Imaging of the Post Treatment Head and Neck

2022 ◽  
Vol 32 (1) ◽  
pp. xvii-xviii
Author(s):  
Prashant Raghavan ◽  
Robert E. Morales ◽  
Sugoto Mukherjee
Keyword(s):  
2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Anthony Cmelak ◽  
Mary S. Dietrich ◽  
Shuli Li ◽  
Sheila Ridner ◽  
Arlene Forastiere ◽  
...  

Abstract Background We conducted a correlative study for E2399, a function preservation trial for resectable locally advanced oropharynx and larynx cancer, to prospectively assess effects of chemoradiation (CCR) on quality of life (QOL), swallowing and voice. We correlated the results of swallow assessments done via questionnaires and objective assessments by modified barium swallow (MBS). Methods The Functional Assessment of Cancer-HN (FACT-HN), the Performance Status Scale – Head and Neck (PSS-HN), swallow assessments (including modified barium swallow studies), and voice assessments: Voice Handicap Index (VHI), the Voice Disability Assessment (VDA), and American Speech-Language Hearing Association’s Functional Communication Measure (FCM) were conducted at baseline and periodically post-treatment for 2 years. Results Baseline QOL and swallowing function predicted overall survival. Patients experienced a marked decrease in QOL, swallowing, and speech post CCR although the decrease in vocal function was modest. Function and QOL returned towards baseline in the majority of patients by 12 months post treatment. Less than 10% of patients had severe dysphagia and were PEG dependent at 12 months post treatment. There was a high degree of correlation between the FACT-HN and PSS-HN swallow items. Statistically significant correlations were found between subjective and objective measures of swallow function. Conclusions Patients experience marked loss in swallowing function post CCR which returned to baseline in the majority of patients. The correlations between the FCM and self-report swallow items on the PSS and FACT-HN appear to be sufficiently strong to justify their use as a surrogate marker for swallowing disability in large therapeutic trials.


2016 ◽  
Vol 29 (2) ◽  
pp. 361-368 ◽  
Author(s):  
Douglas Roberto Pegoraro ◽  
Barbara Zanchet ◽  
Caroline de Oliveira Guariente ◽  
Josemara de Paula Rocha ◽  
Juliana Secchi Batista

Abstract Introduction: Head and neck cancer is responsible for an increasing incidence of primary malignant neoplasm cases worldwide. Radiotherapy is one of the treatments of choice for this type of cancer, but it can cause adverse effects, such as temporomandibular disorder. The objective of this study was to characterize the degree and frequency of temporomandibular disorder in patients with head and neck cancer undergoing radiotherapy. Method: This research was quantitative, descriptive and exploratory. The sample consisted of 22 patients that answered assessment questions and the Helkimo anamnestic questionnaire, modified by Fonseca (1992). The data were collected from May to October 2014, and statistically analyzed using the Chi-square test, with a significance level of p ≤ 0.05. Results: Of the 22 patients, 86.4 % were male, with a mean age of 58.86 ± 9.41 years. Temporomandibular disorder was present in 31.8% of the subjects, based on the assessment prior to radiotherapy, and in 59.1% in the post-treatment assessment. Among all questions, the most frequent was "Do you use only one side of the mouth to chew?" with 22.7% "yes" answers, both at the first assessment and at the post treatment. Conclusion: According to the results of this study, temporomandibular disorder is a disease that is present with a high prevalence in people diagnosed with head and neck cancer undergoing radiotherapy.


2020 ◽  
Vol 46 (1) ◽  
pp. 284-294
Author(s):  
◽  
Matthew Ellis ◽  
George Garas ◽  
John Hardman ◽  
Maha Khan ◽  
...  

2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Sylvia L. Crowder ◽  
Katherine G. Douglas ◽  
Andrew D. Frugé ◽  
William R. Carroll ◽  
Sharon A. Spencer ◽  
...  

Abstract Background Dietary preferences vary depending on cancer type. The purpose of this study was to report dietary intervention preferences and a study program evaluation from post-treatment head and neck cancer survivors participating in a dietary intervention. Methods Between January 2015 and August 2016, 24 head and neck cancer survivors participated in a 12-week randomized clinical dietary intervention trial that promoted weekly consumption of 2.5 cups of cruciferous vegetables and 3.5 cups of green leafy vegetables. At study completion, survivors completed a preferences survey and a study program evaluation to probe interests and improvement aspects for planning future dietary intervention trials. Descriptive statistics (means and frequencies) were generated for multiple choice question responses. Responses to open-ended questions were recorded and grouped based on themes, and verified by quality assurance checks by a second study team member. Results Twenty-three survivors completed the preferences and evaluation surveys (response rate 96%). Overall, most participants reported a preference for one-on-one telephone counseling from a registered dietitian nutritionist before beginning treatment. Ninety-six percent of participants ranked the overall study program as “very good” to “excellent,” and all agreed the objectives of the study were clear, the study staff was helpful and easy to contact, and the registered dietitian nutritionist was knowledgeable. Conclusions Future research and dietary intervention planning for head and neck cancer survivors should focus on strategies to promote one-on-one telephone or other distance-based counseling combined with face-to-face visits, according to survivor preference.


2018 ◽  
Vol 56 (10) ◽  
pp. e75-e76
Author(s):  
Anand Kumar ◽  
Keith Jones ◽  
Sean Mortimore ◽  
David Laugharne

Oral Oncology ◽  
2020 ◽  
Vol 102 ◽  
pp. 104561 ◽  
Author(s):  
Sabine Stordeur ◽  
Viki Schillemans ◽  
Isabelle Savoye ◽  
Katrijn Vanschoenbeek ◽  
Roos Leroy ◽  
...  

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