Research Information System
Thesis Type: Postgraduate
Institution Of The Thesis: Gazi Üniversitesi, Sağlık Bilimleri Enstitüsü, Turkey
Approval Date: 2015
Student: EBRU ŞANSAL
Supervisor: METİN YILMAZ
Abstract:The swallowing disorders, which occur with various symptoms like dysphagia, odinophagia, globus pharyngeus or chronic cough, could result from considerably a large number of factors in the areas extenting from lips to stomach. The swallowing disorders lead to increase in both treatment costs and mortality, by causing both recurrent or treatment-resistant pneumonia in cases with comorbid disorders, especially in inpatients in neurology clinics. Although its treatment vary according to the etiological reasons after the diagnosis is first conducted, the life threating problems about aspiration could be prevented by the application of the initial procedures like stopping oral feeding. Therefore, early diagnosis of the swallowing disorders is profoundly important. The swallowing disorders are evaluated by using bedside/clinical swallowing assesments (medical history, physical examination, saturation follow-up ), FEES (Fiberoptic Endoscopic Evaluation of Swallowing), VFSS (Videoflouroscopic Swallowing Study), endoscopy, USG (Ultra Sono Graphy), EMG (electroneuromyography), manometer and cervical auscultation. The evaulation of pharyngeal swallowing disorders could be difficut during the bedside assesment, and it could not be noticed especially in patients with the latent aspiration. However, the bedside assessments are useful in clinical practice because of its ease of application, its low cost and the disadvantages of the objective methods. The wetness in the voice after swallowing is relatively evaluated a sign of aspiration/penetration in daily clinical practice. In this study, we aimed to compare objectively the existing results and the voice of patients with swallowing disorders by evaluating with FEES, on the basis of the hypothesis that if there is a wet voice after swallowing, it could be a sign of the latent aspiration. The study was conducted on 30 patients, of whom the parameters of the voice samples, which were recorded before and after FEES test, obtained by the acoustic voice analysis. In this study, no significant relationship was found between the voice parameters (F0, Shimmer, NHR, VTI, RAP) and the aspiration/penetration scale.