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Site of disease and treatment protocol as correlates of swallowing function in patients with head and neck cancer treated with chemoradiation

Site of disease and treatment protocol as correlates of swallowing function in patients with head and neck cancer treated with chemoradiation,10.1002/

Site of disease and treatment protocol as correlates of swallowing function in patients with head and neck cancer treated with chemoradiation   (Citations: 44)
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Abstract:,Background.,The relationship,between,type,of chemoradiation treatment, site of disease, and swallowing function,has,not been,sufficiently examined,in patients,with head,and,neck,cancer,treated primarily with chemoradiation. Methods.,Fifty-three patients,with,advanced-stage,head and,neck,cancer,were,evaluated,before,and,3 months,after chemoradiation,treatment,to define their swallowing,disorders and,characterize,their swallowing,physiology,by site of lesion and,chemoradiation,protocol. One hundred,forty normal,sub- jects were,also studied. Results. The most,common,disorders,at baseline,and 3 months after treatment were reduced tongue base retraction, reduced tongue strength, and slowed or delayed laryngeal vestibule closure. Frequency,of functional swallow,did not differ significantly across disease sites after treatment, although frequency,of disorders,was,different at various sites of lesion. The effects of the chemotherapy,protocols,were small. Conclusions.,The site of the lesion affects the frequency
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    • ...For comparison with the literature, the number of patients with a FOIS score of 1, 2, and 3, indicating an oral intake of less than 50%, and with the scores 4‐7, indicating an oral intake of more than 50%, is also given [7, 32, 37, 38]...
    • ...Logemann et al. [38] 53 Nasopharynx, oropharynx, hypopharynx, larynx, unknown CCRT Tube-feeding oral intake aspiration (VMBS) 3 months 21 (40%) 12 (23%) intake \50% 12 (23%)...
    • ...In other studies, aspiration ranged from 23% to as high as 65% [2, 6, 16, 38, 44]...
    • ...Several studies used the oropharyngeal swallow efficiency (OPSE) to measure the percentage of oral and pharyngeal residue instead of the occurrence of residue above and/or below the valleculae [7, 38, 45]...

    Lisette van der Molenet al. A Randomized Preventive Rehabilitation Trial in Advanced Head and Neck...

    • ...Logemann et al. [6] indicated that the head and neck cancer patients in their study exhibited longer duration of laryngeal closure 3 months after tumor treatment...

    Atsuko Kurosuet al. Gender Effects on Airway Closure in Head and Neck Cancer Patients

    • ... airway protection and promoting penetration and aspiration, (3) reduced base-of-tongue retraction resulting in reduced tongue base contact with the posterior pharyngeal wall, (4) delay in triggering the pharyngeal swallow, (5) pharyngeal hypocontractility, (6) incomplete relaxation of cricopharyngeal muscles leading to reduced cricopharyngeal opening which results in pooling of residue in the piriform sinuses and valleculae [12, 17, 24, ...

    Nele Platteauxet al. Dysphagia in Head and Neck Cancer Patients Treated with Chemoradiother...

    • ...In Graner et al. [31] study, aspiration rates have been reported to be 60%, 5 months after treatment while Logemann et al. [32] reported that 18% of patients aspirated and 36% were using G-tube 3 months after CRT treatment...

    Maria Archontakiet al. Functional results of speech and swallowing after oral microvascular f...

    • ...Two studies also included patients with unknown primaries [13, 52], one also included paranasal sinuses [27], another included thyroid, paranasal sinus, and external ear cancer [81] and one included a group with diverse disease sites (e.g., parotid, ethmoid cavity, and unknown primary) [13, 27, 51, 52, 81]...
    • ...Two studies also included patients with unknown primaries [13, 52], one also included paranasal sinuses [27], another included thyroid, paranasal sinus, and external ear cancer [81] and one included a group with diverse disease sites (e.g., parotid, ethmoid cavity, and unknown primary) [13, 27, 51, 52, 81]...
    • ...Three of the Wve studies mentioned inter- and intra-observer reliability of videoXuoroscopic modiWed barium swallow examination (VMBS) [13, 40, 42, 52, 60]...
    • ...Eight of the reviewed articles reported on swallowing function [13, 40, 42, 45, 52, 60, 65, 81]...
    • ...Six papers assessed swallowing via VMBS [13, 42, 52, 60, 65, 81]...
    • ...Logemann et al. [52] reported details of the frequencies that occurred...
    • ...Two studies reported a relationship between swallowing diYculties and tumor site [52, 81]...
    • ...Logemann et al. [52] found that tumors in the nasopharynx had the highest frequency of reduced oral tongue control...
    • ...Logemann et al. [52] also found an increase in aspiration rate...
    • ...Seven papers analyzed the eVect of CRT on nutrition [40, 42, 45, 51, 52, 59, 69], of which four used validated questionnaire (QOQ-C30, FACT-H&N or PSS-HN) [40, 42, 51, 69]...
    • ...Seven papers reported on tube feeding [22, 23, 40, 42, 52, 59, 69]...
    • ...In six studies, placement occurred prior or during the Wrst week of treatment [22, 23, 42, 52, 59, 69]...
    • ...Logemann et al. [52] reported eight patients (15%) with a gastrostomy tube before treatment and three patients (6%) taking 50% or less of their nutrition orally...
    • ...Graner et al. [42] found that seven patients (64%) were relying on tube feeding for more than 50% of their nutrition and hydration 5 months after treatment, and Logemann et al. [52] reported that 21 patients (40%) used tube feeding and 12 patients (23%) were taking 50% or less of their nutrition orally after 3 months...

    Lisette van der Molenet al. Functional outcomes and rehabilitation strategies in patients treated ...

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