{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T00:00:57Z","timestamp":1789084857567,"version":"build-2803163510"},"reference-count":16,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,3,13]],"date-time":"2018-03-13T00:00:00Z","timestamp":1520899200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2018,7]]},"abstract":"Objective<\/jats:title>Examine the incidence of penetration\/aspiration in patients with unilateral vocal fold immobility and investigate the relationship with self\u2010reported perception of dysphagia.<\/jats:p><\/jats:sec>Study Design<\/jats:title>Case series with chart review.<\/jats:p><\/jats:sec>Setting<\/jats:title>Academic cancer center.<\/jats:p><\/jats:sec>Subjects and Methods<\/jats:title>Adult patients with unilateral vocal fold immobility diagnosed between 2014 and 2016 were reviewed. Patients were stratified into an aspiration group and a nonaspiration group using objective findings on flexible endoscopic evaluation of swallowing, as scored using Rosenbek's Penetration Aspiration Scale. Objective findings were compared to patient perception of dysphagia. Bivariate linear correlation analysis was performed to evaluate correlation between Eating Assessment Tool\u201310 scores and presence of aspiration. Tests of diagnostic accuracy were calculated to investigate the predictive value of Eating Assessment Tool\u201310 scores >9 on aspiration risk.<\/jats:p><\/jats:sec>Results<\/jats:title>Of the 35 patients with new\u2010onset unilateral vocal fold immobility were evaluated, 25.7% (9\/35) demonstrated tracheal aspiration. Mean \u00b1 SD Eating Assessment Tool\u201310 scores were 19.2 \u00b1 13.7 for aspirators and 7.0 \u00b1 7.8 for nonaspirators (P<\/jats:italic> =. 016). A statistically significant correlation was demonstrated between increasing Eating Assessment Tool\u201310 scores and Penetration Aspiration Scale scores (r<\/jats:italic> = 0.511, P<\/jats:italic> =. 002). Diagnostic accuracy analysis for aspiration risk in patients with an Eating Assessment Tool\u201310 score >9 revealed a sensitivity of 77.8% and a specificity of 73.1%.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Patient perception of swallowing difficulty may have utility in predicting aspiration risk. An EAT\u201310 of >9\u00a0in patients with unilateral vocal fold immobility may portend up to a 5 times greater risk of aspiration. Routine swallow testing to assess for penetration\/aspiration may be indicated in patients with unilateral vocal fold immobility.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599818762328","type":"journal-article","created":{"date-parts":[[2018,3,13]],"date-time":"2018-03-13T04:01:28Z","timestamp":1520913688000},"page":"92-96","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Utility of Eating Assessment Tool\u201310\u00a0in Predicting Aspiration in Patients with Unilateral Vocal Fold Paralysis"],"prefix":"10.1002","volume":"159","author":[{"given":"Steven A.","family":"Zuniga","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Lewis Katz School of Medicine at Temple University Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara","family":"Ebersole","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Lewis Katz School of Medicine at Temple University Philadelphia Pennsylvania USA"},{"name":"Department of Speech Pathology Fox Chase Cancer Center Temple Head and Neck Institute Temple University Health System Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nausheen","family":"Jamal","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Lewis Katz School of Medicine at Temple University Philadelphia Pennsylvania USA"},{"name":"Department of Surgical Oncology Fox Chase Cancer Center Temple Head and Neck Institute Temple University Health System Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,3,13]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000161358.20450.12"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-005-0018-9"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0003489414558107"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348940811701210"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.21839"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2010.02.004"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e318123ee6a"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200308000-00023"},{"key":"e_1_2_9_10_1","unstructured":"RaoN BradyS ChaudhuriG DonzelliJ WeslingM.Gold\u2010standard? Analysis of the videofluoroscopic and fiberoptic endoscopic swallow examinations.2003.https:\/\/www.scienceopen.com\/document?vid=4ab613e2\u201080f7\u20104a6a\u2010aca5\u2010c709660b6e72. Accessed March 13 2017."},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348949110000815"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00417897"},{"key":"e_1_2_9_13_1","article-title":"The Eating Assessment Tool\u201310 predicts aspiration in adults with stable chronic obstructive pulmonary disease [published online July 13, 2017]","author":"Regan J","journal-title":"Dysphagia"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348940811701210"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2003.52"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199912000-00014"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348940211100402"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0194599818762328","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1177\/0194599818762328","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0194599818762328","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T10:24:51Z","timestamp":1760955891000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0194599818762328"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,3,13]]},"references-count":16,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2018,7]]}},"alternative-id":["10.1177\/0194599818762328"],"URL":"https:\/\/doi.org\/10.1177\/0194599818762328","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,3,13]]},"assertion":[{"value":"2017-09-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-02-09","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-03-13","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}