Strategies to reduce long‐term postchemoradiation dysphagia in patients with head and neck cancer: An evidence‐based review

Abstract

This study discusses 3 strategies for improving swallow-related outcomes in patients undergoing chemoradiation for head and neck cancer and identifies areas for future research.

Management of dysphagia following radiation therapy and tracheostomy

“…Similar effects have been seen in the current case. 5 conducted a review to explore the specific strategies used for swallowing intervention in individuals with dysphagia following radiation therapy. They found Mendelsohn's manoeuvre, Masako exercise and supraglottic swallow to be the most frequently suggested techniques.…”

Basic principles of managing radiation and drug induced mucositis and dermatitis for oropharyngeal squamouscell carcinoma

“…Позже в зависимости от области облучения и лучевой нагруз-ки на здоровые ткани может наблюдаться ксеростомия, дисгевзия, дисфагия, повышенный риск аспирации, дисфункция щитовидной железы, тризм, остеонекроз, кариес, трофические язвы слизистой оболочки и кожи, лимфостаз, катаракта, снижение слуха, стриктура пи-щевода [45,46]. Побочные эффекты во многом взаи-мосвязаны патогенетически и провоцируют друг друга, причем неадекватное ведение пациента с ранними лучевыми реакциями может приводить к поздним лу-чевым повреждениям [47][48][49][50].…”

Development and feasibility of an electronic-Swallowing Intervention Package (e-SiP) to support swallowing function in patients with head and neck cancer (Preprint)

“…These exercises target the swallowing muscles to strengthen and maintain the normal range and speed of swallowing movements and increase blood flow to muscles, which may reduce or prevent fibrosis [13,14]. Trial results are mixed [15], however, and questions still remain about the most effective type of exercises, the dose, the most optimal time of introduction, and how best to support patients in adhering to exercises [14].…”

“…These exercises target the swallowing muscles to strengthen and maintain the normal range and speed of swallowing movements and increase blood flow to muscles, which may reduce or prevent fibrosis [13,14]. Trial results are mixed [15], however, and questions still remain about the most effective type of exercises, the dose, the most optimal time of introduction, and how best to support patients in adhering to exercises [14]. Only 13-14% of participants practice swallowing exercises as recommended [16,17] although how to effectively measure adherence to swallowing exercises is unclear, especially as the optimal dose of exercise is often unknown [18].…”