Evaluation of Swallowing Function

Patients who are referred to the Swallowing Disorders Center receive a comprehensive evaluation, starting with a clinical assessment of their swallowing function. This includes an in-depth patient interview to collect pertinent medical history, feeding and swallowing history, and the patient's complaint(s). An extensive examination is performed of the oral structures. A feeding observation may be obtained.

If indicated, a videofluoroscopic study (modified barium swallow) of the oral and pharyngeal swallowing mechanism is performed. These moving radiographic images are recorded on videotape and can be reviewed once the study is completed. The study involves an x-ray of the mouth and throat while the patient is eating and drinking. It provides an objective assessment of the swallowing function and helps to determine an appropriate management and treatment plan.

Results of the swallowing evaluation are communicated to the referring medical practitioner. If requested, referrals to other specialists (in the fields of gastroenterology, pulmonology, neurology, otolaryngology, nutrition, psychology, etc.) are available. Referrals are made to these specialties when it appears that additional diagnostic modalities and/or treatments may enhance the comprehensive plan of care.