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Master Thesis

Étude observationnelle : mise en place d’une activité de fibroscopie de déglutition dans le cadre d’une consultation conjointe ORL-Orthophoniste au sein du service ORL du CHU de Bordeaux

Abstract : The prevalence of swallowing disorders is high in patients treated or being treated for squamous cell carcinoma of the upper aerodigestive tract (SCA). At the Bordeaux University Hospital, the usual care of dysphagic patients is an ENT consultation and a clinical speech language assessment. Fiberoptic endoscopic evaluation of swallowing allows the identification of the physiology of swallowing and helps to identify the physiopathological mechanisms during the pharyngeal period, which cannot be observed during a classical speech therapy evaluation. The objective of this study was to evaluate the feasibility of setting up a fiberoptic endoscopic evaluation of swallowing activity in a joint ENT physician - SLP consultation within the ENT department of the Bordeaux Pellegrin University Hospital. We hypothesized that the implementation of this joint consultation to evaluate swallowing by fibroscopy in patients treated or being treated for squamous cell carcinoma of the VADS was feasible. Eight patients were included in this study. The consultation consisted in an interrogation, a clinical examination, a fiberoptic endoscopic evaluation of swallowing with different textures and an analysis of the results with a summary report. All patients were able to benefit from this examination without difficulty. The direct visualization of the anatomical regions involved in swallowing at rest and in movement allowed the identification of symptoms and mechanisms affected in several patients. In conclusion, the good progress of the joint consultation with fiberoptic endoscopic evaluation of swallowing and the interest of the results obtained for the continuation of the care justify the pursue of this activity. This joint consultation has been implemented in the hospital and adopted in clinical routine.
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https://dumas.ccsd.cnrs.fr/dumas-03281004
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Submitted on : Wednesday, July 7, 2021 - 6:26:56 PM
Last modification on : Friday, July 9, 2021 - 3:48:02 AM
Long-term archiving on: : Friday, October 8, 2021 - 7:00:09 PM

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  • HAL Id : dumas-03281004, version 1

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Cassandre Adam. Étude observationnelle : mise en place d’une activité de fibroscopie de déglutition dans le cadre d’une consultation conjointe ORL-Orthophoniste au sein du service ORL du CHU de Bordeaux. Sciences cognitives. 2021. ⟨dumas-03281004⟩

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