Delegating fiberoptic endoscopic evaluation of swallowing to speech therapists: Feedback from 20 months' experience.

IF 2.4 4区医学 Q2 OTORHINOLARYNGOLOGY

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2025-08-08 DOI:10.1016/j.anorl.2025.07.002

M Cachi-Pouyenne, R Haddad, D Robert, J Michel, A Giovanni, A Mattei

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引用次数: 0

Abstract

Background: In France, speech therapists are not authorized to perform fiberoptic endoscopic or other instrumental evaluations of swallowing to detect silent penetration or aspiration and to guide rehabilitation. Even so, regulations allow local cooperation protocols to be set up.

Aims: To assess the feasibility of the first interprofessional cooperation protocol for fiberoptic endoscopic evaluation of swallowing by speech therapists in hospitalized patients.

Method: Between April 2023 and November 2024, 100 patients from various departments in our hospital underwent bedside evaluation of swallowing by a speech therapist, including functional fiberoptic endoscopy.

Results: There were no severe adverse effects and no additional discomfort associated with fiberoptic endoscopic evaluation of swallowing performed by a speech therapist as compared to head-and-neck surgery residents (95% CI, 0.114-2.922; P>0.05). After checking the assessment report, the delegating ENT physicians did not alter the speech therapist's recommendations.

Conclusion: This first interprofessional cooperation protocol between ENT specialists and speech therapists for fiberoptic endoscopic evaluation of swallowing in France contributed to management of hospital patients with swallowing disorder, without adverse effects.

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将纤维内窥镜吞咽评估委托给语言治疗师：来自20个月经验的反馈。

背景：在法国，语言治疗师未被授权对吞咽进行光纤内窥镜或其他仪器评估，以检测无声渗透或吸入并指导康复。即便如此，法规允许建立地方合作协议。目的：评估首个跨专业合作方案的可行性，用于住院患者的光纤内镜吞咽评估的语言治疗师。方法：于2023年4月至2024年11月，对我院各科室100例患者进行了包括功能性纤维内窥镜检查在内的床边吞咽评估。结果：与头颈外科住院患者相比，言语治疗师进行的纤维内镜吞咽评估没有严重的不良反应，也没有额外的不适(95% CI, 0.114-2.922；P > 0.05)。在检查评估报告后，委托的耳鼻喉科医生没有改变言语治疗师的建议。结论：这是法国第一个耳鼻喉科专家和语言治疗师之间的跨专业合作协议，用于光纤内镜下吞咽评估，有助于医院吞咽障碍患者的管理，没有不良反应。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Annals of Otorhinolaryngology-Head and Neck Diseases OTORHINOLARYNGOLOGY-

CiteScore

3.70

自引率

28.00%

发文量

审稿时长

12 days

期刊介绍： European Annals of Oto-rhino-laryngology, Head and Neck diseases heir of one of the oldest otorhinolaryngology journals in Europe is the official organ of the French Society of Otorhinolaryngology (SFORL) and the the International Francophone Society of Otorhinolaryngology (SIFORL). Today six annual issues provide original peer reviewed clinical and research articles, epidemiological studies, new methodological clinical approaches and review articles giving most up-to-date insights in all areas of otology, laryngology rhinology, head and neck surgery. The European Annals also publish the SFORL guidelines and recommendations.The journal is a unique two-armed publication: the European Annals (ANORL) is an English language well referenced online journal (e-only) whereas the Annales Françaises d’ORL (AFORL), mail-order paper and online edition in French language are aimed at the French-speaking community. French language teams must submit their articles in French to the AFORL site. Federating journal in its field, the European Annals has an Editorial board of experts with international reputation that allow to make an important contribution to communication on new research data and clinical practice by publishing high-quality articles.