Association between trismus and dysphagia-related quality of life in survivors of head and neck cancer in Brazil

Ortigara, Gabriela Barbieri; Schulz, Riéli Elis; Soldera, Eloisa Barbieri; Bonzanini, Laura Izabel Lampert; Danesi, Cristiane Cademartori; Antoniazzi, Raquel Pippi; Ferrazzo, Kívia Linhares

doi:10.1016/j.oooo.2019.05.009

Cited by 14 publications

(20 citation statements)

References 37 publications

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“…This finding is in accordance with previous studies that evidenced swallowing impairments in patients treated for head and neck cancer [38,39]. RT causes harm to muscles involved in swallowing, leads inflammatory responses that induces fibrosis in time, atrophy, sensory loss, and thus, may result in dysphagia [14]. In this study, the most common reported location for swallowing disturbance was the pharynx, but this may be due to the clinical characteristics of our sample, as 35% of the sHNC participating on this study presented their tumor at hypopharynx or larynx levels.…”

Section: Plos Onesupporting

confidence: 93%

“…The correlation between MMO and cervical function shows the importance of an optimal cervical AROM in adequate mouth opening (and perhaps vice versa). A reduced MMO in sHNC is common due to radiation-induced fibrosis of the masticatory and cervical muscles [14].…”

Section: Correlation Between Motor and Swallowing Functionsmentioning

confidence: 99%

“…Swallowing impairments related to the presence of trismus (maximum mouth opening [MMO] �35 mm [13]) have been studied in survivors of head and neck cancer (sHNC) [14], but it is unknown whether any associations exist between MMO, temporomandibular dysfunction (TMD), cervical and shoulder motor function, and swallowing impairments in sHNC.…”

Section: Introductionmentioning

confidence: 99%

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Upper body motor function and swallowing impairments and its association in survivors of head and neck cancer: A cross-sectional study

Ortiz-Comino¹,

Fernández-Lao²,

Speksnijder³

et al. 2020

PLoS ONE

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Background Upper body motor function and swallowing may be affected after curative treatment for head and neck cancer. The aims of this study are to compare maximum mouth opening (MMO), temporomandibular dysfunction (TMD), cervical and shoulder active range of motion (AROM) and strength, and swallowing difficulty between survivors of head and neck cancer (sHNC) and healthy matched controls (HMC) and to examine the correlations between these outcomes in sHNC. Methods Thirty-two sHNC and 32 HMC participated on the study. MMO, TMD, cervical and shoulder AROM, cervical and shoulder strength, the SPADI shoulder pain and disability indices, the Eating Assessment Tool (EAT-10) score, swallowing difficulty as determined using a visual analogue scale (VAS), and the location of disturbances in swallowing, were recorded. Results MMO and cervical and shoulder AROM and strength were significantly lower in sHNC, whereas FAI, SPADI score, EAT-10 and VAS were higher. The MMO, TMD, cervical and shoulder AROM, and cervical shoulder strength values showed significant correlations (some direct, others inverse) with one another. Swallowing difficulty was inversely associated with the MMO, cervical AROM and shoulder strength.

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Section: Plos Onesupporting

confidence: 93%

Section: Correlation Between Motor and Swallowing Functionsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Upper body motor function and swallowing impairments and its association in survivors of head and neck cancer: A cross-sectional study

Ortiz-Comino¹,

Fernández-Lao²,

Speksnijder³

et al. 2020

PLoS ONE

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“…Trismus or lockjaw is common following radiation targeting the base of tongue, tonsil, retromolar trigone, soft palate, masseter muscles, pterygoid muscles, and the temporomandibular joint (TMG) [21]. The prevalence of trismus increases with increasing radiation dose, and levels in excess of 60 Gy are more likely to cause it [21].…”

Section: Trismusmentioning

confidence: 99%

Late side effects of radiation treatment for head and neck cancer

Brook

2020

Radiat Oncol J

121

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Radiation therapy (RT) is often used to treat head and neck cancer (HNC) [1]. RT can damage blood vessels that nourish muscles, nerves, and bones resulting in a progressive "radiation fibrosis syndrome", which causes a variety of complications [2]. The likelihood and severity of complications depends on a number of factors, including the total dose of radiation delivered, over what time it was delivered and what parts of the head and neck received radiation. The side effects of RT for HNC are divided into early (acute) and long-term (chronic) effects [3]. Early side effects occur during the course of therapy and during the immediate post therapy period (approximately 2-3 weeks after the completion of a course of RT). Late effects can manifest any time thereafter, from weeks to years later [4]. Patients are usually most bothered by the early effects of RT, although these will generally resolve over time. Knowledge of the ra-Patients undergoing radiation therapy for head and neck cancer (HNC) experience significant early and long-term side effects. The likelihood and severity of complications depends on a number of factors, including the total dose of radiation delivered, over what time it was delivered and what parts of the head and neck received radiation. Late side effects include: permanent loss of saliva; osteoradionecrosis; radiation recall myositis, pharyngoesophageal stenosis; dental caries; oral cavity necrosis; fibrosis; impaired wound healing; skin changes and skin cancer; lymphedema; hypothyroidism, hyperparathyroidism, lightheadedness, dizziness and headaches; secondary cancer; and eye, ear, neurological and neck structures damage. Patients who undergo radiotherapy for nasopharyngeal carcinoma tend to suffer from chronic sinusitis. These side effects present difficult challenges to the patients and their caregivers and require lifelong strategies to alleviate their deleterious effect on basic life functions and on the quality of life. This review presents these side effects and their management.

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“…Tumors located in the mouth and oropharynx are associated with dysphagia and poor swallowing function, exerting a negative impact on the quality of life of patients who have undergone resective/reconstructive surgery with or without radiotherapy for the treatment of head and neck cancer [83].…”

Section: Acquired Causes For Oral Dysphagiamentioning

confidence: 99%

Maxillofacial and Oral Aspects of Dysphagia

Basha¹

2020

Voice and Swallowing Disorders

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Oral cavity/mouth is first recipient of food. Food is broken down and prepared for initial phases of digestion. The oral preparatory phase is voluntary. In this phase, food is manipulated by the tongue and teeth. A bolus which is ready to swallow is prepared. Any disruption of oral cavity functions commonly due to oral infections, space infections, facial trauma, congenital-cleft lip and palate, temporo-mandibular joint disorders, salivary gland pathology, oral cancers, radiation therapy, etc., can cause dysphagia. In this chapter, we would explain the maxillofacial and oral aspects of dysphagia along with diagnosis and treatment aspects.

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Association between trismus and dysphagia-related quality of life in survivors of head and neck cancer in Brazil

Cited by 14 publications

References 37 publications

Upper body motor function and swallowing impairments and its association in survivors of head and neck cancer: A cross-sectional study

Upper body motor function and swallowing impairments and its association in survivors of head and neck cancer: A cross-sectional study

Late side effects of radiation treatment for head and neck cancer

Maxillofacial and Oral Aspects of Dysphagia

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