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Laryngology/Broncho-Esophagology

Diagnostic Test Selection in Chronic Cough and Dysphagia

Monday, October 2, 2023
3:45 PM - 4:45 PM East Coast USA Time
Location: 106BC

    Moderator(s)

  • GD

    Gregory R. Dion, MD

    Associate Professor
    University of Cincinnati
    Cincinnati, OH, United States

    • Panelist(s)

  • MA

    Milan R. Amin, MD

    Professor of Otolaryngology
    NYU School of Medicine
    New York, NY, United States

  • VY

    VyVy N. Young, MD

    Associate Professor
    UCSF Voice and Swallowing Center
    San Francisco, California, United States

  • MK

    Maggie A. Kuhn, MD

    Associate Professor
    University of California Davis
    Sacramento, CA, United States

Disclosure(s):
Gregory R. Dion, MD: No relevant relationships to disclose.
Milan R. Amin, MD: No relevant relationships to disclose.
VyVy N. Young, MD: No relevant relationships to disclose.
PROGRAM DESCRIPTION: Otolaryngologists are faced with an increasing array of diagnostic tests for patients with chronic cough and/or dysphagia. High resolution manometry, aerodynamic analysis, dual pH/impedance testing, videofluoroscopy, videostroboscopy, and high-speed digital imaging provide varying information to traditional flexible endoscopy, pulmonary function studies, and computed tomography or magnetic resonance imaging studies. Each of these diagnostic tools measure specific variables involved in cough and deglutition. With increased scrutiny on cost-effective utilization of healthcare resources, it is crucial to explore the role of these diagnostic tools in efficiently diagnosing laryngologic conditions accurately and timely while exposing the patient to the lowest cost and risk. The purpose of this panel is to explore optimal implementation of these diagnostic tests in commonly encountered Otolaryngology patients through case-based studies evaluating patients with complaints of chronic cough and/or dysphagia.

OUTCOME OBJECTIVE 1: Examine the available diagnostic assessment tools for patients with chronic cough and/or dysphagia through case-based discussions

OUTCOME OBJECTIVE 2: Determine benefits and drawbacks of these diagnostic tools to include expediency, cost, radiation exposure or other risks, and clinical utility of these tests

OUTCOME OBJECTIVE 3: Compare diagnostic test utilization paradigms for the common laryngological disorders of chronic cough and dysphagia

BACKGROUND STATEMENT: With many diagnostic tools for patients with chronic cough and swallow disorders and increasing scrutiny on healthcare spending, there is a need for otolaryngologist to have optimal, cost-effective diagnostic test utilization paradigms.