysfunction is a common postoperative challenge for patients following total laryngectomy. Videofluoroscopic swallow study... Swallowing dysfunction is a common postoperative challenge for patients following total laryngectomy. Videofluoroscopic swallow study (VFSS) can be used to... Introduction Swallowing dysfunction is a common postoperative challenge for patients following total laryngectomy. Videofluoroscopic swallow study (VFSS) can...
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SubjectTerms	Aged Deglutition - physiology Deglutition Disorders - diagnostic imaging Deglutition Disorders - etiology Deglutition Disorders - physiopathology dysphagia Female Fluoroscopy - methods head and neck cancer Humans Kinematics Laryngectomy - adverse effects Male Middle Aged Patients Pharynx Postoperative Complications - diagnostic imaging Postoperative Complications - physiopathology Retrospective Studies Swallowing Videofluoroscopy
Title	Quantitative Analysis of Videofluoroscopy Following Total Laryngectomy Using the ASPEKT Method
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