Swallowing in advanced oral cancers: A prospective observational study
Contact us if these videos are not relevant.
Contact us if these videos are not relevant.
View abstract on PubMed
Summary
This summary is machine-generated.Advanced oral cancer treatments significantly impair swallowing function long after therapy concludes. Early intervention and rehabilitation are crucial for managing this persistent dysphagia in cancer survivors.
Area Of Science
- Oncology
- Otolaryngology
- Speech-Language Pathology
Background
- Advanced head and neck cancers frequently cause swallowing dysfunction due to anatomical and treatment-related changes.
- Limited research exists on swallowing function following surgery and multi-modality therapy for advanced oral cancers.
- This study addresses the gap by longitudinally assessing swallowing dysfunction in locally advanced oral cancers.
Purpose Of The Study
- To longitudinally assess and compare pre- and post-therapy swallowing dysfunction.
- To evaluate the impact of surgery and adjuvant therapy on swallowing function in advanced oral cancer patients.
Main Methods
- Prospective observational longitudinal study at a tertiary cancer center (2017-2018).
- Included treatment-naive cT4a oral cancer patients (AJCC 7th edition).
- Swallowing function assessed pre-surgery, post-surgery, and post-adjuvant therapy using Dysphagia score, Penetration-Aspiration Scale (PAS), and Yale pharyngeal residue scales.
Main Results
- Postoperatively, 47.4%-52.6% of patients showed deterioration in swallowing function scores (Dysphagia, PAS, residue).
- Six months post-adjuvant therapy, 47.4%-68.4% of patients still exhibited impaired swallowing function.
- Dysphagia scores demonstrated good correlation with other objective swallowing assessment measures.
Conclusions
- Surgery and adjuvant therapy significantly impact swallowing function, with deficits persisting for at least six months post-treatment.
- Early and appropriate rehabilitation interventions are essential to mitigate long-term swallowing problems.
- Dysphagia scores serve as a reliable predictor of swallowing status, comparable to objective assessments.
Contact us if these videos are not relevant.
Contact us if these videos are not relevant.
Related Concept Videos
The Barium Swallow Study, or a Barium Esophagogram, is a diagnostic imaging method used to visualize the upper gastrointestinal (GI) tract, including the esophagus, stomach, and small intestine. It employs barium sulfate, a radiopaque contrast material, to provide clear images of the upper digestive system, helping to identify abnormalities, diseases, or structural issues.
Purpose and Procedure
Patients undergoing this procedure ingest a liquid containing barium sulfate with a chalky...
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...