Imperial College London
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Dr Margaret Coffey

Faculty of Medicine, Department of Surgery & Cancer

Honorary Clinical Senior Lecturer
 
 
 
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Contact

 

+44 (0)20 3313 0152margaret.coffey10

 
 
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Location

 

South WingCharing Cross Campus

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Summary

 

Publications

Citation

BibTex format

@article{Coffey:2018:10.1007/s00455-017-9862-7,
author = {Coffey, MM and Tolley, N and Howard, D and Drinnan, M and Hickson, M},
doi = {10.1007/s00455-017-9862-7},
journal = {Dysphagia},
pages = {369--379},
title = {An Investigation of the Post-laryngectomy Swallow Using Videofluoroscopy and Fiberoptic Endoscopic Evaluation of Swallowing (FEES).},
url = {http://dx.doi.org/10.1007/s00455-017-9862-7},
volume = {33},
year = {2018}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - This study investigates the post-laryngectomy swallow. Presence and degree of residue on the post-laryngectomy swallow as observed on videofluoroscopy and FEES is described. In addition, videofluoroscopy and FEES are assessed for reliability and inter-instrument agreement. 30 laryngectomy subjects underwent dysphagia evaluation using simultaneous videofluoroscopy and FEES. These were reviewed post-examination by three expert raters using a rating scale designed for this purpose. Raters were blinded to subject details, type of laryngectomy surgery, pairing of FEES and videofluoroscopy examinations and the scores of other raters. There was a finding of residue in 78% of videofluoroscopy ratings, and 83% of FEES ratings. Comparison of the tools indicated poor inter-rater reliability and poor inter-instrument agreement. Dysphagia is an issue post laryngectomy as measured by patient self-report and by instrumental evaluation. However, alternative dysphagia rating tools and dysphagia evaluation tools are required to enable accurate identification and intervention for underlying swallow physiology post laryngectomy.
AU  - Coffey,MM
AU  - Tolley,N
AU  - Howard,D
AU  - Drinnan,M
AU  - Hickson,M
DO  - 10.1007/s00455-017-9862-7
EP  - 379
PY  - 2018///
SN  - 1432-0460
SP  - 369
TI  - An Investigation of the Post-laryngectomy Swallow Using Videofluoroscopy and Fiberoptic Endoscopic Evaluation of Swallowing (FEES).
T2  - Dysphagia
UR  - http://dx.doi.org/10.1007/s00455-017-9862-7
UR  - https://www.ncbi.nlm.nih.gov/pubmed/29352357
UR  - http://hdl.handle.net/10044/1/63343
VL  - 33
ER  -
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