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A systematic review of current methodology of high resolution pharyngeal manometry with and without impedance

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Abstract

Purpose

This systematic review appraises and summaries methodology documented in studies using high resolution pharyngeal manometry (HRM) with and without impedance technology (HRIM) in adult populations.

Methods

Four electronic databases CINAHL, EMBASE, MEDLINE, and Cochrane Library were searched up to, and including March 2017. Studies reporting pharyngeal HRM/HRIM for swallowing and/or phonatory assessment, published in peer-reviewed journals in English, German, or Spanish were assessed for the inclusion criteria. Of the selected studies, methodological aspects of data acquisition and analysis were extracted. Publications were graded based on their level of evidence and quality of methodological aspects was assessed.

Results

Sixty-two articles were identified eligible, from which 50 studies reported the use of HRM and 12 studies used HRIM. Of all included manuscripts, the majority utilized the ManoScan™ system (64.5%), a catheter diameter of 4.2 mm was most prevalently documented (30.6%). Most publications reported the application of topical anesthesia (53.2%). For data analysis in studies using HRM, software intrinsic to the recording system was reported most frequently (56%). A minority of the studies using HRM provided data about measurement reliability (10%). This is higher for studies using HRIM (50%).

Conclusions

Considerable methodological variability exists regarding data acquisition and analysis in published studies using HRM/HRIM. Lacking reports of methodology make study replications difficult and reduce the comparability across studies. More data regarding the impact of individual methodological aspects on study outcomes are further required for the development of methodological recommendations.

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Notes

  1. Original publication language: “Bestimmung anhand des “zentralen Sensors” im oÖS. Ein Druckabfall um 10% markierte den Beginn der Relaxationszeit, das Ende wurde bei Wiedererreichen des gleichen Druckes mit dem Eintreffen der pharyngealen Kontraktionswelle definiert.”

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Funding

The study was funded, in part, by the Canterbury Medical Research Foundation PRO (16/04).

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Authors and Affiliations

  1. Department of Communication Disorders, University of Canterbury, Christchurch, New Zealand

    Katharina Winiker, Esther Guiu Hernandez, Maggie-Lee Huckabee & Kristin Gozdzikowska

  2. The University of Canterbury Rose Centre for Stroke Recovery and Research, Leinster Chambers, Level One, 249 Papanui Rd, Private Bag 4737, Christchurch, 8140, New Zealand

    Katharina Winiker, Anna Gillman, Esther Guiu Hernandez, Maggie-Lee Huckabee & Kristin Gozdzikowska

  3. The Laura Fergusson Trust, Christchurch, New Zealand

    Kristin Gozdzikowska

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  1. Katharina Winiker
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Correspondence to Katharina Winiker.

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Canterbury Medical Research Foundation PRO(16/04). The grant funding was for partial salary. The funding body had no influence on the study design or on the study outcomes.

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Winiker, K., Gillman, A., Guiu Hernandez, E. et al. A systematic review of current methodology of high resolution pharyngeal manometry with and without impedance. Eur Arch Otorhinolaryngol 276, 631–645 (2019). https://doi.org/10.1007/s00405-018-5240-9

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  • DOI: https://doi.org/10.1007/s00405-018-5240-9

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