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The Yale Pharyngeal Residue Severity Rating Scale

  • Book
  • © 2016

Overview

Authors:
  1. Steven B. Leder

    1. Department of Surgery, Yale School of Medicine, NEW HAVEN, USA

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  2. Paul D. Neubauer

    1. Department of Surgery, Yale School of Medicine, NEW HAVEN, USA

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    You can also search for this author in PubMed   Google Scholar

  • First book of its kind to comprehensively cover the topic of FEES testing

  • Discusses everything from the rationale and knowledge gaps and goals, to embryology, anatomy, and physiology of the pharynx

  • Written for those interested in the diagnosis of dysphagia and rehabilitation of patients with dysphagia, such as speech-language pathologists, otolaryngologists, radiation therapists, and medical oncologists

  • Provides a clinical tool to use on an everyday basis

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Table of contents (8 chapters)

  1. Front Matter

    Pages i-xvi
    Download chapter PDF

  2. Building a Foundation, Defining Terms, and Looking Toward the Future

    • Steven B. Leder, Paul D. Neubauer
    Pages 1-11

  3. Embryology and Anatomy of the Oral Cavity and Pharynx

    • Steven B. Leder, Paul D. Neubauer
    Pages 13-32

  4. A Systematic Literature Review of Pharyngeal Residue Severity Rating Scales Based on Fiberoptic Endoscopic Evaluation of Swallowing

    • Steven B. Leder, Paul D. Neubauer
    Pages 33-49

  5. The Yale Pharyngeal Residue Severity Rating Scale: An Anatomically Defined and Image-Based Tool

    • Steven B. Leder, Paul D. Neubauer
    Pages 51-68

  6. The Epiglottis: The Most Prominent Anatomical Structure in the Pharynx

    • Steven B. Leder, Paul D. Neubauer
    Pages 69-78

  7. Really, How Easy Is It to Use the Yale Pharyngeal Residue Severity Rating Scale?

    • Steven B. Leder, Paul D. Neubauer
    Pages 79-81

  8. Final Thoughts

    • Steven B. Leder, Paul D. Neubauer
    Pages 83-86

  9. Images and Definitions for Convenient Clinical Use

    • Steven B. Leder, Paul D. Neubauer
    Pages 87-91

  10. Back Matter

    Pages 93-95
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Keywords

About this book

This text is a reliable, validated, anatomically defined, and image-based tool to determine residue location and severity when performing fiberoptic endoscopic evaluation of swallowing (FEES).  Based upon research by Drs. Leder and Neubauer, an easily interpreted, readily learned, and hierarchically organized pharyngeal residue severity rating scale was developed for speech-language pathologists, otolaryngologists, and other health care professionals who perform and interpret FEES.  The Yale Pharyngeal Residue Severity Rating Scale works equally well for any swallow of interest, whether it is the first, subsequent clearing, or last swallow.  The endoscopist simply has to match their chosen swallow with its scale mate.    


The Yale Pharyngeal Residue Severity Rating Scale can be used for both clinical advantages and research opportunities.  Clinically, clinicians can now accurately classify vallecula and pyriform sinus residue severity as none, trace, mild, moderate, or severe for diagnostic purposes, determination of functional therapeutic change, and precise dissemination of shared information.  Research uses include tracking outcomes for clinical trials, investigating various swallowing interventions, demonstrating efficacy of specific interventions to reduce pharyngeal residue, determining morbidity and mortality associated with pharyngeal residue in different patient populations, and improving the training and accuracy of FEES interpretation by students and clinicians.  The Yale Pharyngeal Residue Severity Rating Scale is an important addition to the deglutologist’s tool box.


Authors and Affiliations

  • Department of Surgery, Yale School of Medicine, NEW HAVEN, USA

    Steven B. Leder, Paul D. Neubauer

About the authors

Steven B. Leder, Ph.D., CCC-SLP, Professor, Dept. of Surgery, Section of Otolaryngology, received his doctorate in speech-language pathology from the University of Connecticut in 1983. Dr. Leder was the research speech-language pathologist on the first single-channel cochlear implant project in the nation at the Veterans Affairs Medical Center, West Haven, CT from 1983-1986. He then worked at Yale-New Haven Hospital before accepting an academic appointment at Yale University School of Medicine in 1991. Dr. Leder has published extensively in the areas of dysphagia diagnostics and rehabilitation, head and neck cancer, voice restoration with tracheoesophageal prostheses, and patients with tracheotomy and ventilator dependency.
Paul Neubauer, MD, is a physician in the Department of Surgery (Otolaryngology) at Yale School of Medicine. 

Bibliographic Information

  • Book Title: The Yale Pharyngeal Residue Severity Rating Scale

  • Authors: Steven B. Leder, Paul D. Neubauer

  • DOI: https://doi.org/10.1007/978-3-319-29899-3

  • Publisher: Springer Cham

  • eBook Packages: Medicine, Medicine (R0)

  • Copyright Information: Springer International Publishing Switzerland 2016

  • Softcover ISBN: 978-3-319-29897-9Published: 09 May 2016

  • eBook ISBN: 978-3-319-29899-3Published: 22 April 2016

  • Edition Number: 1

  • Number of Pages: XVII, 95

  • Number of Illustrations: 7 b/w illustrations, 9 illustrations in colour

  • Topics: Otorhinolaryngology, Speech Pathology, Oncology

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