ENT private eye for unknown primary metastatic lymph nodes

Vrînceanu, Daniela; Dumitru, Mihai; Nica, Adriana Elena

doi:10.26416/orl.42.1.2019.2209

Cited by 1 publication

(1 citation statement)

References 13 publications

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“…Lymph node metastasis can generate swallowing disorders due to compression over cranial nerves IX-XII (Figure 6). Ideally during neck dissections proceed carefully in order to preserve hypoglossal nerve [36]. Swallowing Disorders in Cervical Facial Tumors DOI: http://dx.doi.org /10.5772/intechopen.90624 Regarding brachial cysts, lymphangiomas, schwannomas and lipomas their surgical removal implies preservation of neural function.…”

Section: Clinical Aspects Of Dysphagia In Cervical and Facial Tumorsmentioning

confidence: 99%

Swallowing Disorders in Cervical Facial Tumors

Vrînceanu¹,

Dumitru²

2020

Voice and Swallowing Disorders

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We review current state of the art protocols on swallowing disorders associated to cervical facial tumors. The clinician needs to translate physiology notions to bedside diagnosis. Facing such a case the ENT surgeon must follow several key steps: thorough history taking, barium transit, endoscopy evaluation of swallowing, high resolution diagnosis imaging. Afterwards surgical treatment plan should take into consideration the need to careful dissection of vascular and nervous structures. Dysphagia may present from initial diagnosis or after surgical resection of the tumor or during radiation and chemotherapy. We discuss the use of various staging scales or questionnaires for assessing quality of life. We illustrate the importance of swallowing disorders management with various cases of tumors at the level of skull base, pharynx, salivary glands, larynx, esophagus, etc. There are various solutions for dysphagia ranging from nasogastric feeding tube placement to percutaneous endoscopic gastrostomy to specially designed exercises. Sometimes the surgeon neglects these disorders and focuses on airway management. However, the rule should be to encourage swallowing as soon as possible after surgery. A good nutritional status is necessary for a positive prognosis in swallowing disorders. Team effort in tertiary oncology units is the key in supporting such complex cases.

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Section: Clinical Aspects Of Dysphagia In Cervical and Facial Tumorsmentioning

confidence: 99%