Effects of Chin-Down Maneuver on the Parameters of Swallowing Function After Esophagectomy With 3-Field Lymphadenectomy Examined by Videofluoroscopy

Kumai, Yoshihiko; Yoshida, Naoya; Kamenosono, Yuta; Matsubara, Keigo; Samejima, Yasuhiro; Baba, Hideo; Yumoto, Eiji

doi:10.1016/j.apmr.2016.11.005

Cited by 14 publications

(25 citation statements)

References 25 publications

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“… 39 The chin-tuck maneuver also increased UES opening diameter and prolonged duration of UES opening and duration of laryngeal vestibule closure compared with those in the neutral position. 39 …”

Section: Resultsmentioning

confidence: 89%

“…Three case series observed immediate positive effect of the chin-tuck maneuver for improving airway protection by effectively eliminating aspiration after surgery. 35 , 36 , 39 Pyriform sinus residue was significantly reduced when postesophagectomy patients implemented the chin tuck maneuver compared to the neutral position. 39 The chin-tuck maneuver also increased UES opening diameter and prolonged duration of UES opening and duration of laryngeal vestibule closure compared with those in the neutral position.…”

Section: Resultsmentioning

confidence: 94%

“…Four studies from North America reported oropharyngeal dysphagia following transhiatal esophagectomy; 32 , 33 , 37 , 38 seven studies from East Asia reported oropharyngeal dysphagia following transthoracic esophagectomy with lymph node dissection. 28–31 , 34 , 35 , 39 One study involved patients who received either transhiatal or transthoracic esophagectomy. 36 Table 3 summarizes the swallowing assessment performed in the included studies.…”

Section: Resultsmentioning

confidence: 99%

“… 30 Overt aspiration (12.7% 29 –76.0% 35 ), silent aspiration (14.4% 29 ), and pharyngeal residue (100%) were also reported. 39 …”

Section: Resultsmentioning

confidence: 99%

“…Four studies, one quasi-experimental trial 28 and three case series, 35 , 36 , 39 reported rehabilitative interventions provided with this patient population. Okumura and colleagues provided perioperative nonswallowing exercises to patients who were undergoing esophagectomy.…”

Section: Resultsmentioning

confidence: 99%

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Presentation of oropharyngeal dysphagia and rehabilitative intervention following esophagectomy: a systematic review

Kaneoka

Yang

Inokuchi

et al. 2018

Diseases of the Esophagus

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SummaryNo study has systematically reviewed the evidence on presentation of oropharyngeal dysphagia and swallowing rehabilitation following esophagectomy. The purposes of this systematic review are to 1) qualitatively synthesize the current findings on oropharyngeal swallowing abnormalities identified by instrumental swallowing evaluations, 2) describe the reported health-related outcomes in relation to swallowing abnormality following esophagectomy, and 3) examine the efficacy of reported rehabilitative interventions for oropharyngeal dysphagia in patients who underwent esophagectomy. Publications were searched using five electronic databases. No language or publication date restrictions were imposed. Two authors performed a blind review for published or unpublished studies that reported swallowing biomechanics and dysphagic symptoms using instrumental evaluation of swallowing, specifically the videofluoroscopic swallowing study and fiberoptic endoscopic evaluation of swallowing, and/or health-related outcomes in relation to swallowing abnormalities, and/or therapeutic interventions for oropharyngeal dysphagia following esophagectomy. Twelve studies out of 2,193 studies including 458 patients met the inclusion criteria. Reported abnormal swallowing biomechanics included vocal fold immobility, delayed onset of swallowing, reduced hyolaryngeal elevation, and reduced opening of the upper esophageal sphincter. Aspiration (0–81%) and pharyngeal residue (22–100%) were prevalent. Those abnormal swallowing biomechanics and swallowing symptoms were commonly reported following both transhiatal and transthoracic esophagectomy. Pneumonia presented in 5–25% of the study patients. One quasi-experimental study examined the effectiveness of swallowing exercises for postoperative oropharyngeal dysphagia; three case series reported a benefit of the chin-tuck maneuver in reducing aspiration and residue. This review revealed distinct swallowing impairments and increased pneumonia risks following esophagectomy. This review also found that evidence on the efficacy of therapeutic interventions was limited. Future studies are warranted to develop effective rehabilitative interventions for postesophagectomy patients with oropharyngeal dysphagia.

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Section: Resultsmentioning

confidence: 89%

Section: Resultsmentioning

confidence: 94%

Section: Resultsmentioning

confidence: 99%

“… 30 Overt aspiration (12.7% 29 –76.0% 35 ), silent aspiration (14.4% 29 ), and pharyngeal residue (100%) were also reported. 39 …”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Presentation of oropharyngeal dysphagia and rehabilitative intervention following esophagectomy: a systematic review

Kaneoka

Yang

Inokuchi

et al. 2018

Diseases of the Esophagus

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Risk factors and long‐term postoperative outcomes in patients with postoperative dysphagia after esophagectomy for esophageal cancer

Sugase

Miyata

Sugimura

et al. 2022

Annals of Gastroent Surgery

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Aim: Dysphagia is one of the most common complications after esophagectomy.However, no study has investigated the long-term postoperative outcomes in patients with postoperative dysphagia. Here, we aimed to identify risk factors for postoperative dysphagia and to investigate long-term postoperative outcomes in such patients.Methods: This study included 304 consecutive patients with thoracic esophageal cancer who underwent curative esophagectomy. They were diagnosed with postoperative dysphagia through a contrast videofluoroscopic swallowing study, and postoperative outcomes were compared based on swallowing function. Results:In total, 112 patients (37%) were diagnosed with postoperative dysphagia.Older age, low BMI, and recurrent laryngeal nerve palsy were identified as independent risk factors for postoperative dysphagia. In the dysphagia group, a significantly larger number of patients developed in-hospital pneumonia, and hospital stays were also significantly extended. After discharge, 37 (33%) patients with postoperative dysphagia developed pneumonia. Even more than 1 year after esophagectomy, a significantly larger number of patients (24 patients, 21%) with postoperative dysphagia developed pneumonia compared to those without postoperative dysphagia.Postoperative dysphagia was identified as an independent risk factor for out-ofhospital pneumonia. Regarding nutritional status, there was no difference in weight loss 1 year after esophagectomy, but significant weight loss was observed 2 years after esophagectomy in the dysphagia group. Conclusion:Postoperative dysphagia was associated with both preoperative patient factors and surgical factors. Moreover, patients with postoperative dysphagia had long-term and short-term pneumonia risk. The personalization of long-term follow-up through more aggressive rehabilitation and nutritional guidance is required for patients with postoperative dysphagia.

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Clinical significance of sarcopenic dysphagia for patients with esophageal cancer undergoing esophagectomy: A review

Ozawa

Ishiyama

Daiko

2022

Annals of Gastroent Surgery

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Recently, minimally invasive esophagectomy and perioperative management have been adopted with the aim of reducing surgical complications after esophagectomy. 1 However, pulmonary complications after esophagectomy sometimes lead to fatalities 2 ; therefore, prevention is an important consideration in perioperative management.One of the most important reasons for postoperative pneumonia is dysphagia. Old age, malnutrition, sarcopenia, multiple primary cancers, vocal code paralysis, and so on have been implicated in postoperative dysphagia, and these characteristics are often features of esophageal cancer patients and the required surgical procedures.Several previous reports have suggested a relationship between sarcopenia and surgical outcomes after esophagectomy, 3

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Effects of Chin-Down Maneuver on the Parameters of Swallowing Function After Esophagectomy With 3-Field Lymphadenectomy Examined by Videofluoroscopy

Cited by 14 publications

References 25 publications

Presentation of oropharyngeal dysphagia and rehabilitative intervention following esophagectomy: a systematic review

Presentation of oropharyngeal dysphagia and rehabilitative intervention following esophagectomy: a systematic review

Risk factors and long‐term postoperative outcomes in patients with postoperative dysphagia after esophagectomy for esophageal cancer

Clinical significance of sarcopenic dysphagia for patients with esophageal cancer undergoing esophagectomy: A review

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