Swallowing Dysfunctions Associated with Radical Surgery of the Head and Neck

Conley, John

doi:10.1001/archsurg.1960.01290210070015

Cited by 66 publications

(24 citation statements)

References 2 publications

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“…Furthermore, when a patient does complain of swallowing difficulty, the severity of the problem may be grossly understated. In the past, inferences have been made that most swallowing problems may be resolved in the short time of 6 months or less [13,14]. Such inferences have been largely drawn from patients undergoing partial glossectomy [13], anterior and lateral floor of the mouth resections [8], and oropharyngeal resections [3].…”

Section: Discussionmentioning

confidence: 99%

“…In the past, inferences have been made that most swallowing problems may be resolved in the short time of 6 months or less [13,14]. Such inferences have been largely drawn from patients undergoing partial glossectomy [13], anterior and lateral floor of the mouth resections [8], and oropharyngeal resections [3]. Our findings agreed with the types of swallowing problems noted in these papers; however, the same symptomatic swallowing problems found in our patients were persistent more than 1 year postoperatively.…”

Section: Discussionmentioning

confidence: 99%

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Long-term postoperative dysphagia in oral/pharyngeal surgery patients: Subjects' perceptions vs. videofluoroscopic observations

1991

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Dysphagia commonly results from surgical resection of various structures within the oral, pharyngeal, and esophageal areas. The type and severity of swallowing dysfunction are based largely on the number and quantity of structures removed as well as the reconstructive procedure. Short term-recovery has been addressed in many studies. However, follow-up studies of long-term functional results and continuing swallowing problems following oral/pharyngeal surgery are unavailable. In this study, perception of swallowing dysfunction was compared with actual videofluoroscopic findings in subjects at least 1 year after oral/pharyngeal surgery. The comparative results of a questionnaire developed to evaluate patients' perception of continuing swallowing difficulty and an analysis of actual videofluoroscopic tapes indicated that the degree or type of dysphagia could not be determined from patients' subjective descriptions of the swallowing problem.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Long-term postoperative dysphagia in oral/pharyngeal surgery patients: Subjects' perceptions vs. videofluoroscopic observations

1991

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“…As this quotation reflects, dysphagia is believed to affect quality of life. Descriptions of dysphagic patients as "oral cripples" [30,31] underscore the beliefs held about quality of life, and case reports often refer to quality of life ("when Mr. Williams learned to use his compensations . .…”

Section: Current Status Of Patient-based Outcomes In Dysphagiamentioning

confidence: 99%

The SWAL-QOL Outcomes Tool for Oropharyngeal Dysphagia in Adults: I. Conceptual Foundation and Item Development

et al. 2000

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In the past two decades, noteworthy advances have been made in measuring the physiologic outcomes of dysphagia, including measurement of duration of structure and bolus movements, stasis, and penetration-aspiration. However, there is a paucity of data on health outcomes from the patients' perspective, such as quality of life and patient satisfaction. A patient-based, dysphagia-specific outcomes tool is needed to enhance information on treatment variations and treatment effectiveness. We present the conceptual foundation and item generation process for the SWAL-QOL, a quality of life and quality of care outcomes tool under development for dysphagia researchers and clinicians.

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“…In much of the literature on dysphagia, aspiration is described as a major swallowing disorder, usually attributed to disturbances in laryngeal closure, without careful assessment of the patient's swallowing physiology (Conley, 1960;Dobernick and Antoine, 1974;Pearson, 1981). In reality, aspiration or entry of material into the airway below the true vocal folds is a symptom of a swallowin[ disorder.…”

mentioning

confidence: 99%

Treatment for aspiration related to dysphagia: An overview

Logemann

1986

Dysphagia

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Abstract. Aspiration of food during ingestion is the entry of material into the airway below the true vocal folds. It may occur as the result of a number of ariatomical and physiological disturbances in deglutition in the oral, pharyngeal, or esophageal stages. In order for aspiration to be treated effectively and efficiently, it should be defined according to its etiology and timing in relation to the reflexive swallow, i.e., before, during, or after the swallow. Each physiological or anatomical etiology for aspiration requires a different management strategy. Treatment may involve compensatory strategies, such as postural changes or diet restraints, which alter the way food flows through the oral cavity or pharynx and usually have an immediate effect on aspiration. Or treatment may consist of exercise programs designed to have a long-term effect on neuromuscular control during the swallow and that require a longer time to take effect. Both compensatory techniques and exercise programs may be instituted simultaneously in some patients. Treatment procedures for the most frequently occurring physiological disorders of deglutition are described.

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Swallowing Dysfunctions Associated with Radical Surgery of the Head and Neck

Cited by 66 publications

References 2 publications

Long-term postoperative dysphagia in oral/pharyngeal surgery patients: Subjects' perceptions vs. videofluoroscopic observations

Long-term postoperative dysphagia in oral/pharyngeal surgery patients: Subjects' perceptions vs. videofluoroscopic observations

The SWAL-QOL Outcomes Tool for Oropharyngeal Dysphagia in Adults: I. Conceptual Foundation and Item Development

Treatment for aspiration related to dysphagia: An overview

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