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Contribution of Wireless Wi-Fi Intraoral Cameras to the Assessment of Swallowing Safety and Efficiency.

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Title: Contribution of Wireless Wi-Fi Intraoral Cameras to the Assessment of Swallowing Safety and Efficiency.
Authors: Vergara, José1 josevergaraherazo12@gmail.com, Miles, Anna2, Lopes de Moraes, Juliana3, Takahiro Chone, Carlos3
Source: Journal of Speech, Language & Hearing Research. Mar2024, Vol. 67 Issue 3, p821-836. 16p.
Subject Terms: *Retrospective studies, *Inter-observer reliability, *Evaluation, Head & neck cancer diagnosis, Digestive system endoscopic surgery, Patient safety, Medical technology, Digital diagnostic imaging, Research evaluation, Scientific observation, Wireless LANs, Data analysis software, Deglutition disorders, Sensitivity & specificity (Statistics), Fluoroscopy
Abstract: Background: Clinical evaluation of swallowing provides important clinical information but is limited in detecting penetration, aspiration, and pharyngeal residue in patients with suspected dysphagia. Although this is an old problem, there remains limited access to low-cost methods to evaluate swallowing safety and efficiency. Purpose: The purpose of this technical report is to describe the experience of a single center that recently began using a wireless Wi-Fi intraoral camera for transoral endoscopic procedures as an adjunct to clinical swallowing evaluation. We describe the theoretical structure of this new clinical evaluation proposal. We present descriptive findings on its diagnostic performance in relation to videofluoroscopic swallowing study as the gold standard in a cohort of seven patients with dysphagia following head and neck cancer. We provide quantitative data on intra- and interrater reliability. Furthermore, this report discusses how this technology can be applied in the clinical practice of professionals who treat patients with dysphagia and provides directions for future research. Conclusions: This preliminary retrospective study suggests that intraoral cameras can reveal the accumulated oropharyngeal secretions and postswallow pharyngolaryngeal residue in patients with suspected dysphagia. Future largescale studies focusing on validating and exploring this contemporary low-cost technology as part of a clinical swallowing evaluation are warranted. [ABSTRACT FROM AUTHOR]
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Database: Education Research Complete
Description
Abstract:Background: Clinical evaluation of swallowing provides important clinical information but is limited in detecting penetration, aspiration, and pharyngeal residue in patients with suspected dysphagia. Although this is an old problem, there remains limited access to low-cost methods to evaluate swallowing safety and efficiency. Purpose: The purpose of this technical report is to describe the experience of a single center that recently began using a wireless Wi-Fi intraoral camera for transoral endoscopic procedures as an adjunct to clinical swallowing evaluation. We describe the theoretical structure of this new clinical evaluation proposal. We present descriptive findings on its diagnostic performance in relation to videofluoroscopic swallowing study as the gold standard in a cohort of seven patients with dysphagia following head and neck cancer. We provide quantitative data on intra- and interrater reliability. Furthermore, this report discusses how this technology can be applied in the clinical practice of professionals who treat patients with dysphagia and provides directions for future research. Conclusions: This preliminary retrospective study suggests that intraoral cameras can reveal the accumulated oropharyngeal secretions and postswallow pharyngolaryngeal residue in patients with suspected dysphagia. Future largescale studies focusing on validating and exploring this contemporary low-cost technology as part of a clinical swallowing evaluation are warranted. [ABSTRACT FROM AUTHOR]
ISSN:10924388
DOI:10.1044/2023_JSLHR-23-00375