OROPHARYNGEAL DYSPHAGIA: AN ASSOCIATION BETWEEN DYSPHAGIA LEVEL, SYMPTOMS AND COMORBIDITY

Objective: Associate levels of dysphagia according to the patient health condition. Methods: Retrospective study analyzing 149 medical records of patients who underwent Fiberoptic endoscopic evaluation of swallowing (FEES) in a tertiary hospital from 2016 to 2018. Data was collected on symptoms, comorbidities, FESS findings and oropharynx dysphagia classification. Statistical analysis was performed through descriptive and bivariate analysis using the Chi-square and Fisher's exact tests with a 5% significance level. Results: Most patients are elderly, female and with the main complaint of gagging for liquids and solids (30.9%), and gagging only for liquids was associated with the presence of mild dysphagia. The most prevalent degree of oropharynx dysphagia (OD) was mild (45%). In relation to patients' diseases, associations were identified between amyotrophic lateral sclerosis and mild dysphagia, Parkinson's disease and moderate dysphagia, and past pneumonia and / or head and neck cancer with severe dysphagia. Conclusions: The main complaint of patients with dysphagia and their pathological history should guide the treatment, without dispensing with complementary exams such as FESS, highlighting Parkinson's disease with moderate oropharynx dysphagia and past pneumonia and / or head and neck cancer as severe dysphagia.

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Radical Radiation Therapy in a Patient with Head and Neck Cancer and Severe Parkinson's Disease

Clinical Oncology ◽

10.1016/j.clon.2005.09.009 ◽

2006 ◽

Vol 18 (1) ◽

pp. 82-84 ◽

Cited By ~ 8

Author(s):

G. Mazdai ◽

D.P. Stewart ◽

A.R. Hounsell

Keyword(s):

Parkinson’S Disease ◽

Parkinson's Disease ◽

Radiation Therapy ◽

Head And Neck Cancer ◽

Head And Neck ◽

Neck Cancer ◽

Radical Radiation

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Aspiration Prevention Surgery under Local Anesthesia for Palliative Care in Patients with Head and Neck Cancer: A Report of Two Cases

ORL ◽

10.1159/000510800 ◽

2020 ◽

pp. 1-7

Author(s):

Misaki Sekiguchi Koyama ◽

Rumi Ueha ◽

Takao Goto ◽

Taku Sato ◽

Akane Tachibana ◽

...

Keyword(s):

Quality Of Life ◽

Palliative Care ◽

Head And Neck Cancer ◽

Head And Neck ◽

Local Anesthesia ◽

Neck Cancer ◽

Respiratory Impairment ◽

Severe Dysphagia ◽

Type Of Surgery

Aspiration prevention (AP) surgery may improve the quality of life (QOL) of patients with severe dysphagia. However, not all patients can endure this type of surgery under general anesthesia because of their poor status. Herein, we describe the cases of 2 patients with head and neck cancer (HNC) who underwent AP surgery for palliative care. Although both patients had tracheostomy due to severe dysphagia and respiratory impairment and frequently needed suction, they were successfully managed with AP surgery under local anesthesia. A tracheostoma was reshaped to be sufficiently large for an airway to be secured without a cannula. Their respiratory failure gradually improved, and suction frequency markedly decreased after surgery; thus, they could receive medical treatment at home. When patients with HNC under palliative care have a tracheal cannula and cannot vocalize, AP surgery under local anesthesia is an option to improve their QOL.

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Long-term prevalence of oropharyngeal dysphagia in head and neck cancer patients: Impact on quality of life

Clinical Nutrition ◽

10.1016/j.clnu.2007.08.006 ◽

2007 ◽

Vol 26 (6) ◽

pp. 710-717 ◽

Cited By ~ 115

Author(s):

P. García-Peris ◽

L. Parón ◽

C. Velasco ◽

C. de la Cuerda ◽

M. Camblor ◽

...

Keyword(s):

Quality Of Life ◽

Head And Neck Cancer ◽

Head And Neck ◽

Cancer Patients ◽

Neck Cancer ◽

Oropharyngeal Dysphagia

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Patients’ Perspectives on What Makes a Better Care Experience While Undergoing Treatment for Oropharyngeal Dysphagia Secondary to Head and Neck Cancer

Dysphagia ◽

10.1007/s00455-019-10077-y ◽

2019 ◽

Vol 35 (4) ◽

pp. 702-716 ◽

Cited By ~ 1

Author(s):

Martin Checklin ◽

Jessica Bain ◽

Lucy Bath ◽

Kate Lethbridge

Keyword(s):

Head And Neck Cancer ◽

Head And Neck ◽

Neck Cancer ◽

Oropharyngeal Dysphagia ◽

Care Experience

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Management of Oropharyngeal Dysphagia in Laryngeal and Hypopharyngeal Cancer

International Journal of Otolaryngology ◽

10.1155/2012/157630 ◽

2012 ◽

Vol 2012 ◽

pp. 1-9 ◽

Cited By ~ 5

Author(s):

Jose Granell ◽

Laura Garrido ◽

Teresa Millas ◽

Raimundo Gutierrez-Fonseca

Keyword(s):

Head And Neck Cancer ◽

Head And Neck ◽

Neck Cancer ◽

Oropharyngeal Dysphagia ◽

Functional Results ◽

Hypopharyngeal Cancer ◽

Clinical Aspects ◽

Supracricoid Laryngectomy ◽

Swallowing Rehabilitation ◽

The Impact

On considering a function-preserving treatment for laryngeal and hypopharyngeal cancer, swallowing is a capital issue. For most of the patients, achieving an effective and safe deglutition will mark the difference between a functional and a dysfunctional outcome. We present an overview of the management of dysphagia in head and neck cancer patients. A brief review on the normal physiology of swallowing is mandatory to analyze next the impact of head and neck cancer and its treatment on the anatomic and functional foundations of deglutition. The approach proposed underlines two leading principles: a transversal one, that is, the multidisciplinary approach, as clinical aspects to be managed in the oncologic patient with oropharyngeal dysphagia are diverse, and a longitudinal one; that is, the concern for preserving a functional swallow permeates the whole process of the diagnosis and treatment, with interventions required at multiple levels. We further discuss the clinical reports of two patients who underwent a supracricoid laryngectomy, a function-preserving surgical technique that particularly disturbs the laryngeal mechanics, and in which swallowing rehabilitation dramatically conditions the functional results.

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European white paper: oropharyngeal dysphagia in head and neck cancer

European Archives of Oto-Rhino-Laryngology ◽

10.1007/s00405-020-06507-5 ◽

2020 ◽

Author(s):

Laura W. J. Baijens ◽

Margaret Walshe ◽

Leena-Maija Aaltonen ◽

Christoph Arens ◽

Reinie Cordier ◽

...

Keyword(s):

Head And Neck Cancer ◽

Head And Neck ◽

Neck Cancer ◽

Hpv Vaccination ◽

Oropharyngeal Dysphagia ◽

Professional Associations ◽

White Paper ◽

The Body ◽

Contributing Factors ◽

Level Of Evidence

Abstract Purpose To develop a European White Paper document on oropharyngeal dysphagia (OD) in head and neck cancer (HNC). There are wide variations in the management of OD associated with HNC across Europe. Methods Experts in the management of specific aspects of OD in HNC across Europe were delegated by their professional medical and multidisciplinary societies to contribute to this document. Evidence is based on systematic reviews, consensus-based position statements, and expert opinion. Results Twenty-four sections on HNC-specific OD topics. Conclusion This European White Paper summarizes current best practice on management of OD in HNC, providing recommendations to support patients and health professionals. The body of literature and its level of evidence on diagnostics and treatment for OD in HNC remain poor. This is in the context of an expected increase in the prevalence of OD due to HNC in the near future. Contributing factors to increased prevalence include aging of our European population (including HNC patients) and an increase in human papillomavirus (HPV) related cancer, despite the introduction of HPV vaccination in various countries. We recommend timely implementation of OD screening in HNC patients while emphasizing the need for robust scientific research on the treatment of OD in HNC. Meanwhile, its management remains a challenge for European professional associations and policymakers.

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