Factors Affecting the Swallowing Dysfunction Following Oral Cancer Surgery

Kodama, Narihiro; Kumai, Yoshihiko; Miyamoto, Takumi; Matsubara, Keigo; Samejima, Yasuhiro; Orita, Yorihisa

doi:10.5535/arm.21035

Cited by 8 publications

(5 citation statements)

References 31 publications

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“…Resection of over half of the tongue base is associated with poor swallowing outcomes. 19,20 In the present study, only five of the 16 patients in the glossectomy group underwent subtotal glossectomy, and the glossectomy group was not worse than the composite resection group in the swallowing parameters except for the composite MDADI score. The addition of chemotherapy or radiotherapy is associated with significantly increased odds of dysphagia.…”

Section: Discussionmentioning

confidence: 42%

“…Though the tube feeding rates were higher among patients with T classification 4 disease (21% at 1 month and 20% at 6 months postoperation), these rates are still relatively low compared with a recent study on patients who had undergone surgery for oral cavity cancer, 18 demonstrating the tube feeding rates of 45.8% at 1 month and 22% at 6 months postoperation. Several other factors might also contribute to the relatively low tube feeding rates in the present study: our surgeons took great care to preserve the suprahyoid muscles and uninvolved oropharyngeal structures, including tongue base and related pharyngeal muscles, to minimize the adverse influence on deglutition 19,20,24 ; efforts were also made by our radiation oncologists to reduce radiation dose on the important swallowing-related structures under appropriate therapeutic consideration. 3,25,26 The present study has several limitations.…”

Section: Discussionmentioning

confidence: 99%

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Longitudinal changes in swallowing function after surgery and proactive swallowing therapy for oral cancer

Meng

Hua

et al. 2023

Head & Neck

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Background: This study aimed to describe and explore the longitudinal changes in swallowing function among patients with oral cancer who underwent surgery and proactive swallowing therapy from baseline to 1-year postoperation.Methods: We retrospectively studied 118 patients over a 4.5-year duration. Swallowing functional assessment including 10-item Eating Assessment Tool (EAT-10), Functional Oral Intake Scale (FOIS), M. D. Anderson Dysphagia Inventory, and Modified Barium Swallow Impairment Profile (MBSImP™) was performed at baseline, 1-month, 6-month, and 1-year postoperatively.Results: All swallowing parameters worsened 1-month postoperation. EAT-10, FOIS, and MBSImP™ oral and pharyngeal impairment scores improved significantly compared with 1-month postoperation at 6 months. Other swallowing parameters, except for weight, did not differ significantly from baseline at 6 months. The rate of tube-feeding dependency was 11.5% and 5.6% at 1 and 6 months postoperation, respectively. Conclusions: Periodic swallowing functional assessments help delineate the longitudinal changes in swallowing functional outcomes.

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Section: Discussionmentioning

confidence: 42%

Section: Discussionmentioning

confidence: 99%

Longitudinal changes in swallowing function after surgery and proactive swallowing therapy for oral cancer

Meng

Hua

et al. 2023

Head & Neck

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“…The site of the oral cancer may impact functions like breathing, speaking, swallowing, eating, and swallowing and may affect social interactions. The proximity of the tumors in the buccal mucosa and floor of the mouth to important structures may cause a significant disruption in their functions compared to other sites [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

Longitudinal Assessment of the Quality of Life in Oral Squamous Cell Carcinoma Patients

Ramalingam,

Ramani

et al. 2024

Cureus

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Background Studies evaluating the quality of life (QoL) among oral cancer patients in the Indian population are scarce. Regular follow-ups and QoL assessment in oral squamous cell carcinoma (OSCC) patients can aid in comprehensive support strategies to improve their QoL outcomes. Aim and objectives This study aimed to assess the QoL of oral cancer patients and correlate the QoL with demographic and treatment parameters. Materials and methods The study included oral cancer patients who had previously reported to the Department of Oral and Maxillofacial Surgery. QoL assessment was done using the EORTC QLQ-C30 and QLQ-HN43 questionnaires before and after treatment. The clinico-demographic details, treatment data, follow-up data, and recorded mean QoL were procured from the patient records in Dental Information Archival Software. Assessment of QoL was done before treatment and at intervals of one month, three months, six months, 12 months, 24 months, and 36 months postoperatively after treatment. Statistical analysis was performed using IBM SPSS Statistics for Windows, Version 23 (released 2015; IBM Corp., Armonk, New York, United States). A repeated measures analysis of variance (ANOVA) was utilized for comparing the average QoL scores and frequency of follow-ups across various intervals. Chi-square tests assessed differences in mean QoL among genders, across different sites, and between primary closure and graft placement. The significance was set at a p-value of less than 0.05. Results A total of 90 OSCC patients had reported to the department. A preoperative assessment of QoL was done for 90 (100%) patients. Out of these patients, surgery has been performed on 41 (45%). Twenty-five out of 41 (60%) patients had responded to regular follow-up, and QoL was assessed for these patients. After the immediate postoperative phase, only 12 (48%) had reported after three months. Only six (24%) had a 12-month follow-up, five (20%) had a two-year follow-up, and one (4%) had a three-year follow-up. There was a constant decrease in the number of follow-ups after the treatment of OSCC (p=0.00). Prior to treatment, the mean QoL index was 4.64. Females had a slightly higher preoperative QoL of 4.76 compared to males, with a score of 4.67 (p=0.157). Immediately after the treatment of OSCC, a decline in QoL scores was noted, with a mean score of 4.25 (p=0.32). Patients who underwent primary closure after excision had a mean post-op QoL score of 4.9, while patients who underwent graft placement had a mean score of 4.6 (p=0.157). Conclusion This study highlights the enduring impact of oral cancer on a patient’s quality of life and emphasizes the need for ongoing research to explore specific interventions that can contribute to sustained improvement in QoL. It emphasizes personalized, holistic care approaches for such patients.

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“…If the tongue is weak or paralyzed, the bolus may spill into the oral cavity or into the pharynx, which can lead to aspiration before swallowing [12]. Also, a previous study has shown that tongue base resection showed significant correlation with swallowing dysfunction who underwent oral cancer surgery [13].…”

Section: Introductionmentioning

confidence: 99%

Correlation Between Articulatory Diadochokinetic Parameters and Dysphagia Parameters in Subacute Stroke Patients

Seok

Kim

et al. 2023

Ann Rehabil Med

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Objective To determine correlations of alternation motor rate (AMR), sequential motor rate (SMR), and maximum phonation time (MPT) with the severity of dysphagia in subacute stroke patients.Methods This was a retrospective chart review study. Data of 171 subacute stroke patients were analyzed. Patient’s AMR, SMR, and MPT data were collected from their language evaluations. Video fluoroscopic swallowing study (VFSS) was done. Data of dysphagia scales including penetration-aspiration scale (PAS), American Speech-Language-Hearing Association National Outcomes Measurement System (ASHA-NOMS) scale, clinical dysphagia scale (CDS), and videofluoroscopic dysphagia scale (VDS) were obtained. AMR, SMR, and MPT were compared between a non-aspirator group and an aspirator group. Correlations of AMR, SMR, and MPT with dysphagia scales were analyzed.Results AMR ("ka"), SMR, and modified Rankin Scale were significant associated factors between non-aspirator group and aspirator group, while AMR ("pa"), AMR ("ta"), and MPT were not. AMR, SMR, and MPT showed significant correlations with PAS score, ASHA-NOMS scale, CDS, VDS oral, and VDS pharyngeal scores. The cut-off value for distinguishing non-aspirator group and aspiration group was 18.5 for AMR ("ka") (sensitivity of 74.4%, specificity of 70.8%) and 7.5 for SMR (sensitivity of 89.9%, specificity of 61.0%). AMR and SMR were significantly lower in before-swallow aspiration group.Conclusion Articulatory diadochokinetic tasks that can be easily performed at the bedside would be particularly helpful in determining the oral feeding possibility of subacute stroke patients who cannot undergo VFSS, which is the gold standard for dysphagia assessment.

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Factors Affecting the Swallowing Dysfunction Following Oral Cancer Surgery

Cited by 8 publications

References 31 publications

Longitudinal changes in swallowing function after surgery and proactive swallowing therapy for oral cancer

Longitudinal changes in swallowing function after surgery and proactive swallowing therapy for oral cancer

Longitudinal Assessment of the Quality of Life in Oral Squamous Cell Carcinoma Patients

Correlation Between Articulatory Diadochokinetic Parameters and Dysphagia Parameters in Subacute Stroke Patients

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