Swallow function and perception of dysphagia in patients with head and neck cancer

Head and Neck - Tập 24 Số 6 - Trang 555-565 - 2002
Barbara Roa Pauloski1, Alfred Rademaker2, Jerilyn A. Logemann1, Cathy L. Lazarus1, Lisa A. Newman3, Annette Hamner3, Ellen MacCracken4, Joy Gaziano5, Linda Stachowiak5
1Communication Sciences and Disorders, Northwestern University, 2299 N. Campus Drive, Evanston, Illinois 60208-3540
2The Robert H. Lurie Comprehensive Cancer Center, Northwestern University Medical School, Chicago, Illinois
3Otolaryngology–Head and Neck Surgery, University of Tennessee College of Medicine, Memphis, Tennessee
4Otolaryngology–Head and Neck Surgery, University of Chicago Hospitals, Chicago, Illinois
5Otolaryngology–Head and Neck Surgery, H. Lee Moffitt Cancer Center, Tampa, Florida

Tóm tắt

AbstractBackgroundThe relationship between subjective complaints of dysphagia and objective measures of swallow function in patients with cancers of the oral cavity, pharynx, or larynx, treated with radiotherapy ± chemotherapy has not been well documented in the literature.MethodsSwallowing function in 132 patients with various lesions was evaluated using videofluoroscopy and analyzed by patient complaint of dysphagia grouping.ResultsPatients with complaints of dysphagia demonstrated significantly worse swallow function as indicated by lower oropharyngeal swallow efficiency (OPSE), longer transit times, larger residues, and more swallows with aspiration. Patients with complaints of dysphagia also tended to take less of their nutrition by mouth and less variety of food consistencies in their diet compared with those without complaint.ConclusionsPatients were able to perceive decrements in their swallowing function as dysphagia and may have limited their oral intake in response to that perception. The ability to accurately perceive swallowing function may be useful for self‐monitoring changes in dysphagia status during a course of swallow therapy. © 2002 Wiley Periodicals, Inc. Head Neck 24: 555–565, 2002

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Head and Neck

Tập 24 Số 6

555-565

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