J Korean Dysphagia Soc.
2023 Jul;13(2):77-106. 10.34160/jkds.23.010.
Clinical Practice Guidelines for Oropharyngeal Dysphagia
- Affiliations
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- 1Department of Rehabilitation Medicine, Ewha Womans University Seoul Hospital, Ewha Womans University College of Medicine, Seoul, Korea
- 2Department of Physical Medicine and Rehabilitation, Dongguk University Ilsan Hospital, Goyang, Korea
- 3Department of Rehabilitation Medicine, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Korea
- 4Department of Otorhinolaryngology-Head and Neck Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
- 5Department of Occupational Therapy, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
- 6Department Audiology and Speech-Language Pathology, Daegu Catholic University, Gyoungsan, Korea
- 7Department of Rehabilitation Medicine, International St. Mary’s Hospital, Catholic Kwandong University College of Medicine, Incheon, Korea
- 8Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
- 9Department of Physical Medicine and Rehabilitation, Veterans Health Service Medical Center, Seoul, Korea
- 10Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea
- 11Department of Otolaryngology, Inha University College of Medicine, Incheon, Korea
- 12Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea
- 13Department of Rehabilitation Medicine, Incheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea
- 14Department of Occupational Therapy, School of Medicine, Wonkwang University, Iksan, Korea
- 15Department of Speech Therapy, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
- 16Department of Rehabilitation Medicine, Chungnam National University Hospital, College of Medicine, Chungnam National University, Daejeon, Korea
- 17Department of Rehabilitation Medicine, Seoul Medical Center, Seoul, Korea
- 18Department of Rehabilitation Medicine, Gil Medical Center, Gachon University College of Medicine, Incheon, Korea
- 19Department of Otorhinolaryngology-Head and Neck Surgery, Kangwon National University Hospital, Kangwon National University College of Medicine, Chuncheon, Korea
- 20Department of Otolaryngology-Head and Neck Surgery, St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
- 21Department of Occupational Therapy, Konyang University, Daejeon, Korea
- 22Department of Otorhinolaryngology-Head and Neck Surgery, Dongguk University Ilsan Hospital, Goyang, Korea
- 23Deptartment of Rehabilitation Medicine, Konkuk University Medical Center, Seoul, Korea
- 24Department of Rehabilitation Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea
- 25Department of Physical Medicine and Rehabilitation, Dong-A University College of Medicine, Busan, Korea
- 26Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea
- 27Department of Physical Medicine and Rehabilitation, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea
- 28Department of Rehabilitation Medicine, National Traffic Injury Rehabilitation Hospital, Yangpyeong, Korea
- 29Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul, Korea
- 30Department of Otorhinolaryngology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
- 31Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea
- 32Department of Otorhinolaryngology-Head and Neck Surgery, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Korea
- 33Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Hospital, Seoul, Korea
- 34Department of Rehabilitation Medicine, Bucheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Bucheon, Korea
- 35Department of Rehabilitation Medicine, Pusan National University & Pusan National University Yangsan Hospital, Yangsan, Korea
- 36Department of Rehabilitation Medicine, St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
- 37e of Medicine, The Catholic University of Korea, Seoul, 37 Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
- 38Department of Gastroenterology, Konyang University College of Medicine, Daejeon, Korea
- 39Deptartment of Nutrition & Food Control, Gangnam Severance Hospital, Seoul, Korea
- 40Deptartment of Food & Nutrition, College of Human Ecology, Hanyang University, Seoul, Korea
- 41Department of Otorhinolaryngology-Head and Neck Surgery, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea
- 42Department of Otorhinolaryngology-Head and Neck Surgery, Chung-Ang University Gwangmyeong Hospital, Chung-Ang University College of Medicine, Gwangmyeong, Korea
- 43Department of Food Service & Nutrition Care, Seoul National University Hospital, Seoul, Korea
- 44Department of Rehabilitation Medicine, Yeouido St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
- 45Namdarun Rehabilitation Clinic, Yongin, Korea
- 46Department of Oral and Maxillofacial Surgery, University of Ulsan College of Medicine, Seoul, Korea
- 47Department of Oral and Maxillofacial Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
- 48Department of Clinical Nursing, University of Ulsan, Seoul, Korea
- 49Department of Nursing, Seoul National University Bundang Hospital, Seongnam, Korea
- 50Department of Physical Medicine and Rehabilitation, Korea University Anam Hospital, Seoul, Korea
- 51Department of Otolaryngology-Head and Neck Surgery, Center for Thyroid Cancer, Research Institute and Hospital, National Cancer Center, Goyang, Korea
- 52Department of Otorhinolaryngology-Head and Neck Surgery, Inje University Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea
- 53Department of Oral and Maxillofacial Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
- KMID: 2545120
- DOI: http://doi.org/10.34160/jkds.23.010
Abstract
Objective
Dysphagia is a common clinical condition characterized by difficulty in swallowing. It is sub-classified into oropharyngeal dysphagia, which refers to problems in the mouth and pharynx, and esophageal dysphagia, which refers to problems in the esophageal body and esophagogastric junction. Dysphagia can have a significant negative impact one’s physical health and quality of life as its severity increases. Therefore, proper assessment and management of dysphagia are critical for improving swallowing function and preventing complications. Thus a guideline was developed to provide evidence-based recommendations for assessment and management in patients with dysphagia.
Methods
Nineteen key questions on dysphagia were developed. These questions dealt with various aspects of problems related to dysphagia, including assessment, management, and complications. A literature search for relevant articles was conducted using Pubmed, Embase, the Cochrane Library, and one domestic database of KoreaMed, until April 2021. The level of evidence and recommendation grade were established according to the Grading of Recommendation Assessment, Development and Evaluation methodology.
Results
Early screening and assessment of videofluoroscopic swallowing were recommended for assessing the presence of dysphagia. Therapeutic methods, such as tongue and pharyngeal muscle strengthening exercises and neuromuscular electrical stimulation with swallowing therapy, were effective in improving swallowing function and quality of life in patients with dysphagia. Nutritional intervention and an oral care program were also recommended.
Conclusion
This guideline presents recommendations for the assessment and management of patients with oropharyngeal dysphagia, including rehabilitative strategies.
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