deglutition; deglutition disorders; head and neck cancer; oropharynx; quality of life; Adult; Aged; Aged, 80 and over; Deglutition Disorders/diagnostic imaging; Deglutition Disorders/etiology; Female; Fluoroscopy; Humans; Male; Middle Aged; Neck Dissection; Neoplasm Staging; Oropharyngeal Neoplasms/pathology; Oropharyngeal Neoplasms/radiotherapy; Oropharyngeal Neoplasms/surgery; Quality of Life; Retrospective Studies; Surgical Flaps; Video Recording; cancer; disorders quality of life; oropharynx head and neck; Oropharyngeal Neoplasms; Surgery; Oral Surgery; Otorhinolaryngology
Abstract :
[en] The aim of this study was to analyze the causal mechanisms of severe swallowing disorders after the treatment of oropharyngeal cancer. Twenty-six patients with severe swallowing disorders at ≥12 months after treatment for oropharyngeal cancer were analyzed retrospectively using videofluoroscopy. Fourteen patients (54%) had been treated with surgery (±postoperative radiotherapy), while 12 patients (46%) had been treated with (chemo)radiotherapy. Videofluoroscopy analysis showed a localized alteration in the surgical excision area resulting in impaired tongue root retraction in the surgical group (P=0.012), while general impairment of the pharyngeal, laryngeal, and upper oesophagus sphincter was found in the non-surgical group. Aspirations in the surgical group most often occurred after swallowing, while in the non-surgical group, they occurred during and after swallowing (P=0.039). This analysis by videofluoroscopy provides important insights into the mechanisms giving rise to swallowing disorders after the treatment of oropharyngeal cancer.
Disciplines :
Otolaryngology
Author, co-author :
Santini, L; Service d'ORL et Chirurgie Cervico-Faciale, Centre Hospitalier Universitaire La Timone, Aix-Marseille Université, Marseille, France
Robert, D; Service d'ORL et Chirurgie Cervico-Faciale, Centre Hospitalier Universitaire La Timone, Aix-Marseille Université, Marseille, France
Lagier, Aude ; Centre Hospitalier Universitaire de Liège - CHU > > Service d'ORL, d'audiophonologie et de chir. cervico-faciale ; Service d'ORL et Chirurgie Cervico-Faciale, Centre Hospitalier Universitaire La Timone, Aix-Marseille Université, Marseille, France
Giovanni, A; Service d'ORL et Chirurgie Cervico-Faciale, Centre Hospitalier Universitaire La Timone, Aix-Marseille Université, Marseille, France
Dessi, P; Service d'ORL et Chirurgie Cervico-Faciale, Centre Hospitalier Universitaire La Timone, Aix-Marseille Université, Marseille, France
Fakhry, N; Service d'ORL et Chirurgie Cervico-Faciale, Centre Hospitalier Universitaire La Timone, Aix-Marseille Université, Marseille, France. Electronic address: nicolas.fakhry@ap-hm.fr
Language :
English
Title :
A videofluoroscopic study comparing severe swallowing disorders in patients treated surgically or with radiation for oropharyngeal cancer.
Publication date :
June 2015
Journal title :
International Journal of Oral and Maxillofacial Surgery
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