Relationship between the Size of Neopharynx after Laryngectomy and Long-Term Swallowing Function: An Assessment by Scintigraphy

2001 ◽  
Vol 124 (2) ◽  
pp. 225-229 ◽  
Author(s):  
Yau Hui ◽  
Kwok-Man Ma ◽  
William I. Wei ◽  
Wai-Kuen Ho ◽  
Po-Wing Yuen ◽  
...  
Keyword(s):  
Swallowing Function

Long-Term Voice and Swallowing Outcomes for Oral and Oropharyngeal Cancer Following Primary or Adjuvant Chemoradiation

2019 ◽  
Vol 128 (9) ◽  
pp. 802-810 ◽  
Author(s):  
Liuba Soldatova ◽  
Natasha Mirza
Keyword(s):  
Assessment Tool ◽  
Patient Survey ◽  
Swallowing Function ◽  
Swallowing Dysfunction ◽  
Related Quality ◽  
Oral And Oropharyngeal Cancer ◽  
Calculated Probability ◽  
Fair Poor ◽  
The Voice

Objective: Chemoradiation (CRT) for nonlaryngeal head and neck cancer (HNC) can lead to voice and swallowing dysfunction. The purpose of this study was to examine voice and swallowing from the patient’s perspective at least 5 years after treatment. Design: Patient survey. Methods: Twenty-eight patients treated with primary or adjuvant CRT at least 5 years ago (mean = 10.7 years, SD = 5.5, range, 5-28) completed a survey created based on previously validated questionnaires (the Patient Perception of Swallowing Function Questionnaire, PPSFQ; the Eating Assessment Tool, EAT-10; the Voice Handicap Index, VHI-10; the Voice Related Quality of Life, V-RQOL). Results: Patients reported some voice and swallowing dysfunction (39% of V-RQOL scores in categories of fair, poor, or worst possible and 32% of VHI-10 scores ≥20 or greater than 50% of the maximum; 39% of PPSFQ scores greater than 50% of the maximum and 32% of EAT-10 scores ≥20 or 50% of the maximum). There was a correlation between V-RQOL and VHI-10 scores (Pearson product moment correlation coefficient r = .96, calculated probability value p = 0), PPSFQ and EAT-10 scores (r = 0.87, p = 0.8 × 10−8), as well as between V-RQOL and PPSFQ/EAT-10 scores (r = .94, p = 0), VHI-10 and PPSFQ/EAT-10 scores (r = .97, p = 0). Conclusions: Perceived voice and swallowing dysfunction following CRT for nonlaryngeal HNC can persist or worsen beyond 5 years.

scholarly journals Serial evaluation of swallowing function in a long-term survivor of V180I genetic Creutzfeldt-Jakob disease

Prion ◽  
2020 ◽  
Vol 14 (1) ◽  
pp. 180-184
Author(s):  
Kenjiro Kunieda ◽  
Yuichi Hayashi ◽  
Megumi Yamada ◽  
Masahiro Waza ◽  
Tomonori Yaguchi ◽  
...  
Keyword(s):  
Swallowing Function ◽  
Jakob Disease ◽  
Serial Evaluation ◽  
Term Survivor

scholarly journals Usefulness of the Modified Videofluoroscopic Dysphagia Scale in Evaluating Swallowing Function among Patients with Amyotrophic Lateral Sclerosis and Dysphagia

2021 ◽  
Vol 10 (19) ◽  
pp. 4300
Author(s):  
Byung Joo Lee ◽  
Hyoshin Eo ◽  
Donghwi Park
Keyword(s):  
Amyotrophic Lateral Sclerosis ◽  
Aspiration Pneumonia ◽  
Roc Curve ◽  
Oral Feeding ◽  
Roc Curve Analysis ◽  
Swallowing Function ◽  
Feeding Method ◽  
Long Term Prognosis ◽  
Lateral Sclerosis

Introduction: The videofluoroscopic dysphagia scale (VDS) is used to predict the long-term prognosis of dysphagia among patients with the condition. Previously, a modified version of the VDS (mVDS) was established to overcome the relatively low inter-rater reliability of VDS, and was verified in patients with dysphagia, such as stroke patients. However, the validity of mVDS in patients with amyotrophic lateral sclerosis (ALS) has never been proved. Therefore, in this study, we attempted to seek the validity of the mVDS score in patients with ALS suffering from dysphagia. Method: Data from the videofluoroscopic swallowing study (VFSS) of 34 patients with ALS and dysphagia were retrospectively collected. We investigated the presence of aspiration pneumonia and the selected feeding method based on the VFSS. We also evaluated the correlations between the mVDS and the selected feeding method, and between the mVDS and the presence of aspiration pneumonia. Multivariate logistic regression and receiver operating characteristic (ROC) analyses were performed during the data analysis. Results: In patients with ALS and dysphagia, the mVDS scores were statistically correlated with the selected feeding method (p < 0.05) and the presence of aspiration pneumonia (p < 0.05). In the ROC curve analysis, the area under the ROC curve values for the selected feeding method and the presence of aspiration pneumonia were 0.886 (95% confidence interval (CI), 0.730–0.969; p < 0.0001) and 0.886 (95% CI, 0.730–0.969; p < 0.0001), respectively. Conclusion: The mVDS can be a useful tool for quantifying the severity of dysphagia and interpreting the VFSS findings in patients with ALS and dysphagia. However, further studies involving a more general population of patients with ALS are needed to elucidate a more accurate cut-off value for the allowance of oral feeding and the presence of aspiration pneumonia.

Effect of Unilateral Cordotomy on Perception of Dysphagia

2019 ◽  
Vol 129 (6) ◽  
pp. 536-541
Author(s):  
Melissa Conklin ◽  
Matthew S. Clary ◽  
Elizabeth M. Cuadrado ◽  
Marie E. Jetté
Keyword(s):  
Vocal Fold ◽  
Assessment Tool ◽  
Swallowing Function ◽  
Post Surgery ◽  
Bilateral Vocal Fold Paralysis ◽  
Patient Reported ◽  
Specific Outcome ◽  
Vocal Fold Immobility ◽  
Bilateral Vocal Fold Immobility

Objectives: CO2 laser medial transverse cordotomy is a permanent static procedure performed to achieve adequate functional airway in cases of posterior glottic stenosis and bilateral vocal fold paralysis. Although it is the preferred method to manage long-term bilateral vocal fold immobility, it is widely believed that cordotomy has the potential to cause aspiration. The minimal existing data on the effect surgical enlargement of the glottic airway on swallowing function is heterogeneous. Through investigation of dysphagia after cordotomy, we hope to better understand the influence of glottic function and its role in dysphagia. The Eating Assessment Tool (EAT-10), is a validated dysphagia symptom-specific outcome measure. We hypothesized that EAT-10 scores would not change after CO2 laser cordotomy despite causing glottic insufficiency. Methods: Retrospective review was performed on sequential patients having undergone unilateral CO2 laser cordotomy with complete pre- and postoperative EAT-10 questionnaire data available for evaluation. Results: Fifteen patients were available for analysis; 10 patients underwent primary unilateral medial transverse cordotomy, 5 patients underwent revision cordotomy, and 20 unique procedures were included in the dataset. The median EAT-10 score during the visit prior to surgery was 3.5, whereas the post-surgery median score was 2. Furthermore, the median difference of 0 was statistically non-significant ( P = .91). Conclusion: CO2 laser cordotomy does not contribute to patient-reported dysphagia despite creating glottic incompetence. This suggests vocal fold apposition may play a less significant role in normal swallowing function than widely believed.

scholarly journals Relationship between swallowing function and the skeletal muscle mass of older adults requiring long‐term care

2015 ◽  
Vol 15 (10) ◽  
pp. 1185-1192 ◽  
Author(s):  
Kohji Murakami ◽  
Hirohiko Hirano ◽  
Yutaka Watanabe ◽  
Ayako Edahiro ◽  
Yuki Ohara ◽  
...  
Keyword(s):  
Older Adults ◽  
Skeletal Muscle ◽  
Muscle Mass ◽  
Skeletal Muscle Mass ◽  
Long Term Care ◽  
Swallowing Function ◽  
Term Care

Long-term Swallowing Function, Pulmonary Complications, and Quality of Life after Supracricoid Laryngectomy

2019 ◽  
Vol 161 (2) ◽  
pp. 307-314 ◽  
Author(s):  
Davide Di Santo ◽  
Stefano Bondi ◽  
Leone Giordano ◽  
Andrea Galli ◽  
Michele Tulli ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Pulmonary Complications ◽  
Oral Feeding ◽  
Postoperative Rehabilitation ◽  
Swallowing Function ◽  
Cough Reflex ◽  
Laryngeal Sensation

Objectives Long-term effects of supracricoid laryngectomies are nowadays under discussion. The purpose of this study was to detect the prevalence of chronic aspiration and incidence of pulmonary complications, to investigate possible influencing factors, and to analyze dysphagia-related quality of life in a cohort of patients who recovered swallowing function after undergoing supracricoid laryngectomies. Study Design Retrospective observational study. Setting San Raffaele Hospital, Vita-Salute University, Milan, Italy. Methods A cohort of 39 patients who recovered swallowing function free of disease after a minimum 3-year follow-up period was retrospectively investigated between October and December 2017—clinically with the Pearson’s Scale and M. D. Anderson Dysphagia Inventory and instrumentally with fiberoptic endoscopic evaluation of swallowing. Results Chronic aspiration was demonstrated in a significant portion of patients (clinically in 33.3% and instrumentally in 35.9%). Aspiration was influenced by advanced age at surgery ( P = .020). Type of surgical procedure, resection of 1 arytenoid cartilage, postoperative rehabilitation with a speech-language therapist, radiotherapy, age at consultation, and length of follow-up did not influence the prevalence of aspiration. Pulmonary complications affected 5 patients; incidence of pulmonary complications was related to aspiration and was favored by poor laryngeal sensation/cough reflex. Aspiration significantly affected quality of life. Conclusions Chronic aspiration is frequent and affects patients’ quality of life. However, incidence of pulmonary complications is low; therefore, oral feeding should not be contraindicated for aspirating patients. Preservation of laryngeal sensation and cough reflex is mandatory to prevent pulmonary complications.

scholarly journals Does Swallowing Function Recover in the Long Term in Patients With Surgically Treated Tongue Carcinomas?

2012 ◽  
Vol 70 (11) ◽  
pp. 2680-2686 ◽  
Author(s):  
Kanchu Tei ◽  
Noriyuki Sakakibara ◽  
Yutaka Yamazaki ◽  
Yoichi Ohiro ◽  
Mitsunobu Ono ◽  
...  
Keyword(s):  
Swallowing Function
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