scholarly journals Sarcopenia, a strong determinant for prolonged feeding tube dependency after chemoradiotherapy for head and neck cancer

Head & Neck ◽  
2019 ◽  
Vol 41 (11) ◽  
pp. 4000-4008 ◽  
Author(s):  
Rebecca T. Karsten ◽  
Abrahim Al‐Mamgani ◽  
Sandra I. Bril ◽  
Sheena Tjon‐A‐Joe ◽  
Lisette Molen ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Feeding Tube ◽  
Tube Dependency ◽  
Prolonged Feeding

scholarly journals Distinctive mucositis and feeding-tube dependency in cetuximab plus radiotherapy for head and neck cancer

2014 ◽  
Vol 45 (2) ◽  
pp. 183-188 ◽  
Author(s):  
T. Yokota ◽  
T. Onoe ◽  
H. Ogawa ◽  
S. Hamauchi ◽  
Y. Iida ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Feeding Tube ◽  
Tube Dependency

A PREDICTIVE MODEL FOR FEEDING TUBE DEPENDENCY AFTER CURATIVE RADIOTHERAPY OR CHEMORADIATION IN HEAD AND NECK CANCER

2011 ◽  
Vol 98 ◽  
pp. S14
Author(s):  
H. Langendijk ◽  
M. Christianen ◽  
H.P. Bijl ◽  
I. Beetz ◽  
O. Chouvalova ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Predictive Model ◽  
Neck Cancer ◽  
Feeding Tube ◽  
Curative Radiotherapy ◽  
Tube Dependency

scholarly journals The changing landscape of head and neck cancer radiotherapy patients: is high‐risk, prolonged feeding tube use indicative of on‐treatment weight loss?

2019 ◽  
Vol 66 (4) ◽  
pp. 250-258 ◽  
Author(s):  
Nigel J. Anderson ◽  
James E. Jackson ◽  
Morikatsu Wada ◽  
Michal Schneider ◽  
Michael Poulsen ◽  
...  
Keyword(s):  
Weight Loss ◽  
Head And Neck Cancer ◽  
High Risk ◽  
Head And Neck ◽  
Neck Cancer ◽  
Feeding Tube ◽  
Cancer Radiotherapy ◽  
Prolonged Feeding

scholarly journals Late Feeding Tube Dependency in Head and Neck Cancer Patients Treated with Definitive Radiation Therapy and Concurrent Systemic Therapy

Cureus ◽  
2020 ◽  
Author(s):  
Cole Friedes ◽  
Jessica Klingensmith ◽  
Nana Nimo ◽  
Jessica Gregor ◽  
Ryan Burri
Keyword(s):  
Radiation Therapy ◽  
Head And Neck Cancer ◽  
Head And Neck ◽  
Cancer Patients ◽  
Neck Cancer ◽  
Systemic Therapy ◽  
Feeding Tube ◽  
Tube Dependency

Functional Outcomes after Transoral Robotic Surgery for Head and Neck Cancer

2009 ◽  
Vol 141 (2) ◽  
pp. 166-171 ◽  
Author(s):  
Tim A. Iseli ◽  
Brian D. Kulbersh ◽  
Claire E. Iseli ◽  
William R. Carroll ◽  
Eben L. Rosenthal ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Robotic Surgery ◽  
Head And Neck ◽  
Neck Cancer ◽  
Functional Outcomes ◽  
Case Series ◽  
Feeding Tube ◽  
Transoral Robotic Surgery ◽  
T Stage ◽  
Increased Risk

OBJECTIVE: To evaluate functional outcomes following transoral robotic surgery for head and neck cancer. STUDY DESIGN: Case series with planned data collection. SETTING: Academic hospital. SUBJECTS AND METHODS: Between March 2007 and December 2008, 54 of 62 candidate patients underwent transoral robotic tumor resection. Outcomes include airway management, swallowing (MD Anderson Dysphagia Inventory), and enterogastric feeding. RESULTS: Tumors were most commonly oropharynx (61%) or larynx (22%) and T1 (35%) or T2 (44%). Many received radiotherapy (22% preoperatively, 41% postoperatively) and chemotherapy (31%). Endotracheal intubation was retained (22%) for up to 48 hours, tracheostomy less frequently (9%), and all were decannulated by 14 days. Most commenced oral intake prior to discharge (69%) or within two weeks (83%). A worse postoperative Dysphagia Inventory score was associated with retained feeding tube ( P = 0.020), age >60 ( P = 0.017), higher T stage ( P = 0.009), laryngeal site ( P = 0.017), and complications ( P = 0.035). At a mean 12 months' follow-up, 17 percent retained a feeding tube (9.5% among primary cases). Retained feeding tube was associated with preoperative tube requirement ( P = 0.017), higher T stage ( P = 0.043), oropharyngeal/laryngeal site ( P = 0.034), and recurrent/second primary tumor ( P = 0.008). Complications including airway edema (9%), aspiration (6%), bleeding (6%), and salivary fistula (2%) were managed without major sequelae. CONCLUSION: Transoral robotic surgery provides an emerging alternative for selected primary and salvage head and neck tumors with low morbidity and acceptable functional outcomes. Patients with advanced T stage, laryngeal or oropharyngeal site, and preoperative enterogastric feeding may be at increased risk of enterogastric feeding and poor swallowing outcomes.

When will the feeding tube come out after radiotherapy for head and neck cancer

2001 ◽  
Vol 51 (3) ◽  
pp. 336
Author(s):  
M.O. Al-Othman ◽  
R.J. Amdur ◽  
R.W. Hinerman ◽  
W.M. Mendenhall
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Feeding Tube

scholarly journals Reduced feeding tube duration with intensity-modulated radiation therapy for head and neck cancer: A Surveillance, Epidemiology, and End Results-Medicare Analysis

Cancer ◽  
2016 ◽  
Vol 123 (2) ◽  
pp. 283-293 ◽  
Author(s):  
Beth M. Beadle ◽  
Kai-Ping Liao ◽  
Sharon H. Giordano ◽  
Adam S. Garden ◽  
Katherine A. Hutcheson ◽  
...  
Keyword(s):  
Radiation Therapy ◽  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Intensity Modulated Radiation Therapy ◽  
Feeding Tube ◽  
Intensity Modulated ◽  
End Results

scholarly journals Predictive Factors for Reactive/Therapeutic Feeding Tube Use in the Irradiated Head and Neck Cancer (HNC) Patient

2016 ◽  
Vol 96 (2) ◽  
pp. E362-E363
Author(s):  
Z. Cheng ◽  
X. Hui ◽  
S.P. Robertson ◽  
W. Yang ◽  
L.C. Peng ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Predictive Factors ◽  
Feeding Tube

Neck dissection following organ preservation protocols prolongs feeding tube dependence in patients with advanced head and neck cancer

2006 ◽  
Vol 24 (18_suppl) ◽  
pp. 5525-5525
Author(s):  
M. Lango ◽  
K. Ende ◽  
S. Ahmad ◽  
S. J. Feigenberg ◽  
J. A. Ridge
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Dissection ◽  
Neck Cancer ◽  
Organ Preservation ◽  
Squamous Carcinoma ◽  
Feeding Tube ◽  
Independent Effect ◽  
Cancer Center ◽  
Surgical Specimen

5525 Background: Organ preserving strategies employed in the treatment of advanced stage head and neck cancer frequently result in significant organ dysfunction including dysphagia and feeding tube dependence. While the acute and chronic effects of radiation and chemotherapy are known to contribute to swallowing impairment, the effect of a neck dissection, performed 6–8 weeks following the completion of treatment is unknown. Methods: Retrospective review of Stage III/IV squamous carcinoma patients treated with primary radiation with/without chemotherapy and a post-treatment neck dissection, who remain free of locoregional or distant failure for a minimum of two years. Predictors of prolonged feeding tube dependence (>24 months following the completion of treatment) were evaluated using univariate and multivariate analysis. To determine the independent effect of neck dissection on length of feeding tube dependence, patients matched for covariates were also compared. Results: 79 patients treated at the Fox Chase Cancer Center between 1992 to 2003 were included in this study. 61 (77.2%) received chemotherapy and 37 (46.8%) underwent a neck dissection. The surgical specimen was positive for residual carcinoma in 12 patients (33%). 57 patients (71.3%) underwent placement of a feeding tube. The median time to removal of feeding tubes was 12 months [7–17 months, 95% CI]. Feeding tube-free status at 24 months was associated with use of standard radiotherapy (p = 0.031), N0 vs N+ neck stage (p = 0.041) and management without a neck dissection (p = 0.003). There was no association with age, T-stage, tumor site or use of chemotherapy. On multiple regression, only neck dissection remained a predictor of retained feeding tube at 24 months (p = 0.013). In patients matched for N-stage and treatment selection, those who underwent a neck dissections required a feeding tube a median of 36 months compared with 10 months for those without a neck dissection [32–57 months versus 7–13 months, 95% CI, p = 0.021]. The two year frequency of feeding tube dependence was 14/34 (41%) versus 3/30 (10%), respectively (p = 0.005). Conclusions: Neck dissection may contribute dysphagia experienced by head and neck cancer patients treated with organ preservation protocols. No significant financial relationships to disclose.

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