Dysphagia in Tongue Cancer Patients Before and After Surgery

Huang, Zhuoshan; Huang, Zhiquan; Yang, Zhaohui

doi:10.1016/j.joms.2016.03.031

Cited by 37 publications

(43 citation statements)

References 32 publications

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“…It was attributed to muscle fibrosis and reduced contractility of the muscles [8]. Further, the present study also witnessed silent aspiration in 7 patients (50%) of 14 patients who had undergone radiation therapy which is supported by studies [7,9,10]. Reduced sensations and poor cough reflex have been contributed for this factor in irradiated patients leading to silent aspirations.…”

Section: Discussionsupporting

confidence: 79%

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Swallowing Skills and Aspiration Risk Following Treatment of Head and Neck Cancers

Jagtap

Karnad

2019

Indian J Surg Oncol

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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.

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Section: Discussionsupporting

confidence: 79%

“…Aspiration was seen to be more frequent in cases with hemiglossectomy and total glossectomy [6]. Other abnormalities associated with glossectomy were inadequate tongue movements, delayed oral transit, reduced hyoid elevation, and penetration aspiration [7].…”

Section: Discussionmentioning

confidence: 96%

Swallowing Skills and Aspiration Risk Following Treatment of Head and Neck Cancers

Jagtap

Karnad

2019

Indian J Surg Oncol

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“…Among those surgical variates, the resection range of total glossectomy was identified as being associated with a higher risk for PN‐LRTIs. Patients with resection of more than 50% of tongue are at higher risk of aspiration and PN‐LRTIs (Furia et al, ; Huang, Chen, Huang, & Yang, ; Smith et al, ). Because it needs to resect both entire tongue and partial/complete extrinsic lingual muscles to ensure negative margin, making patients vulnerable to PN‐LRTIs.…”

Section: Discussionmentioning

confidence: 99%

Prediction of postoperative lower respiratory tract infections in tongue cancer patients based on pretreatment swallowing function

et al. 2020

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Objectives This study investigated the predictive role of pretreatment swallowing function and surgical factors on postoperative and nosocomial lower respiratory tract infections (PN‐LRTIs). Subjects and methods A retrospective study for predicting PN‐LRTIs from January 2017 to December 2018 at Hospital of Stomatology, Sun Yat‐sen University. Patients who were newly diagnosed with tongue squamous cell carcinoma (TSCC) were enrolled. Presurgical swallowing function was assessed using water swallow test (WST) and the M.D. Anderson Dysphagia Inventory (MDADI). Results A total of 83 patients were recruited to the study. Of which 54 were men (65.1%) and 29 were women (34.9%), with the mean age of 51 years old. Thirteen (15.7%) developed PN‐LRTIs. On univariate analysis, the outcomes of WST, the MDADI scores, T stage, tongue resection range, operative time, segmental mandibulectomy, and type of neck dissection exhibited a statistical significance (p < .05). On multivariate analysis, abnormal group of WST (odds ratio [OR], 15.88; 95% CI, 2.13–118.64) and total glossectomy (OR, 12.20; 95% CI, 2.01–68.32) was demonstrated to be independent risk factors. Conclusions The WST together with the resection range of tongue can predict the postoperative risk of PN‐LRTIs collaboratively. Clinically, preventive measures and intensified care should be taken for patients with abnormal WST outcome before surgery and management of total glossectomy.

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“…In a study by Huang and colleagues, they found that there was restriction in tongue movement, with a delay in oral transit time, decreased hyoid bone elevation, aspiration was noted in many, vallecula epiglottica, and residual material in the pyriform sinuses were observed post-surgery. Patient with tongue cancer were associated to have higher incidence of silent aspirations, with no symptoms, this is dangerous condition that may cause pneumonia and even loss of life [89].…”

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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Dysphagia in Tongue Cancer Patients Before and After Surgery

Cited by 37 publications

References 32 publications

Swallowing Skills and Aspiration Risk Following Treatment of Head and Neck Cancers

Swallowing Skills and Aspiration Risk Following Treatment of Head and Neck Cancers

Prediction of postoperative lower respiratory tract infections in tongue cancer patients based on pretreatment swallowing function

Maxillofacial and Oral Aspects of Dysphagia

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