Higher Aspiration During MBS I read with much interest your report on the 3-ounce water test in the May 26 issue of The ASHA Leader. The aspiration rate was much higher when the test was performed in conjunction with the modified barium swallow (MBS) procedure versus the fiberoptic exam (FEES®). Also, silent aspiration was ... Inbox
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Inbox  |   November 01, 2009
Higher Aspiration During MBS
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Swallowing, Dysphagia & Feeding Disorders / Inbox
Inbox   |   November 01, 2009
Higher Aspiration During MBS
The ASHA Leader, November 2009, Vol. 14, 4. doi:10.1044/leader.IN2.14142009.4
The ASHA Leader, November 2009, Vol. 14, 4. doi:10.1044/leader.IN2.14142009.4
I read with much interest your report on the 3-ounce water test in the May 26 issue of The ASHA Leader. The aspiration rate was much higher when the test was performed in conjunction with the modified barium swallow (MBS) procedure versus the fiberoptic exam (FEES®). Also, silent aspiration was detected with MBS.
I was surprised to see that nothing was mentioned regarding the limitation of FEES in viewing any aspiration during the swallow, which is not a limitation with the MBS. Although a smaller pool of patients was studied with the MBS, it does lend credence to the possibility that the higher rate of aspiration observed with the MBS could be due to aspiration during the swallow, which would not be observed with the FEES. I have seen a lot of aspiration during the swallow in the MBS procedures I have performed. Nonetheless, the article was very informative.
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November 2009
Volume 14, Issue 14