Swallowing Impairment After Tonsillectomy
Conditions
Brief summary
the investigator will evaluate the swallowing pattern of the patients pre-operative and will follow them up at day 15 after tonsillectomy by using Careful history taking and Fiberoptic endoscopic evaluation of swallowing (FEES).
Detailed description
All patients will be evaluated pre-operative by history taking using the Arabic version of Eating Assessment Tool (EAT-10) questionnaire and will be examined by Fiberoptic endoscopic evaluation of swallowing (FEES). All patients will be operated by the same surgical technique. Patients will be directed to return back on the 15th day post-operative after tonsillectomy and they will be subjected to history taking using the Arabic version of Eating Assessment Tool (EAT-10) questionnaire and they will be examined by Fiberoptic endoscopic evaluation of swallowing (FEES). 1. Careful history taking The history of the patients will be taken using the Arabic version of the Eating Assessment Tool (EAT-10) questionnaire. The patient will rate the problem on a scale of 0 to 4 (0 means no problem; 4 means severe problem). A score of 3 or more on the EAT-10 is considered dysphagia. 2. Fiberoptic endoscopic evaluation of swallowing (FEES). Using flexible endoscopy (the flexible nasopharyngeal video-fiberscope Henke-Sass-Wolf, 4.3mm in diameter connected to Lemke video camera). The patient will be given a colored thin fluid to keep in their mouth and then swallow following the instructions of the examiner, then the examination will be repeated using semisolids (1 teaspoon of yogurt) and using solids (piece of bread). The evaluation of swallowing will involve four items: early spill of food (delayed triggering), aspiration, penetration, and retention (residue). And the results will be recorded.
Interventions
Using flexible endoscopy, the patient will be given a colored thin fluid to keep in their mouth and then swallow following the instructions of the examiner, then the examination will be repeated using semisolids (1 teaspoon of yogurt) and using solids (piece of bread). The evaluation of swallowing will involve four items: early spill of food (delayed triggering), aspiration, penetration, and retention (residue). And the results will be recorded.
Sponsors
Ain Shams University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SCREENING
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
7 Years to 18 Years
Healthy volunteers
Yes
Inclusion criteria
1. Patients undergoing tonsillectomy. 2. Age group (from 7-18 years). 3. Patients of either gender.
Exclusion criteria
1. Patients younger than 7 years or older than 18 years. 2. Patients with neurological diseases and genetic syndromes. 3. Patients with history of swallowing disorders prior to tonsillectomy.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| evaluation of swallowing impairment after tonsillectomy | 15 days after tonsillectomy | To evaluate the swallowing process in children after tonsillectomy and detect the occurance of dysphagia. using the Arabic version of the Eating Assessment Tool (EAT-10) questionnaire, the patient will rate the problem on a scale of 0 to 4 (0 means no problem; 4 means severe problem). A score of 3 or more on the EAT-10 is considered dysphagia. And Fiberoptic endoscopic evaluation of swallowing (FEES), the evaluation of swallowing will involve four items: early spill of food (delayed triggering), aspiration, penetration, and residue. |
Countries
Egypt
Outcome results
None listed