Swallowing Skills and Aspiration Risk Following Treatment of Head and Neck Cancers
Authors
Authors and affiliations
Mansi JagtapEmail authorMansi Karnad
1.
Original Article
First Online: 16 March 2019
5
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Abstract
Surgical resection and chemoradiation are common modalities of treatment in head and neck cancers. Dysphagia is one of the common complications following these interventions. The severity of dysphagia depends on various factors, site and extent of resection, and radiation therapy to highlight a few. Thirty-five head and neck cancer patients treated with surgical and/or chemoradiation were assessed for parameters of swallowing. Extent of resection was statistically associated with swallowing symptoms phase wise. The results revealed a strong association between the presence of aspiration with resection of the tongue base and radiation therapy (p < 0.01). Oral preparatory and oral phase abnormalities were present in all the cases with varying severity especially in cases where the mandible and body of tongue were compromised (p < 0.05). These findings provide a specific profile which has high clinical utility.
Keywords
Dysphagia Radiation therapy Aspiration risk Surgical resection
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Notes
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
References
1.
Hutcheson KA, Lewis JS, Barringer DA, Lisec A, Gunn B, Moore MW, Holsinger CF (2012) Late dysphagia after radiation-therapy based treatment of head and neck cancer. Cancer 118(23):5793–5799
CrossRefGoogle Scholar
2.
McConnel F, Logemann J, Rademaker A, Pauloski B, Baker S, Lewin J, Shedd D, Heiser MA, Cardinale S, Collins S, Graner D, Cook B, Milianti F, Baker T (1994) Surgical variables affecting postoperative swallowing efficiency in oral cancer patients: a pilot study. Laryngoscope 104:87–90
Google Scholar
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Logemann J (2003) Swallowing dysfunction – preventative and rehabilitate strategies in patients with head-and-neck cancers treated with surgery, radiotherapy and chemotherapy: a critical review. Int J Radiat Oncol Biol Phys 57(5):1219–1230
CrossRefGoogle Scholar
4.
Logemann J, Bytell B (1979) Swallowing disorders in three types of head and neck surgical patients. Cancer 44(3):1095–1105
CrossRefGoogle Scholar
5.
Mohan MP, Friji MT, Dinesh Kumar S, Mohapatra, Deviprasad (2013) Clinical evaluation of swallowing and dysphagia management in a patient with total mandibulectomy and primary reconstruction. J All India Instit Speech Hear 32:6–8
Google Scholar
6.
Son YR, Choi KH, Kim TG (2015) Dysphagia in tongue cancer patients. Ann Rehabil Med 39(2):210–217
CrossRefGoogle Scholar
7.
Huang Z-s, Chen W-l, Huang Z-q, Yang Z-h (2016) Dysphagia in tongue cancer patients before and after surgery. J Oral Maxillofac Surg 74(10):2067–2074
CrossRefGoogle Scholar
8.
Murphy B, Gilbert J (2009) Dysphagia in head and neck cancer patients treated with radiation: assessment, sequelae, and rehabilitation. Semin Radiat Oncol 19(1):35–42
CrossRefGoogle Scholar
9.
Eisburch A, Lyden T, Bradford C, Dawson L, Haxer M, Miller A, Teknos T et al (2002) Objective assessment of swallowing dysfunction and aspiration after radiation concurrent with chemotherapy for head-and-neck cancer. Int J Radiat Oncol 53(1):23–28
CrossRefGoogle Scholar
10.
Nguyen N, Vos P, Smith H, Nguyen P, Alfieri A, Karlsson U et al (2007) Concurrent chemoradiation for locally advanced oropharyngeal cancer. Am J Otolaryngol 28(1):3–8
CrossRefGoogle Scholar
Copyright information
© Indian Association of Surgical Oncology 2019
About this article
CrossMark
Cite this article as:
Jagtap, M. & Karnad, M. Indian J Surg Oncol (2019) 10: 402. https://doi.org/10.1007/s13193-019-00912-x
Received
23 November 2018
Accepted
07 March 2019
First Online
16 March 2019
DOI
https://doi.org/10.1007/s13193-019-00912-x
Publisher Name
Springer India
Print ISSN
0975-7651
Online ISSN
0976-6952
About this journal
Reprints and Permissions
Authors
Authors and affiliations
Mansi JagtapEmail authorMansi Karnad
1.
Original Article
First Online: 16 March 2019
5
Downloads
Abstract
Surgical resection and chemoradiation are common modalities of treatment in head and neck cancers. Dysphagia is one of the common complications following these interventions. The severity of dysphagia depends on various factors, site and extent of resection, and radiation therapy to highlight a few. Thirty-five head and neck cancer patients treated with surgical and/or chemoradiation were assessed for parameters of swallowing. Extent of resection was statistically associated with swallowing symptoms phase wise. The results revealed a strong association between the presence of aspiration with resection of the tongue base and radiation therapy (p < 0.01). Oral preparatory and oral phase abnormalities were present in all the cases with varying severity especially in cases where the mandible and body of tongue were compromised (p < 0.05). These findings provide a specific profile which has high clinical utility.
Keywords
Dysphagia Radiation therapy Aspiration risk Surgical resection
This is a preview of subscription content, log in to check access.
Notes
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
References
1.
Hutcheson KA, Lewis JS, Barringer DA, Lisec A, Gunn B, Moore MW, Holsinger CF (2012) Late dysphagia after radiation-therapy based treatment of head and neck cancer. Cancer 118(23):5793–5799
CrossRefGoogle Scholar
2.
McConnel F, Logemann J, Rademaker A, Pauloski B, Baker S, Lewin J, Shedd D, Heiser MA, Cardinale S, Collins S, Graner D, Cook B, Milianti F, Baker T (1994) Surgical variables affecting postoperative swallowing efficiency in oral cancer patients: a pilot study. Laryngoscope 104:87–90
Google Scholar
3.
Logemann J (2003) Swallowing dysfunction – preventative and rehabilitate strategies in patients with head-and-neck cancers treated with surgery, radiotherapy and chemotherapy: a critical review. Int J Radiat Oncol Biol Phys 57(5):1219–1230
CrossRefGoogle Scholar
4.
Logemann J, Bytell B (1979) Swallowing disorders in three types of head and neck surgical patients. Cancer 44(3):1095–1105
CrossRefGoogle Scholar
5.
Mohan MP, Friji MT, Dinesh Kumar S, Mohapatra, Deviprasad (2013) Clinical evaluation of swallowing and dysphagia management in a patient with total mandibulectomy and primary reconstruction. J All India Instit Speech Hear 32:6–8
Google Scholar
6.
Son YR, Choi KH, Kim TG (2015) Dysphagia in tongue cancer patients. Ann Rehabil Med 39(2):210–217
CrossRefGoogle Scholar
7.
Huang Z-s, Chen W-l, Huang Z-q, Yang Z-h (2016) Dysphagia in tongue cancer patients before and after surgery. J Oral Maxillofac Surg 74(10):2067–2074
CrossRefGoogle Scholar
8.
Murphy B, Gilbert J (2009) Dysphagia in head and neck cancer patients treated with radiation: assessment, sequelae, and rehabilitation. Semin Radiat Oncol 19(1):35–42
CrossRefGoogle Scholar
9.
Eisburch A, Lyden T, Bradford C, Dawson L, Haxer M, Miller A, Teknos T et al (2002) Objective assessment of swallowing dysfunction and aspiration after radiation concurrent with chemotherapy for head-and-neck cancer. Int J Radiat Oncol 53(1):23–28
CrossRefGoogle Scholar
10.
Nguyen N, Vos P, Smith H, Nguyen P, Alfieri A, Karlsson U et al (2007) Concurrent chemoradiation for locally advanced oropharyngeal cancer. Am J Otolaryngol 28(1):3–8
CrossRefGoogle Scholar
Copyright information
© Indian Association of Surgical Oncology 2019
About this article
CrossMark
Cite this article as:
Jagtap, M. & Karnad, M. Indian J Surg Oncol (2019) 10: 402. https://doi.org/10.1007/s13193-019-00912-x
Received
23 November 2018
Accepted
07 March 2019
First Online
16 March 2019
DOI
https://doi.org/10.1007/s13193-019-00912-x
Publisher Name
Springer India
Print ISSN
0975-7651
Online ISSN
0976-6952
About this journal
Reprints and Permissions
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