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. 2023 Jul;45(7):1632-1642.
doi: 10.1002/hed.27373. Epub 2023 May 8.

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

Nai-Hsin Meng  1   2   3 , Chia-Ing Li  1   4 , Chun-Hung Hua  2   5 , Tzu-Chieh Lin  2   5 , Chien-Jen Chiu  2   5 , Chien-Lin Lin  1   2 , Ming-Hsui Tsai  2   5 , Pei-Ju Chiu  3 , Wen-Dien Chang  6 , Yung-An Tsou  2   3   5
Affiliations

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

Nai-Hsin Meng et al. Head Neck. 2023 Jul.

Abstract

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.

Keywords: dysphagia; oral cancer; quality of life; recovery of function.

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References

REFERENCES

    1. Goyal N, Day A, Epstein J, et al. Head and neck cancer survivorship consensus statement from the American Head and Neck Society. Laryngosc Invest Otolaryngol. 2022;7(1):70-92.
    1. Denaro N, Merlano MC, Russi EG. Dysphagia in head and neck cancer patients: pretreatment evaluation, predictive factors, and assessment during radio-chemotherapy, recommendations. Clin Exp Otorhinolaryngol. 2013;6(3):117-126.
    1. Hutcheson KA, Lewin JS. Functional assessment and rehabilitation: how to maximize outcomes. Otolaryngol Clin North Am. 2013;46(4):657-670.
    1. Hasegawa T, Yatagai N, Furukawa T, et al. The prospective evaluation and risk factors of dysphagia after surgery in patients with oral cancer. J Otolaryngol Head Neck Surg. 2021;50(1):4.
    1. Mercadante S, Aielli F, Adile C, et al. Prevalence of oral mucositis, dry mouth, and dysphagia in advanced cancer patients. Support Care Cancer. 2015;23(11):3249-3255.

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