{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T00:19:09Z","timestamp":1780445949885,"version":"3.54.1"},"reference-count":25,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,4,14]],"date-time":"2025-04-14T00:00:00Z","timestamp":1744588800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate the outcomes of iatrogenic oropharyngeal dysphagia and compare them with outcomes from different types of dysphagia aetiologies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Retrospective analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>This study was conducted on patients evaluated at a tertiary hospital's Swallowing Disorder Center using physical examination and fibreoptic endoscopic evaluation of swallowing (FEES) between January 2015 and October 2021.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients were divided into six groups according to the potential cause of dysphagia: (1) Post head and neck cancers (HNCs) treatment; (2) Post\u2010surgery for non\u2010cancerous aetiology; (3) Neurological; (4) Intracranial; (5) Head and neck pathology; and (6) Others. Of these, the first and second groups comprise dysphagia caused by treatment (iatrogenic dysphagia). FEES results were analysed using the Swallowing Performance Status Scale (SPSS) and the Penetration Aspiration Scale (PAS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of the 507 patients included, 146 (28.8%) had iatrogenic dysphagia, and 361 (71.2%) had non\u2010iatrogenic dysphagia. After swallowing therapy, 138 patients underwent a follow\u2010up FEES examination (47 patients with iatrogenic dysphagia and 91 patients with non\u2010iatrogenic dysphagia). After swallowing intervention (compensatory technique and food consistency changes), the follow\u2010up FEES examination revealed significant improvement in the non\u2010iatrogenic group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), while the iatrogenic group showed no significant improvement after intervention. PAS and SPSS scores also demonstrated greater improvement in the non\u2010iatrogenic group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study emphasises that iatrogenic dysphagia is a common entity in the swallowing disorders outpatient ENT clinic. It is more likely to persist and resist conventional swallowing therapy, leading to worse outcomes compared to non\u2010iatrogenic dysphagia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/coa.14315","type":"journal-article","created":{"date-parts":[[2025,4,14]],"date-time":"2025-04-14T04:55:41Z","timestamp":1744606541000},"page":"751-757","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Evaluation and Outcomes of Iatrogenic Oropharyngeal Dysphagia"],"prefix":"10.1111","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2633-5864","authenticated-orcid":false,"given":"Shorook","family":"Naara","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Rambam Healthcare Campus, The Technion, Israel Institute of Technology  Haifa Israel"},{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of California\u2010San Francisco, Helen Diller Family Comprehensive Cancer Center  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3292-2099","authenticated-orcid":false,"given":"Shadi","family":"Shinnawi","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Rambam Healthcare Campus, The Technion, Israel Institute of Technology  Haifa Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadeem","family":"Habashi","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Rambam Healthcare Campus, The Technion, Israel Institute of Technology  Haifa Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eli","family":"Rimmer","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Rambam Healthcare Campus, The Technion, Israel Institute of Technology  Haifa Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salem","family":"Billan","sequence":"additional","affiliation":[{"name":"Oncology Institute, Rambam Healthcare Campus  Haifa Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacob T.","family":"Cohen","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Rambam Healthcare Campus, The Technion, Israel Institute of Technology  Haifa Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,4,14]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0889\u20108553(03)00024\u20104"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0016\u20105085(99)70144\u20107"},{"issue":"5","key":"e_1_2_11_4_1","first-page":"651","article-title":"Speech and Swallowing Rehabilitation for Head and Neck Cancer Patients","volume":"11","author":"Logemann J. 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