{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T08:38:21Z","timestamp":1770885501700,"version":"3.50.1"},"reference-count":11,"publisher":"Michigan State University College of Osteopathic Medicine Statewide Campus System","issue":"2","license":[{"start":{"date-parts":[[2020,1,30]],"date-time":"2020-01-30T00:00:00Z","timestamp":1580342400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:sec id=\"context\"> <jats:title>CONTEXT<\/jats:title> <jats:p>This study aims to determine whether straw or cup use is superior for the control of a single thin liquid bolus in patients with symptoms of oropharyngeal dysphagia to liquids.<\/jats:p> <\/jats:sec> <jats:sec id=\"methods\"> <jats:title>METHODS<\/jats:title> <jats:p>This is a prospective, randomized, single-blinded study. Patients were studied at a Professional Voice and Swallowing Center by a laryngologist between April 2017 and April 2018. Twenty-five patients, 18 years of age or older, who presented with symptoms of oropharyngeal dysphagia the clinic were included in the study. Each patient complained of difficulty with choking on liquids. Informed consent was obtained from each patient. Patients that were unable to follow one to two step commands and patients with dysphagia that lack oral strength or respiratory strength to facilitate straw or cup usage were not included. Patients with dysphagia that are tracheostomy tube dependent were also not included.<\/jats:p> <\/jats:sec> <jats:sec id=\"results\"> <jats:title>RESULTS<\/jats:title> <jats:p>The average PAS for straw versus cup drinking at 10mL was 1.08 and 1.04 respectively with a p-value of 0.33. For straw versus cup at 20mL, the PAS was 1.04 and 1.26 respectively with a p-value of 0.13. For 30mL, the PAS was 1.0 and 1.4 for straw and cup use respectively with a p-value of 0.16. And for 40mL, the PAS was 1.0 and 1.09 with a p-value of 0.27.<\/jats:p> <\/jats:sec> <jats:sec id=\"conclusions\"> <jats:title>CONCLUSIONS<\/jats:title> <jats:p>No statistical significant difference was demonstrated in risk of penetration or aspiration of thin liquids between cup and straw usage in patients with mild oropharyngeal dysphagia.<\/jats:p> <\/jats:sec>","DOI":"10.51894\/001c.11591","type":"journal-article","created":{"date-parts":[[2021,2,15]],"date-time":"2021-02-15T19:29:44Z","timestamp":1613417384000},"source":"Crossref","is-referenced-by-count":5,"title":["Straw vs Cup Use in Patients with Symptoms of Oropharyngeal Dysphagia"],"prefix":"10.51894","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7339-6830","authenticated-orcid":false,"given":"Bo","family":"Pang","sequence":"first","affiliation":[{"name":"Ascension Macomb-Oakland Hospital","department":["Otolaryngology"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Cox","sequence":"additional","affiliation":[{"name":"Lakeshore Professional Voice Center","department":["Ear, Nose, and Throat PC"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julianna","family":"Codino","sequence":"additional","affiliation":[{"name":"Lakeshore Professional Voice Center","department":["Ear, Nose, and Throat PC"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Austin","family":"Collum","sequence":"additional","affiliation":[{"name":"Lakeshore Professional Voice Center","department":["Ear, Nose, and Throat PC"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jake","family":"Sims","sequence":"additional","affiliation":[{"name":"Ascension Macomb-Oakland Hospital","department":["Otolaryngology"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam","family":"Rubin","sequence":"additional","affiliation":[{"name":"Ascension Macomb-Oakland Hospital, Lakeshore Professional Voice Center","department":["Otolaryngology, Ear, Nose, and Throat PC"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"29343","published-online":{"date-parts":[[2020,1,30]]},"reference":[{"issue":"4","key":"ref1","doi-asserted-by":"publisher","first-page":"308","DOI":"10.1007\/s00455-002-0073-4","article-title":"Interjudge and Intrajudge Reliabilities in Fiberoptic Endoscopic Evaluation of Swallowing (Fees ) Using the Penetration-Aspiration Scale: A Replication Study","volume":"17","author":"Nancy Colodny","year":"2002","journal-title":"Dysphagia","ISSN":"https:\/\/id.crossref.org\/issn\/0179-051X","issn-type":"print"},{"issue":"4","key":"ref2","first-page":"206","article-title":"Fiberoptic endoscopic evaluation of swallowing (FEES): Proposal for informed consent","volume":"28","author":"A. 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