Evaluation of swallowing disorders by use of transnasal esophagoscopy in patients treated for head and neck cancer

Head & Neck ◽  
2015 ◽  
Vol 38 (S1) ◽  
pp. E1137-E1143 ◽  
Author(s):  
Pei-Hsuan Lin ◽  
Cheng-Ping Wang ◽  
Pei-Jen Lou ◽  
Jeng-Yuh Ko ◽  
Tzu-Yu Hsiao ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Swallowing Disorders ◽  
Transnasal Esophagoscopy

Evaluation and Management of Oropharyngeal Dysphagia in Head and Neck Cancer

2002 ◽  
Vol 9 (5) ◽  
pp. 400-409 ◽  
Author(s):  
Joy E. Gaziano
Keyword(s):  
Quality Of Life ◽  
Head And Neck Cancer ◽  
Nutritional Status ◽  
Head And Neck ◽  
Neck Cancer ◽  
Treatment Strategies ◽  
Oral Intake ◽  
Swallowing Disorders ◽  
Accurate Identification

Background Dysphagia is a common symptom of head and neck cancer or sequelae of its management. Swallowing disorders related to head and neck cancer are often predictable, depending on the structures or treatment modality involved. Dysphagia can profoundly affect posttreatment recovery as it may contribute to aspiration pneumonia, dehydration, malnutrition, poor wound healing, and reduced tolerance to medical treatments. Methods The author reviewed the normal anatomy and physiology of swallowing and contrasted it with the commonly identified swallowing deficits related to head and neck cancer management. Evaluation methods and treatment strategies that can be used to successfully manage the physical and psychosocial effects of dysphagia are also reviewed. Results Evaluation of dysphagia by the speech pathologist can be achieved with instrumental and non-instrumental methods. Once accurate identification of the deficits is completed, a range of treatment strategies can be applied that may return patients to safe oral intake, improve nutritional status, and enhance quality of life. Conclusions To improve safety of oral intake, normalize nutritional status, reduce complications of cancer treatment and enhance quality of life, accurate identification of swallowing disorders and efficient management of dysphagia symptoms must be achieved in an interdisciplinary team environment.

scholarly journals Swallowing disorders after treatment for head and neck cancer

2019 ◽  
Vol 53 (2) ◽  
pp. 225-230 ◽  
Author(s):  
Martina Pezdirec ◽  
Primoz Strojan ◽  
Irena Hocevar Boltezar
Keyword(s):  
Head And Neck Cancer ◽  
Gastroesophageal Reflux ◽  
Cancer Treatment ◽  
Head And Neck ◽  
Neck Cancer ◽  
Social Life ◽  
Univariate Analysis ◽  
Mouth Opening ◽  
Swallowing Disorders ◽  
Persistent Cough

Abstract Background Dysphagia is a common consequence of treatment for head and neck cancer (HNC). The purpose of the study was to evaluate the prevalence of dysphagia in a group of patients treated for HNC in Slovenia, and to identify factors contributing to the development of dysphagia. Patients and methods One-hundred-nine consecutive patients treated for HNC at two tertiary centers were recruited during their follow-up visits. They fulfilled EORTC QLQ-H&N35 and “Swallowing Disorders after Head and Neck Cancer Treatment questionnaire” questionnaires. Patients with dysphagia were compared to those without it. Results Problems with swallowing were identified in 41.3% of the patients. Dysphagia affected their social life (in 75.6%), especially eating in public (in 80%). Dysphagia was found the most often in the patients with oral cavity and/or oropharyngeal cancer (in 57.6%) and in those treated less than 2 years ago (p = 0.014). In univariate analysis, a significant relationship was observed between dysphagia prevalence and some of the consequences of anti-cancer treatment (impaired mouth opening, sticky saliva, loss of smell, impaired taste, oral and throat pain, persistent cough, and hoarseness), radiotherapy (p = 0.003), and symptoms of gastroesophageal reflux (p = 0.027). After multiple regression modelling only persistent cough remained. Conclusions In order to improve swallowing abilities and, consequently, quality of life of the patients with HNC a systematic rehabilitation of swallowing should be organized. A special emphasis should be given to gastroesophageal reflux treatment before, during and after therapy for HNC

Current Indications for Transnasal Esophagoscopy: An American Broncho-Esophagological Association Survey

2018 ◽  
Vol 127 (12) ◽  
pp. 926-930 ◽  
Author(s):  
Amy R. Best ◽  
Stacey L. Halum ◽  
Noah P. Parker
Keyword(s):  
Head And Neck Cancer ◽  
Cancer Screening ◽  
Head And Neck ◽  
Neck Cancer ◽  
Laryngopharyngeal Reflux ◽  
Balloon Dilation ◽  
Cancer Surveillance ◽  
Transnasal Esophagoscopy ◽  
Factors Influencing ◽  
Screening And Surveillance

Introduction: The aim of this study was to evaluate the current indications for and clinical factors influencing the use of transnasal esophagoscopy (TNE). Methods: An online survey was sent to American Broncho-Esophagological Association members, including questions on demographics, indications, and factors influencing the use of TNE. Results: Sixty of 251 members (24%) completed the survey. Ninety-three percent of respondents reported academic practices, while 98% practice in medium to large urban settings. Thirty-five (58%) completed laryngology fellowships. Mean monthly TNE procedure count was 7.15 (range, <1-35). The most common indications were dysphagia (82%), biopsy (50%), and laryngopharyngeal reflux (47%). Chronic cough, head and neck cancer screening, gastroesophageal reflux (GER), and tracheoesophageal puncture were also commonly reported indications (44% each). For laryngopharyngeal reflux and GER, most respondents perform TNE for recalcitrant disease following a medical trial of at least 3 months. Long-standing GER symptoms, documentation of GER on pH and impedance testing, and abnormal findings on previous esophagoscopy lead to greater TNE use. Specific dysphagia indications included abnormal esophagographic findings (70%), history or examination localizing to the esophagus (60%), solid dysphagia only (53%), and solid and/or liquid dysphagia (40%). The primary sites most likely to prompt TNE use for head and neck cancer surveillance were the esophagus (92.3%) and hypopharynx (84.6%). Balloon dilation was the most common indication for which respondents do not currently perform TNE but would like to (n = 8). Conclusions: TNE indications have not been well established. According to respondents from the American Broncho-Esophagological Association, TNE is most commonly used for dysphagia and laryngopharyngeal reflux and slightly less so for GER and head and neck cancer screening and surveillance. Several clinical indicators were identified that influence the decision to perform TNE.

SWALLOWING DISORDERS FOLLOWING HEAD AND NECK CANCER SURGERY.

2003 ◽  
Vol 21 (1) ◽  
pp. 34-35
Author(s):  
MH Chun ◽  
CS Chang ◽  
KH Choi ◽  
SY Kim
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Cancer Surgery ◽  
Swallowing Disorders

Prevention and Treatment of Dysphagia and Aspiration After Chemoradiation for Head and Neck Cancer

2006 ◽  
Vol 24 (17) ◽  
pp. 2636-2643 ◽  
Author(s):  
David I. Rosenthal ◽  
Jan S. Lewin ◽  
Avraham Eisbruch
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Swallowing Disorders ◽  
Head And Neck Cancers ◽  
Swallowing Function ◽  
Prevention And Treatment ◽  
Complex Events

Safe, successful swallowing depends on complex events affected by head and neck cancers and their treatment. This article reviews the swallowing process, how it is affected by chemoradiotherapy, and the evaluation, prevention, and treatment of swallowing disorders. Specific recommendations are made to promote maintenance and recovery of swallowing function.

scholarly journals Quality of Life in Swallowing Disorders after Nonsurgical Treatment for Head and Neck Cancer

2014 ◽  
Vol 19 (01) ◽  
pp. 046-054 ◽  
Author(s):  
Marta Silveira ◽  
Débora Queija ◽  
Paulo Nascimento ◽  
Rogerio Dedivitis
Keyword(s):  
Quality Of Life ◽  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Swallowing Disorders ◽  
Nonsurgical Treatment
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