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OP 83<br />

aBSTracTS OP 8<br />

Title<br />

MATERIALS OF VIDEOFLuOROSCOPIC SWALLOWING STuDy. A SySTEMATIC REVIEW<br />

Authors<br />

M. KONISHI 1 , y. yASuHARA 1 , T. NAGASAKI 1 , K. TANIMOTO 1<br />

Affiliations<br />

1 Department of Oral and Maxillofacial Radiology, Graduate School of Biomedical Sciences,<br />

Hiroshima University, Hiroshima, JAPAN<br />

Body<br />

Objectives:The aim of the present study is two folds, (1) to investigate the materials of contr<strong>as</strong>t<br />

media and foods used in the videofluoroscopic swallowing study(VFSS), (2) to<br />

investigate the differences between the VFSS results of liquid and solid foods <strong>as</strong> the test<br />

foods.<br />

Methods: Literature search and data interpretation were performed according to a systematic<br />

method: (i) problem specification, (ii) a plan for the literature search, (iii) literature search<br />

and retrieval, and (iv) data interpretation. The problem w<strong>as</strong> specified <strong>as</strong> follows: Which test<br />

materials were used for VFSS? Two data b<strong>as</strong>es were searched using specified indexing terms.<br />

The contr<strong>as</strong>t media and foods used by VFSS were extracted from the selected publications.<br />

And, we made a careful comparative review of the VFSS results that the patients swallowed the<br />

liquid and solid foods.<br />

Results: The literature search yielded 561 titles and <strong>abstracts</strong>. In 34 publications of 561, contr<strong>as</strong>t<br />

media such <strong>as</strong> Iodine were used except for barium sulfate. Solid foods <strong>as</strong> a test food were<br />

used in 105 publications. Finally, 14 publications of 105 described separately the VFSS results<br />

of liquid and solid foods about the <strong>as</strong>piration were selected. Aspiration often occurred by<br />

swallowing liquids, but few solid foods. On the other hand, the residue rate of the solid foods<br />

at the pharynx w<strong>as</strong> higher than that of liquids.<br />

Conclusion: The occurrence of the <strong>as</strong>piration and penetration w<strong>as</strong> various depending on the<br />

kinds of foods. T<strong>here</strong>fore, we should select the test foods used by VFSS according to the individual<br />

patient’s symptoms.<br />

Keywords<br />

dysphagia, fluoroscopy, contr<strong>as</strong>t media<br />

79

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