September 2019 HSC Section 1 Congenital and Pediatric Problems

International Journal of Pediatric Otorhinolaryngology 115 (2018) 10–18

E. Cole et al.

Fig. 5. Comparison of swallowing evaluations. There was signi fi cant agreement between abnormal fi ndings during CSE and aspiration with thins during FEES pre- and post-injection (B), and between aspiration with thins during FEES and MBS post-injection (F). However, the proportion of patients with aspiration during MBS post-injection was also greater than with FEES (F). There was no signi fi cant agreement between abnormal CSE and penetration during FEES (A), between abnormal CSE and penetration (C) or aspiration (D) during MBS, or between penetration during FEES and MBS (E). *p < 0.05 using the kappa statistic. + p < 0.05 using McNemar exact signi fi cance probability. Abbreviations: CSE=Clinical Swallowing Exam; FEES=Fiberoptic Endoscopic Evaluation of Swallowing; MBS =Modi fi ed Barium Swallow.

30