Dysphagia following tumor surgery in the oral cavity and hypopharynx - an analysis by videofluoroscopy

Oursin, C.; Trabucco, P.; Bongartz, Georg; Steinbrich, W.

doi:10.1007/s001170050333

Cited by 3 publications

(4 citation statements)

References 13 publications

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“…This is possible using video endoscopy and video fluoroscopy [4,5,9,31,37,38] since both methods allow a classification of the degree of aspiration. We usually use the video endoscopic classification because it can easily be performed with our own equipment (Table 1).…”

Section: Discussionmentioning

confidence: 99%

Swallowing function after endoscopic resection of supraglottic carcinoma with the carbon dioxide laser

Oeken¹,

Hänsch²,

Thiel³

et al. 2001

European Archives of Oto-Rhino-Laryngology

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From April 1998 to May 2000, 14 patients with supraglottic cancer underwent transoral laser surgery (T-stage T1-2: 11 patients, T3: 3 patients). In three patients, an epiglottectomy or hemi-epiglottectomy was performed. In 11 patients, further structures (false cords, the valleculae and the base of the tongue and/or parts of the arytenoid cartilage) had to be resected. Thirteen patients had to undergo neck dissection and post-operative irradiation. Tracheostomy was carried out prophylactically in two cases. Every patient received a nasogastric tube perioperatively. One week after surgery, an evaluation of dysphagia was performed by video endoscopy (VEED). Aspiration was the main problem; in no case did dysphagia occur. The aspiration was graded according to videolaryngoscopical classification. Four patients had an occasional and ten patients a permanent aspiration after surgery. According to this assessment, an individual deglutition therapy management was established. Ten patients with permanent aspiration received a temporary percutaneous endoscopic gastrostomy (PEG) and were integrated in a rehabilitation programme (stimulation of the swallowing reflex, training of compensatory swallowing manoeuvres, dietary regime). Due to this training programme, the PEG could be removed in eight patients after 2-9 months. No patient needed a laryngectomy or a tracheostomy due to aspiration. There were no cases of aspiration-associated pneumonia. To obtain satisfying functional results after transoral laser surgery of supraglottic cancers with resection of the epiglottis, post-operative deglutition management, consisting of video endoscopy, a training programme and often a PEG, is necessary.

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Section: Discussionmentioning

confidence: 99%

Swallowing function after endoscopic resection of supraglottic carcinoma with the carbon dioxide laser

Oeken¹,

Hänsch²,

Thiel³

et al. 2001

European Archives of Oto-Rhino-Laryngology

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“…In speech therapy and ENT, tongue movement patterns during swallowing are frequently examined by videofluoroscopy [12,15,16]. According to Watkin ultrasound can also serve this purpose [30].…”

Section: Discussionmentioning

confidence: 99%

“…In der Logopädie, der Phoniatrie und der HNO werden Schluckmuster häufig mit Videofluoroskopie geprüft [12,15,16]. Nach Watkin kann aber auch Ultraschall diesen Zweck erfüllen [30].…”

Section: Discussionunclassified

Investigation of Tongue Movements during Swallowing with M-Mode Ultrasonography

et al. 2007

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“…The method provides a score for the severity of the aspiration. 9 In clinical studies, VFSS has been used to investigate dysphagia following surgical intervention in the oral cavity and hypopharynx 10 as well as in patients suffering from severe head injury. 11 A systematic review focusing on studies of adults with acute stroke showed that dysphagia is common and clearly linked to chest infections.…”

Section: Diagnosis Of Dysphagiamentioning

confidence: 99%

Dysphagia in patients with acute cervical spinal cord injury

Wolf

Meiners

2003

Spinal Cord

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Study design: Longitudinal observational. Objectives: (a) To establish a reliable and feasible method to indicate the presence and severity of dysphagia and (b) to establish a course of treatment in individuals presenting with cervical spinal cord injury (CSCI). Setting: Spinal Cord Injury Center, Werner Wicker Klinik, Bad Wildungen, Germany. Patients and methods: This is a cross-sectional study of 51 patients consecutively admitted to the Intensive Care Unit of the SCI in-patient service. They were subjected to neurological and fiberoptic endoscopic examination of swallowing (FEES). Data concerning artificial respiration, presence of tracheostomy, oral or non-oral feeding were obtained from the medical charts. Statistics were carried out by a calculation of a nonparametric correlation (Spearman). Results: Five levels of dysphagia could be distinguished. At levels 1 and 2, patients presented with a severe impairment of swallowing, in level 3 aspiration was met by a powerful coughing reflex, level 4 comprised a laryngeal edema and/or a mild aspiration of fluids only and at level 5 laryngeal function was not compromised. On admission, 20 patients with CSCI presented with mild (level 4), eight with moderate (level 3) and 13 with severe dysphagia (levels 1 and 2). In 10 no signs of dysphagia could be detected. After treatment, level 1 was no longer detected, one patient showed level 2, two patients showed level 3, all other patients showed only mild or no signs of dysphagia any longer. Conclusions: Dysphagia of various severities was present in the majority of these patients with CSCI together with respiratory insufficiency. FEES allows for the detection and classification of dysphagia as well as for an evaluation of the therapeutic management. Under interdisciplinary treatment the prognosis of dysphagia is good.

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Dysphagia following tumor surgery in the oral cavity and hypopharynx - an analysis by videofluoroscopy

Cited by 3 publications

References 13 publications

Swallowing function after endoscopic resection of supraglottic carcinoma with the carbon dioxide laser

Swallowing function after endoscopic resection of supraglottic carcinoma with the carbon dioxide laser

Investigation of Tongue Movements during Swallowing with M-Mode Ultrasonography

Dysphagia in patients with acute cervical spinal cord injury

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