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10.3390/jcm13247578
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Article

Aerodigestoscopy (ADS): The Feasibility, Safety, and Comfort of a Comprehensive Procedure for the Evaluation of Physiological Disorders of the Aerodigestive Tract

by
Robert J. Arnold
1,*,
Nina Bausek
2,
Christopher S. Gaskill
1,
Lawrence F. Johnson
3,
Sigfredo Aldarondo
4,
Cody Aull
5,
Malik Midani
1,
Tarek Midani
1,
Ramiz Midani
1,
Ashton S. Brown
1 and
Alana Wallace
1
1
Southeastern Biocommunication Associates, LLC, Birmingham, AL 35216, USA
2
Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN 55905, USA
3
Division of Gastroenterology and Hepatology, University of Alabama at Birmingham, Birmingham, AL 35233, USA
4
Pulmonary Rehabilitation Program, AdventHealth Orlando, Orlando, FL 32825, USA
5
Otolaryngologist—Head & Neck Surgeon, National Breathe Free Sinus & Allergy Centers, West Palm Beach, FL 33401, USA
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2024, 13(24), 7578; https://doi.org/10.3390/jcm13247578
Submission received: 24 October 2024 / Revised: 17 November 2024 / Accepted: 3 December 2024 / Published: 13 December 2024
(This article belongs to the Section Gastroenterology & Hepatopancreatobiliary Medicine)
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Abstract

Background: Limited access to the comprehensive assessment of disorders of the upper aerodigestive tract is a barrier to care in rural health facilities. Assessment of the full aerodigestive tract requires a variety of specialists. The inability to access the necessary specialists can result in misdiagnosis, underdiagnosis, and increased associated mortality. Currently, no single differential diagnostic exam comprehensively assesses all functions of the upper aerodigestive tract to bridge this gap. The purpose of this study is to investigate the feasibility and safety of a novel procedure called ADS that can bridge this gap. Methods: Results from 18,464 ADS procedures were retrospectively analyzed for feasibility, safety and comfort. Results: 96.8% of ADS procedures were successfully completed without complication, confirming the efficacy of the procedure. Conclusions: ADS is a single procedure for the assessment of physiological functions of the upper aerodigestive tract, including swallow, voice, respiration, and cough while also screening for impaired gastric retention and obstructive sleep apnea, which may pose additional urgent and emergent airway threats. ADS may improve health outcomes in underserved populations, e.g., those in a rural community, referred to by other health professionals due to complaints of aerodigestive symptoms and signs.
Keywords: aerodigestive disorders; FEES; stroboscopy; endoscopy; aerodigestive tract; swallowing; dysphagia; dysphonia; aerodigestive physiology; gastroesophageal exam aerodigestive disorders; FEES; stroboscopy; endoscopy; aerodigestive tract; swallowing; dysphagia; dysphonia; aerodigestive physiology; gastroesophageal exam

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MDPI and ACS Style

Arnold, R.J.; Bausek, N.; Gaskill, C.S.; Johnson, L.F.; Aldarondo, S.; Aull, C.; Midani, M.; Midani, T.; Midani, R.; Brown, A.S.; et al. Aerodigestoscopy (ADS): The Feasibility, Safety, and Comfort of a Comprehensive Procedure for the Evaluation of Physiological Disorders of the Aerodigestive Tract. J. Clin. Med. 2024, 13, 7578. https://doi.org/10.3390/jcm13247578

AMA Style

Arnold RJ, Bausek N, Gaskill CS, Johnson LF, Aldarondo S, Aull C, Midani M, Midani T, Midani R, Brown AS, et al. Aerodigestoscopy (ADS): The Feasibility, Safety, and Comfort of a Comprehensive Procedure for the Evaluation of Physiological Disorders of the Aerodigestive Tract. Journal of Clinical Medicine. 2024; 13(24):7578. https://doi.org/10.3390/jcm13247578

Chicago/Turabian Style

Arnold, Robert J., Nina Bausek, Christopher S. Gaskill, Lawrence F. Johnson, Sigfredo Aldarondo, Cody Aull, Malik Midani, Tarek Midani, Ramiz Midani, Ashton S. Brown, and et al. 2024. "Aerodigestoscopy (ADS): The Feasibility, Safety, and Comfort of a Comprehensive Procedure for the Evaluation of Physiological Disorders of the Aerodigestive Tract" Journal of Clinical Medicine 13, no. 24: 7578. https://doi.org/10.3390/jcm13247578

APA Style

Arnold, R. J., Bausek, N., Gaskill, C. S., Johnson, L. F., Aldarondo, S., Aull, C., Midani, M., Midani, T., Midani, R., Brown, A. S., & Wallace, A. (2024). Aerodigestoscopy (ADS): The Feasibility, Safety, and Comfort of a Comprehensive Procedure for the Evaluation of Physiological Disorders of the Aerodigestive Tract. Journal of Clinical Medicine, 13(24), 7578. https://doi.org/10.3390/jcm13247578

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