Swallowing of bolus types by postsurgical head and neck cancer patients
Identifieur interne : 004D82 ( Istex/Corpus ); précédent : 004D81; suivant : 004D83Swallowing of bolus types by postsurgical head and neck cancer patients
Auteurs : Robert J. Stachler ; Sandra L. Hamlet ; Robert H. Mathog ; Lewis Jones ; Lance K. Heilbrun ; L. Joan Manov ; Jesus M. O'CampoSource :
- Head & Neck [ 1043-3074 ] ; 1994-09.
English descriptors
- KwdEn :
- Anterior resections, Anterior tongue, Barium, Barium paste, Bolus, Bolus types, Cancer recurrence, Cancer treatment, Closure, Control subjects, Cookie, Cookie bolus, Cookie swallows, Deglutition, Head neck, Hyoid, Hyoid descent, Hyoid motion, Inferior border, Liquid barium, Mandibular osteotomy, Masticated bolus, Mastication, Multiple comparisons, Multiple swallows, Neck cancer patients, Normal controls, Normal coordination, Normal subjects, Normal variant, Oral containment interval, Oral preparation, Other bolus type, Other patient characteristics, Overall duration, Partial glossectomy, Partial mandibulectomy, Paste bolus, Patient groups, Pharyngeal, Pharyngeal phases, Pharynx, Posterior resections, Postsurgery, Postsurgical head, Range years, Resection, Sequence duration, Significant difference, Significant differences, Skin graft, Soft palate, Standard error values, Statistical analysis, Subject groups, Temporal measures, Temporal relationships, Total sequence duration, Tsqd, Tsqd tswd, Tswd, Unbalanced univariate, Vallecula, Wayne state university.
- Teeft :
- Anterior resections, Anterior tongue, Barium, Barium paste, Bolus, Bolus types, Cancer recurrence, Cancer treatment, Closure, Control subjects, Cookie, Cookie bolus, Cookie swallows, Deglutition, Head neck, Hyoid, Hyoid descent, Hyoid motion, Inferior border, Liquid barium, Mandibular osteotomy, Masticated bolus, Mastication, Multiple comparisons, Multiple swallows, Neck cancer patients, Normal controls, Normal coordination, Normal subjects, Normal variant, Oral containment interval, Oral preparation, Other bolus type, Other patient characteristics, Overall duration, Partial glossectomy, Partial mandibulectomy, Paste bolus, Patient groups, Pharyngeal, Pharyngeal phases, Pharynx, Posterior resections, Postsurgery, Postsurgical head, Range years, Resection, Sequence duration, Significant difference, Significant differences, Skin graft, Soft palate, Standard error values, Statistical analysis, Subject groups, Temporal measures, Temporal relationships, Total sequence duration, Tsqd, Tsqd tswd, Tswd, Unbalanced univariate, Vallecula, Wayne state university.
Abstract
Background. Clinically, head and neck cancer patients with anterior resections have better postoperative outcomes than do patients with posterior resections. Methods. Videofluoroscopy was used to study the swallowing characteristics in postsurgery head and neck cancer patients and normal controls. Most patients received post‐operative radiotherapy and chemotherapy, and no cancer recurrence was noted at the time of study, 4‐8 months post‐treatment. Bolus types included: 3 mL and 10 mL liquid barium, barium paste, and barium‐coated cookie. Temporal measurements and a count of the number of swallows required to ingest each material were made from the video‐taped data. Statistical analysis using an unbalanced univariate repeated measures ANOVA was performed. Results. The major differences were found between bolus types, with few differences noted between surgical groups (anterior vs posterior resections) and normal controls. Patients took longer to ingest viscous material, accomplishing this by multiple piecemeal and clearing swallows. Coordination of mastication and swallowing of the cookie was different between normal and patient groups. Conclusions. Patients who are able to swallow reasonably well postoperatively maintain normal coordination and timing of swallowing activity and do not vary these parameters to compensate for structural inadequacy. Instead, repeated swallows are used. © 1994 John Wiley & Sons, Inc.
Url:
DOI: 10.1002/hed.2880160504
Links to Exploration step
ISTEX:9B762742E2D30926653EC1A772A178E265F50C66Le document en format XML
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Hamlet</name><affiliation><mods:affiliation>Departments of Otolaryngology, Detroit, Michigan</mods:affiliation></affiliation></author><author><name sortKey="Mathog, Robert H" sort="Mathog, Robert H" uniqKey="Mathog R" first="Robert H." last="Mathog">Robert H. Mathog</name><affiliation><mods:affiliation>Departments of Otolaryngology, Detroit, Michigan</mods:affiliation></affiliation></author><author><name sortKey="Jones, Lewis" sort="Jones, Lewis" uniqKey="Jones L" first="Lewis" last="Jones">Lewis Jones</name><affiliation><mods:affiliation>Department of Radiology, Harper Hospital, Detroit, Michigan</mods:affiliation></affiliation></author><author><name sortKey="Heilbrun, Lance K" sort="Heilbrun, Lance K" uniqKey="Heilbrun L" first="Lance K." last="Heilbrun">Lance K. 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Stachler</name><affiliation><mods:affiliation>Departments of Otolaryngology, Detroit, Michigan</mods:affiliation></affiliation><affiliation><mods:affiliation>Correspondence address: Department of Otolaryngology/5E‐VHC, Wayne State University. 4201 St. Antoine, Detroit, MI 48201</mods:affiliation></affiliation></author><author><name sortKey="Hamlet, Sandra L" sort="Hamlet, Sandra L" uniqKey="Hamlet S" first="Sandra L." last="Hamlet">Sandra L. Hamlet</name><affiliation><mods:affiliation>Departments of Otolaryngology, Detroit, Michigan</mods:affiliation></affiliation></author><author><name sortKey="Mathog, Robert H" sort="Mathog, Robert H" uniqKey="Mathog R" first="Robert H." last="Mathog">Robert H. Mathog</name><affiliation><mods:affiliation>Departments of Otolaryngology, Detroit, Michigan</mods:affiliation></affiliation></author><author><name sortKey="Jones, Lewis" sort="Jones, Lewis" uniqKey="Jones L" first="Lewis" last="Jones">Lewis Jones</name><affiliation><mods:affiliation>Department of Radiology, Harper Hospital, Detroit, Michigan</mods:affiliation></affiliation></author><author><name sortKey="Heilbrun, Lance K" sort="Heilbrun, Lance K" uniqKey="Heilbrun L" first="Lance K." last="Heilbrun">Lance K. Heilbrun</name><affiliation><mods:affiliation>Internal Medicine, Wayne State University, Detroit, Michigan</mods:affiliation></affiliation></author><author><name sortKey="Manov, L Joan" sort="Manov, L Joan" uniqKey="Manov L" first="L. Joan" last="Manov">L. Joan Manov</name><affiliation><mods:affiliation>Diagnostic Radiology Service, Veteran's Administration Medical Center, Allen Park, Michigan</mods:affiliation></affiliation></author><author><name sortKey="O Campo, Jesus M" sort="O Campo, Jesus M" uniqKey="O Campo J" first="Jesus M." last="O'Campo">Jesus M. O'Campo</name><affiliation><mods:affiliation>Diagnostic Radiology Service, Veteran's Administration Medical Center, Allen Park, Michigan</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Head & Neck</title><title level="j" type="alt">HEAD AND NECK</title><idno type="ISSN">1043-3074</idno><idno type="eISSN">1097-0347</idno><imprint><biblScope unit="vol">16</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="413">413</biblScope><biblScope unit="page" to="419">419</biblScope><biblScope unit="page-count">7</biblScope><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>New York</pubPlace><date type="published" when="1994-09">1994-09</date></imprint><idno type="ISSN">1043-3074</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1043-3074</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Anterior resections</term><term>Anterior tongue</term><term>Barium</term><term>Barium paste</term><term>Bolus</term><term>Bolus types</term><term>Cancer recurrence</term><term>Cancer treatment</term><term>Closure</term><term>Control subjects</term><term>Cookie</term><term>Cookie bolus</term><term>Cookie swallows</term><term>Deglutition</term><term>Head neck</term><term>Hyoid</term><term>Hyoid descent</term><term>Hyoid motion</term><term>Inferior border</term><term>Liquid barium</term><term>Mandibular osteotomy</term><term>Masticated bolus</term><term>Mastication</term><term>Multiple comparisons</term><term>Multiple swallows</term><term>Neck cancer patients</term><term>Normal controls</term><term>Normal coordination</term><term>Normal subjects</term><term>Normal variant</term><term>Oral containment interval</term><term>Oral preparation</term><term>Other bolus type</term><term>Other patient characteristics</term><term>Overall duration</term><term>Partial glossectomy</term><term>Partial mandibulectomy</term><term>Paste bolus</term><term>Patient groups</term><term>Pharyngeal</term><term>Pharyngeal phases</term><term>Pharynx</term><term>Posterior resections</term><term>Postsurgery</term><term>Postsurgical head</term><term>Range years</term><term>Resection</term><term>Sequence duration</term><term>Significant difference</term><term>Significant differences</term><term>Skin graft</term><term>Soft palate</term><term>Standard error values</term><term>Statistical analysis</term><term>Subject groups</term><term>Temporal measures</term><term>Temporal relationships</term><term>Total sequence duration</term><term>Tsqd</term><term>Tsqd tswd</term><term>Tswd</term><term>Unbalanced univariate</term><term>Vallecula</term><term>Wayne state university</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Anterior resections</term><term>Anterior tongue</term><term>Barium</term><term>Barium paste</term><term>Bolus</term><term>Bolus types</term><term>Cancer recurrence</term><term>Cancer treatment</term><term>Closure</term><term>Control subjects</term><term>Cookie</term><term>Cookie bolus</term><term>Cookie swallows</term><term>Deglutition</term><term>Head neck</term><term>Hyoid</term><term>Hyoid descent</term><term>Hyoid motion</term><term>Inferior border</term><term>Liquid barium</term><term>Mandibular osteotomy</term><term>Masticated bolus</term><term>Mastication</term><term>Multiple comparisons</term><term>Multiple swallows</term><term>Neck cancer patients</term><term>Normal controls</term><term>Normal coordination</term><term>Normal subjects</term><term>Normal variant</term><term>Oral containment interval</term><term>Oral preparation</term><term>Other bolus type</term><term>Other patient characteristics</term><term>Overall duration</term><term>Partial glossectomy</term><term>Partial mandibulectomy</term><term>Paste bolus</term><term>Patient groups</term><term>Pharyngeal</term><term>Pharyngeal phases</term><term>Pharynx</term><term>Posterior resections</term><term>Postsurgery</term><term>Postsurgical head</term><term>Range years</term><term>Resection</term><term>Sequence duration</term><term>Significant difference</term><term>Significant differences</term><term>Skin graft</term><term>Soft palate</term><term>Standard error values</term><term>Statistical analysis</term><term>Subject groups</term><term>Temporal measures</term><term>Temporal relationships</term><term>Total sequence duration</term><term>Tsqd</term><term>Tsqd tswd</term><term>Tswd</term><term>Unbalanced univariate</term><term>Vallecula</term><term>Wayne state university</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background. Clinically, head and neck cancer patients with anterior resections have better postoperative outcomes than do patients with posterior resections. Methods. Videofluoroscopy was used to study the swallowing characteristics in postsurgery head and neck cancer patients and normal controls. Most patients received post‐operative radiotherapy and chemotherapy, and no cancer recurrence was noted at the time of study, 4‐8 months post‐treatment. Bolus types included: 3 mL and 10 mL liquid barium, barium paste, and barium‐coated cookie. Temporal measurements and a count of the number of swallows required to ingest each material were made from the video‐taped data. Statistical analysis using an unbalanced univariate repeated measures ANOVA was performed. Results. The major differences were found between bolus types, with few differences noted between surgical groups (anterior vs posterior resections) and normal controls. Patients took longer to ingest viscous material, accomplishing this by multiple piecemeal and clearing swallows. Coordination of mastication and swallowing of the cookie was different between normal and patient groups. Conclusions. Patients who are able to swallow reasonably well postoperatively maintain normal coordination and timing of swallowing activity and do not vary these parameters to compensate for structural inadequacy. Instead, repeated swallows are used. © 1994 John Wiley & Sons, Inc.</div></front></TEI><istex><corpusName>wiley</corpusName><keywords><teeft><json:string>bolus</json:string><json:string>cookie</json:string><json:string>pharyngeal</json:string><json:string>resection</json:string><json:string>tsqd</json:string><json:string>hyoid</json:string><json:string>postsurgery</json:string><json:string>pharynx</json:string><json:string>subject groups</json:string><json:string>deglutition</json:string><json:string>bolus types</json:string><json:string>cookie bolus</json:string><json:string>tswd</json:string><json:string>mastication</json:string><json:string>vallecula</json:string><json:string>barium</json:string><json:string>neck cancer patients</json:string><json:string>head neck</json:string><json:string>patient groups</json:string><json:string>multiple swallows</json:string><json:string>normal controls</json:string><json:string>hyoid descent</json:string><json:string>closure</json:string><json:string>anterior tongue</json:string><json:string>significant difference</json:string><json:string>significant differences</json:string><json:string>liquid barium</json:string><json:string>oral containment interval</json:string><json:string>standard error values</json:string><json:string>tsqd tswd</json:string><json:string>temporal relationships</json:string><json:string>overall duration</json:string><json:string>posterior resections</json:string><json:string>cancer recurrence</json:string><json:string>sequence duration</json:string><json:string>hyoid motion</json:string><json:string>mandibular osteotomy</json:string><json:string>oral preparation</json:string><json:string>cookie swallows</json:string><json:string>range years</json:string><json:string>barium paste</json:string><json:string>partial mandibulectomy</json:string><json:string>partial glossectomy</json:string><json:string>normal subjects</json:string><json:string>inferior border</json:string><json:string>statistical analysis</json:string><json:string>cancer treatment</json:string><json:string>total sequence duration</json:string><json:string>unbalanced univariate</json:string><json:string>skin graft</json:string><json:string>other patient characteristics</json:string><json:string>soft palate</json:string><json:string>anterior resections</json:string><json:string>postsurgical head</json:string><json:string>other bolus type</json:string><json:string>paste bolus</json:string><json:string>control subjects</json:string><json:string>normal variant</json:string><json:string>normal coordination</json:string><json:string>multiple comparisons</json:string><json:string>wayne state university</json:string><json:string>masticated bolus</json:string><json:string>temporal measures</json:string><json:string>pharyngeal phases</json:string></teeft></keywords><author><json:item><name>Robert J. Stachler MD</name><affiliations><json:string>Departments of Otolaryngology, Detroit, Michigan</json:string><json:string>Correspondence address: Department of Otolaryngology/5E‐VHC, Wayne State University. 4201 St. Antoine, Detroit, MI 48201</json:string></affiliations></json:item><json:item><name>Sandra L. Hamlet PhD</name><affiliations><json:string>Departments of Otolaryngology, Detroit, Michigan</json:string></affiliations></json:item><json:item><name>Robert H. Mathog MD</name><affiliations><json:string>Departments of Otolaryngology, Detroit, Michigan</json:string></affiliations></json:item><json:item><name>Lewis Jones MD</name><affiliations><json:string>Department of Radiology, Harper Hospital, Detroit, Michigan</json:string></affiliations></json:item><json:item><name>Lance K. Heilbrun PhD</name><affiliations><json:string>Internal Medicine, Wayne State University, Detroit, Michigan</json:string></affiliations></json:item><json:item><name>L. Joan Manov MD</name><affiliations><json:string>Diagnostic Radiology Service, Veteran's Administration Medical Center, Allen Park, Michigan</json:string></affiliations></json:item><json:item><name>Jesus M. O'Campo MD</name><affiliations><json:string>Diagnostic Radiology Service, Veteran's Administration Medical Center, Allen Park, Michigan</json:string></affiliations></json:item></author><articleId><json:string>HED2880160504</json:string></articleId><arkIstex>ark:/67375/WNG-K0ZZK4ZQ-B</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>Background. Clinically, head and neck cancer patients with anterior resections have better postoperative outcomes than do patients with posterior resections. Methods. Videofluoroscopy was used to study the swallowing characteristics in postsurgery head and neck cancer patients and normal controls. Most patients received post‐operative radiotherapy and chemotherapy, and no cancer recurrence was noted at the time of study, 4‐8 months post‐treatment. Bolus types included: 3 mL and 10 mL liquid barium, barium paste, and barium‐coated cookie. Temporal measurements and a count of the number of swallows required to ingest each material were made from the video‐taped data. Statistical analysis using an unbalanced univariate repeated measures ANOVA was performed. Results. The major differences were found between bolus types, with few differences noted between surgical groups (anterior vs posterior resections) and normal controls. Patients took longer to ingest viscous material, accomplishing this by multiple piecemeal and clearing swallows. Coordination of mastication and swallowing of the cookie was different between normal and patient groups. Conclusions. Patients who are able to swallow reasonably well postoperatively maintain normal coordination and timing of swallowing activity and do not vary these parameters to compensate for structural inadequacy. Instead, repeated swallows are used. © 1994 John Wiley & Sons, Inc.</abstract><qualityIndicators><score>7.899</score><pdfWordCount>3487</pdfWordCount><pdfCharCount>23839</pdfCharCount><pdfVersion>1.3</pdfVersion><pdfPageCount>7</pdfPageCount><pdfPageSize>594 x 792 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractWordCount>201</abstractWordCount><abstractCharCount>1436</abstractCharCount><keywordCount>0</keywordCount></qualityIndicators><title>Swallowing of bolus types by postsurgical head and neck cancer patients</title><pmid><json:string>7960738</json:string></pmid><genre><json:string>article</json:string></genre><host><title>Head & Neck</title><language><json:string>unknown</json:string></language><doi><json:string>10.1002/(ISSN)1097-0347</json:string></doi><issn><json:string>1043-3074</json:string></issn><eissn><json:string>1097-0347</json:string></eissn><publisherId><json:string>HED</json:string></publisherId><volume>16</volume><issue>5</issue><pages><first>413</first><last>419</last><total>7</total></pages><genre><json:string>journal</json:string></genre><subject><json:item><value>Article</value></json:item></subject></host><namedEntities><unitex><date><json:string>1994</json:string></date><geogName></geogName><orgName></orgName><orgName_funder></orgName_funder><orgName_provider></orgName_provider><persName><json:string>Joan Manov</json:string><json:string>Age</json:string><json:string>Lewis Jones</json:string><json:string>John Wiley</json:string><json:string>M. O'Campo</json:string><json:string>Sandra L. Hamlet</json:string><json:string>Robert H. Mathog</json:string><json:string>Lance K. Heilbrun</json:string></persName><placeName></placeName><ref_url></ref_url><ref_bibl><json:string>Finlay et al.</json:string><json:string>Palmer et al.</json:string></ref_bibl><bibl></bibl></unitex></namedEntities><ark><json:string>ark:/67375/WNG-K0ZZK4ZQ-B</json:string></ark><categories><wos><json:string>1 - science</json:string><json:string>2 - surgery</json:string><json:string>2 - otorhinolaryngology</json:string></wos><scienceMetrix><json:string>1 - health sciences</json:string><json:string>2 - clinical medicine</json:string><json:string>3 - otorhinolaryngology</json:string></scienceMetrix><scopus><json:string>1 - Health Sciences</json:string><json:string>2 - Medicine</json:string><json:string>3 - Otorhinolaryngology</json:string></scopus><inist><json:string>1 - sciences appliquees, technologies et medecines</json:string><json:string>2 - sciences biologiques et medicales</json:string><json:string>3 - sciences medicales</json:string><json:string>4 - pathologie infectieuse</json:string></inist></categories><publicationDate>1994</publicationDate><copyrightDate>1994</copyrightDate><doi><json:string>10.1002/hed.2880160504</json:string></doi><id>9B762742E2D30926653EC1A772A178E265F50C66</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/9B762742E2D30926653EC1A772A178E265F50C66/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/document/9B762742E2D30926653EC1A772A178E265F50C66/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/9B762742E2D30926653EC1A772A178E265F50C66/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main" xml:lang="en">Swallowing of bolus types by postsurgical head and neck cancer patients</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>New York</pubPlace><availability><licence>Copyright © 1994 Wiley Periodicals, Inc., A Wiley Company</licence></availability><date type="published" when="1994-09"></date></publicationStmt><notesStmt><note type="content-type" subtype="article" source="article" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</note><note type="publication-type" subtype="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="article"><analytic><title level="a" type="main" xml:lang="en">Swallowing of bolus types by postsurgical head and neck cancer patients</title><title level="a" type="short" xml:lang="en">SWALLOWING OF BOLUS TYPES BY POSTSURGICAL HEAD AND NECK CANCER PATIENTS</title><author xml:id="author-0000" role="corresp"><persName><forename type="first">Robert J.</forename><surname>Stachler</surname><roleName type="degree">MD</roleName></persName><affiliation>Departments of Otolaryngology, Detroit, Michigan<address><country key="US"></country></address></affiliation><affiliation>Department of Otolaryngology/5E‐VHC, Wayne State University. 4201 St. Antoine, Detroit, MI 48201</affiliation></author><author xml:id="author-0001"><persName><forename type="first">Sandra L.</forename><surname>Hamlet</surname><roleName type="degree">PhD</roleName></persName><affiliation>Departments of Otolaryngology, Detroit, Michigan<address><country key="US"></country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">Robert H.</forename><surname>Mathog</surname><roleName type="degree">MD</roleName></persName><affiliation>Departments of Otolaryngology, Detroit, Michigan<address><country key="US"></country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">Lewis</forename><surname>Jones</surname><roleName type="degree">MD</roleName></persName><affiliation>Department of Radiology, Harper Hospital, Detroit, Michigan<address><country key="US"></country></address></affiliation></author><author xml:id="author-0004"><persName><forename type="first">Lance K.</forename><surname>Heilbrun</surname><roleName type="degree">PhD</roleName></persName><affiliation>Internal Medicine, Wayne State University, Detroit, Michigan<address><country key="US"></country></address></affiliation></author><author xml:id="author-0005"><persName><forename type="first">L. Joan</forename><surname>Manov</surname><roleName type="degree">MD</roleName></persName><affiliation>Diagnostic Radiology Service, Veteran's Administration Medical Center, Allen Park, Michigan<address><country key="US"></country></address></affiliation></author><author xml:id="author-0006"><persName><forename type="first">Jesus M.</forename><surname>O'Campo</surname><roleName type="degree">MD</roleName></persName><affiliation>Diagnostic Radiology Service, Veteran's Administration Medical Center, Allen Park, Michigan<address><country key="US"></country></address></affiliation></author><idno type="istex">9B762742E2D30926653EC1A772A178E265F50C66</idno><idno type="ark">ark:/67375/WNG-K0ZZK4ZQ-B</idno><idno type="DOI">10.1002/hed.2880160504</idno><idno type="unit">HED2880160504</idno><idno type="toTypesetVersion">file:HED.HED2880160504.pdf</idno></analytic><monogr><title level="j" type="main">Head & Neck</title><title level="j" type="alt">HEAD AND NECK</title><idno type="pISSN">1043-3074</idno><idno type="eISSN">1097-0347</idno><idno type="book-DOI">10.1002/(ISSN)1097-0347</idno><idno type="book-part-DOI">10.1002/hed.v16:5</idno><idno type="product">HED</idno><imprint><biblScope unit="vol">16</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="413">413</biblScope><biblScope unit="page" to="419">419</biblScope><biblScope unit="page-count">7</biblScope><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>New York</pubPlace><date type="published" when="1994-09"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><head>Abstract</head><p><hi rend="italic">Background.</hi> Clinically, head and neck cancer patients with anterior resections have better postoperative outcomes than do patients with posterior resections.</p><p><hi rend="italic">Methods.</hi> Videofluoroscopy was used to study the swallowing characteristics in postsurgery head and neck cancer patients and normal controls. Most patients received post‐operative radiotherapy and chemotherapy, and no cancer recurrence was noted at the time of study, 4‐8 months post‐treatment. Bolus types included: 3 mL and 10 mL liquid barium, barium paste, and barium‐coated cookie. Temporal measurements and a count of the number of swallows required to ingest each material were made from the video‐taped data. Statistical analysis using an unbalanced univariate repeated measures ANOVA was performed.</p><p><hi rend="italic">Results.</hi> The major differences were found between bolus types, with few differences noted between surgical groups (anterior vs posterior resections) and normal controls. Patients took longer to ingest viscous material, accomplishing this by multiple piecemeal and clearing swallows. Coordination of mastication and swallowing of the cookie was different between normal and patient groups.</p><p><hi rend="italic">Conclusions.</hi> Patients who are able to swallow reasonably well postoperatively maintain normal coordination and timing of swallowing activity and do not vary these parameters to compensate for structural inadequacy. Instead, repeated swallows are used. © 1994 John Wiley & Sons, Inc.</p></abstract><textClass><keywords rend="articleCategory"><term>Article</term></keywords><keywords rend="tocHeading1"><term>Articles</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/9B762742E2D30926653EC1A772A178E265F50C66/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Wiley Subscription Services, Inc., A Wiley Company</publisherName><publisherLoc>New York</publisherLoc></publisherInfo><doi registered="yes">10.1002/(ISSN)1097-0347</doi><issn type="print">1043-3074</issn><issn type="electronic">1097-0347</issn><idGroup><id type="product" value="HED"></id></idGroup><titleGroup><title type="main" xml:lang="en" sort="HEAD AND NECK">Head & Neck</title><title type="short">Head Neck</title></titleGroup></publicationMeta><publicationMeta level="part" position="50"><doi origin="wiley" registered="yes">10.1002/hed.v16:5</doi><numberingGroup><numbering type="journalVolume" number="16">16</numbering><numbering type="journalIssue">5</numbering></numberingGroup><coverDate startDate="1994-09">September/October 1994</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="4" status="forIssue"><doi origin="wiley" registered="yes">10.1002/hed.2880160504</doi><idGroup><id type="unit" value="HED2880160504"></id></idGroup><countGroup><count type="pageTotal" number="7"></count></countGroup><titleGroup><title type="articleCategory">Article</title><title type="tocHeading1">Articles</title></titleGroup><copyright ownership="publisher">Copyright © 1994 Wiley Periodicals, Inc., A Wiley Company</copyright><eventGroup><event type="manuscriptAccepted" date="1993-08-03"></event><event type="firstOnline" date="2006-07-18"></event><event type="publishedOnlineFinalForm" date="2006-07-18"></event><event type="xmlConverted" agent="Converter:JWSART34_TO_WML3G version:2.3.2 mode:FullText source:HeaderRef result:HeaderRef" date="2010-03-06"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-01-27"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-23"></event></eventGroup><numberingGroup><numbering type="pageFirst">413</numbering><numbering type="pageLast">419</numbering></numberingGroup><correspondenceTo>Department of Otolaryngology/5E‐VHC, Wayne State University. 4201 St. Antoine, Detroit, MI 48201</correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:HED.HED2880160504.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="figureTotal" number="1"></count><count type="tableTotal" number="5"></count><count type="referenceTotal" number="18"></count></countGroup><titleGroup><title type="main" xml:lang="en">Swallowing of bolus types by postsurgical head and neck cancer patients</title><title type="short" xml:lang="en">SWALLOWING OF BOLUS TYPES BY POSTSURGICAL HEAD AND NECK CANCER PATIENTS</title></titleGroup><creators><creator xml:id="au1" creatorRole="author" affiliationRef="#af1" corresponding="yes"><personName><givenNames>Robert J.</givenNames><familyName>Stachler</familyName><degrees>MD</degrees></personName></creator><creator xml:id="au2" creatorRole="author" affiliationRef="#af1"><personName><givenNames>Sandra L.</givenNames><familyName>Hamlet</familyName><degrees>PhD</degrees></personName></creator><creator xml:id="au3" creatorRole="author" affiliationRef="#af1"><personName><givenNames>Robert H.</givenNames><familyName>Mathog</familyName><degrees>MD</degrees></personName></creator><creator xml:id="au4" creatorRole="author" affiliationRef="#af3"><personName><givenNames>Lewis</givenNames><familyName>Jones</familyName><degrees>MD</degrees></personName></creator><creator xml:id="au5" creatorRole="author" affiliationRef="#af2"><personName><givenNames>Lance K.</givenNames><familyName>Heilbrun</familyName><degrees>PhD</degrees></personName></creator><creator xml:id="au6" creatorRole="author" affiliationRef="#af4"><personName><givenNames>L. Joan</givenNames><familyName>Manov</familyName><degrees>MD</degrees></personName></creator><creator xml:id="au7" creatorRole="author" affiliationRef="#af4"><personName><givenNames>Jesus M.</givenNames><familyName>O'Campo</familyName><degrees>MD</degrees></personName></creator></creators><affiliationGroup><affiliation xml:id="af1" countryCode="US" type="organization"><unparsedAffiliation>Departments of Otolaryngology, Detroit, Michigan</unparsedAffiliation></affiliation><affiliation xml:id="af2" countryCode="US" type="organization"><unparsedAffiliation>Internal Medicine, Wayne State University, Detroit, Michigan</unparsedAffiliation></affiliation><affiliation xml:id="af3" countryCode="US" type="organization"><unparsedAffiliation>Department of Radiology, Harper Hospital, Detroit, Michigan</unparsedAffiliation></affiliation><affiliation xml:id="af4" countryCode="US" type="organization"><unparsedAffiliation>Diagnostic Radiology Service, Veteran's Administration Medical Center, Allen Park, Michigan</unparsedAffiliation></affiliation></affiliationGroup><fundingInfo><fundingAgency>NIH</fundingAgency><fundingNumber>CA‐43838</fundingNumber><fundingNumber>5T32DC0026</fundingNumber><fundingNumber>CA‐22453</fundingNumber></fundingInfo><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title><p><i>Background.</i> Clinically, head and neck cancer patients with anterior resections have better postoperative outcomes than do patients with posterior resections.</p><p><i>Methods.</i> Videofluoroscopy was used to study the swallowing characteristics in postsurgery head and neck cancer patients and normal controls. Most patients received post‐operative radiotherapy and chemotherapy, and no cancer recurrence was noted at the time of study, 4‐8 months post‐treatment. Bolus types included: 3 mL and 10 mL liquid barium, barium paste, and barium‐coated cookie. Temporal measurements and a count of the number of swallows required to ingest each material were made from the video‐taped data. Statistical analysis using an unbalanced univariate repeated measures ANOVA was performed.</p><p><i>Results.</i> The major differences were found between bolus types, with few differences noted between surgical groups (anterior vs posterior resections) and normal controls. Patients took longer to ingest viscous material, accomplishing this by multiple piecemeal and clearing swallows. Coordination of mastication and swallowing of the cookie was different between normal and patient groups.</p><p><i>Conclusions.</i> Patients who are able to swallow reasonably well postoperatively maintain normal coordination and timing of swallowing activity and do not vary these parameters to compensate for structural inadequacy. Instead, repeated swallows are used. © 1994 John Wiley & Sons, Inc.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Swallowing of bolus types by postsurgical head and neck cancer patients</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>SWALLOWING OF BOLUS TYPES BY POSTSURGICAL HEAD AND NECK CANCER PATIENTS</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Swallowing of bolus types by postsurgical head and neck cancer patients</title></titleInfo><name type="personal"><namePart type="given">Robert J.</namePart><namePart type="family">Stachler</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Departments of Otolaryngology, Detroit, Michigan</affiliation><affiliation>Correspondence address: Department of Otolaryngology/5E‐VHC, Wayne State University. 4201 St. Antoine, Detroit, MI 48201</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Sandra L.</namePart><namePart type="family">Hamlet</namePart><namePart type="termsOfAddress">PhD</namePart><affiliation>Departments of Otolaryngology, Detroit, Michigan</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Robert H.</namePart><namePart type="family">Mathog</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Departments of Otolaryngology, Detroit, Michigan</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Lewis</namePart><namePart type="family">Jones</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Radiology, Harper Hospital, Detroit, Michigan</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Lance K.</namePart><namePart type="family">Heilbrun</namePart><namePart type="termsOfAddress">PhD</namePart><affiliation>Internal Medicine, Wayne State University, Detroit, Michigan</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">L. Joan</namePart><namePart type="family">Manov</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Diagnostic Radiology Service, Veteran's Administration Medical Center, Allen Park, Michigan</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Jesus M.</namePart><namePart type="family">O'Campo</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Diagnostic Radiology Service, Veteran's Administration Medical Center, Allen Park, Michigan</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><place><placeTerm type="text">New York</placeTerm></place><dateIssued encoding="w3cdtf">1994-09</dateIssued><dateValid encoding="w3cdtf">1993-08-03</dateValid><copyrightDate encoding="w3cdtf">1994</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="figures">1</extent><extent unit="tables">5</extent><extent unit="references">18</extent></physicalDescription><abstract lang="en">Background. Clinically, head and neck cancer patients with anterior resections have better postoperative outcomes than do patients with posterior resections. Methods. Videofluoroscopy was used to study the swallowing characteristics in postsurgery head and neck cancer patients and normal controls. Most patients received post‐operative radiotherapy and chemotherapy, and no cancer recurrence was noted at the time of study, 4‐8 months post‐treatment. Bolus types included: 3 mL and 10 mL liquid barium, barium paste, and barium‐coated cookie. Temporal measurements and a count of the number of swallows required to ingest each material were made from the video‐taped data. Statistical analysis using an unbalanced univariate repeated measures ANOVA was performed. Results. The major differences were found between bolus types, with few differences noted between surgical groups (anterior vs posterior resections) and normal controls. Patients took longer to ingest viscous material, accomplishing this by multiple piecemeal and clearing swallows. Coordination of mastication and swallowing of the cookie was different between normal and patient groups. Conclusions. Patients who are able to swallow reasonably well postoperatively maintain normal coordination and timing of swallowing activity and do not vary these parameters to compensate for structural inadequacy. Instead, repeated swallows are used. © 1994 John Wiley & Sons, Inc.</abstract><note type="funding">NIH - No. CA‐43838; No. 5T32DC0026; No. CA‐22453; </note><relatedItem type="host"><titleInfo><title>Head & Neck</title></titleInfo><titleInfo type="abbreviated"><title>Head Neck</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><subject><genre>article-category</genre><topic>Article</topic></subject><identifier type="ISSN">1043-3074</identifier><identifier type="eISSN">1097-0347</identifier><identifier type="DOI">10.1002/(ISSN)1097-0347</identifier><identifier type="PublisherID">HED</identifier><part><date>1994</date><detail type="volume"><caption>vol.</caption><number>16</number></detail><detail type="issue"><caption>no.</caption><number>5</number></detail><extent unit="pages"><start>413</start><end>419</end><total>7</total></extent></part></relatedItem><identifier type="istex">9B762742E2D30926653EC1A772A178E265F50C66</identifier><identifier type="ark">ark:/67375/WNG-K0ZZK4ZQ-B</identifier><identifier type="DOI">10.1002/hed.2880160504</identifier><identifier type="ArticleID">HED2880160504</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 1994 Wiley Periodicals, Inc., A Wiley Company</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource><recordOrigin>Wiley Subscription Services, Inc., A Wiley Company</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/9B762742E2D30926653EC1A772A178E265F50C66/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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