{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T05:10:14Z","timestamp":1756444214043,"version":"3.44.0"},"reference-count":33,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T00:00:00Z","timestamp":1754870400000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Laryngoscope Investig Oto"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>We aim to determine the frequency of altered swallowing physiology for ratable components of the 17\u2010component grading system, the Modified Barium Swallow Impairment Profile (MBSImp), in its current validated state for a cohort of patients post total laryngectomy (TL).<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Otolaryngology Head &amp; Neck Surgery, The George Washington University Hospital and George Washington University Medical Faculty Associates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>All participants received a VFSS as part of standard care, which was scored post hoc using the MBSImP protocol and scoring metric by two blinded speech\u2010language pathologists.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Due to anatomical changes post\u2010TL, Components 6, 8, 9, 10, and 11 of the MBSImP were not rated. Efficiency concerns were most prevalent with functional deficits noted for: pharyngeal stripping wave, pharyngoesophageal segment opening, tongue base retraction, pharyngeal residue, and esophageal clearance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our work aims to provide further insight into the swallowing characteristics of TL as measured using the MBSImP. A high frequency of biomechanical impairment was identified in this cohort of patients. Although the MBSImP is a validated tool its application to the reconstructed anatomy following TL is not precise and should be regarded with caution in clinical settings. Further work is needed to modify definitions of the MBSImP components and inclusion of additional features that can more accurately describe post\u2010TL dysphagia.<\/jats:p><\/jats:sec>","DOI":"10.1002\/lio2.70227","type":"journal-article","created":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T13:58:16Z","timestamp":1754920696000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Utilizing Modified Barium Swallow Impairment Profile (<scp>MBSImP<\/scp>) to Characterize Swallowing Function Following Total Laryngectomy"],"prefix":"10.1002","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6103-7585","authenticated-orcid":false,"given":"Sana","family":"Smaoui","sequence":"first","affiliation":[{"name":"Department of Hearing and Speech Sciences Faculty of Allied Health, Kuwait University  Safat Kuwait"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leyn Bashar","family":"Shakhtour","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2010Head &amp; Neck Surgery George Washington University School of Medicine &amp; Health Sciences  Washington DC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tatiana","family":"Ferraro","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2010Head &amp; Neck Surgery George Washington University School of Medicine &amp; Health Sciences  Washington DC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timothy Brandon","family":"Shaver","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2010Head &amp; Neck Surgery George Washington University School of Medicine &amp; Health Sciences  Washington DC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0813-5308","authenticated-orcid":false,"given":"Bint\u2010E Z.","family":"Awan","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2010Head &amp; Neck Surgery George Washington University School of Medicine &amp; 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Neck Surgery George Washington University School of Medicine &amp; Health Sciences  Washington DC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,8,11]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijrobp.2015.03.004"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100147498"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.1994.tb01234.x"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/0738-3991(95)00768-U"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-6665(20)31497-3"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.25508"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2018.08.023"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599810390906"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-017-9862-7"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599816639249"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1159\/000266348"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.30283"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-008-9185-9"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1044\/2019_JSLHR-S-18-0448"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/0003489416629978"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1044\/2020_AJSLP-19-00189"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1044\/sasd18.4.117"},{"key":"e_1_2_8_19_1","unstructured":"Northern Speech Services \u201cModified Barium Swallow Impairment Profile \u201d2018 https:\/\/www.mbsimp.com."},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599811430911"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s001060050198"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0899-7071(98)00032-1"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1053\/crad.2000.0517"},{"key":"e_1_2_8_24_1","first-page":"169","article-title":"Digital Cineradiography of the Pharynx and the Oesophagus After Total or Partial Laryngectomy","volume":"106","author":"Barbiera F.","year":"2003","journal-title":"La Radiologia Medica"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/lio2.430"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-020-06507-5"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.2307\/2529310"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s004050100376"},{"key":"e_1_2_8_29_1","first-page":"25","article-title":"Larynx Cancer Treatment Results: Survive and Quality of Life Assessment","volume":"20","author":"Akduman D.","year":"2010","journal-title":"Kulak burun bo\u011faz ihtisas dergisi"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-009-9209-0"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-008-9189-5"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00238-021-01893-3"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.23840"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-59980300093-7"}],"container-title":["Laryngoscope Investigative Otolaryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lio2.70227","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T04:44:27Z","timestamp":1756442667000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lio2.70227"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8]]},"references-count":33,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,8]]}},"alternative-id":["10.1002\/lio2.70227"],"URL":"https:\/\/doi.org\/10.1002\/lio2.70227","archive":["Portico"],"relation":{},"ISSN":["2378-8038","2378-8038"],"issn-type":[{"type":"print","value":"2378-8038"},{"type":"electronic","value":"2378-8038"}],"subject":[],"published":{"date-parts":[[2025,8]]},"assertion":[{"value":"2025-03-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-27","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-11","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70227"}}