Current approaches to reporting pharyngo-laryngeal secretions

Curr Opin Otolaryngol Head Neck Surg. 2021 Dec 1;29(6):479-486. doi: 10.1097/MOO.0000000000000740.

Abstract

Purpose of review: Accumulated secretions in the pharynx and larynx are associated with dysphagia, aspiration and pneumonia, as well as increased social, health and economic burden. This article reviews developments in the instrumental reporting of pharyngo-laryngeal secretions over the last 2 years.

Recent findings: Although the healthy pharynx and larynx is moist, accumulation of secretions is indicative of abnormality. Using standardized secretion scales allows early identification, quantification of risk in patients, and sensitive monitoring of patients over time. Nonstandardized and subjective secretion reporting is common in recently published research despite the validation of a number of publicly available tools. Research characterizing accumulated secretions has contributed to our understanding of pathophysiology associated with poor secretion management and may inform future treatment studies.

Summary: Routine and standardized reporting of secretions is critical for patient assessment and should be reported in the most standardized way possible. Further research investigating the clinical relevance and treatment of accumulated secretions relies on quantitative pharyngolaryngeal secretions reporting.

Publication types

  • Review

MeSH terms

  • Deglutition Disorders* / diagnosis
  • Deglutition Disorders* / etiology
  • Humans
  • Larynx*
  • Pharynx
  • Pneumonia, Aspiration*
  • Risk Assessment