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Swallowing of bolus types by postsurgical head and neck cancer patients

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Swallowing of bolus types by postsurgical head and neck cancer patients

Auteurs : Robert J. Stachler [États-Unis] ; Sandra L. Hamlet [États-Unis] ; Robert H. Mathog [États-Unis] ; Lewis Jones [États-Unis] ; Lance K. Heilbrun [États-Unis] ; L. Joan Manov [États-Unis] ; Jesus M. O'Campo [États-Unis]

Source :

Head & Neck [ 1043-3074 ] ; 1994-09.

RBID : ISTEX:9B762742E2D30926653EC1A772A178E265F50C66

English descriptors

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:

https://api.istex.fr/document/9B762742E2D30926653EC1A772A178E265F50C66/fulltext/pdf

DOI: 10.1002/hed.2880160504

Affiliations:

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Le document en format XML

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<author><name sortKey="Mathog, Robert H" sort="Mathog, Robert H" uniqKey="Mathog R" first="Robert H." last="Mathog">Robert H. Mathog</name>
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<author><name sortKey="Jones, Lewis" sort="Jones, Lewis" uniqKey="Jones L" first="Lewis" last="Jones">Lewis Jones</name>
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<author><name sortKey="Heilbrun, Lance K" sort="Heilbrun, Lance K" uniqKey="Heilbrun L" first="Lance K." last="Heilbrun">Lance K. Heilbrun</name>
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<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>
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<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>
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<affiliations><list><country><li>États-Unis</li>
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<tree><country name="États-Unis"><region name="Michigan"><name sortKey="Stachler, Robert J" sort="Stachler, Robert J" uniqKey="Stachler R" first="Robert J." last="Stachler">Robert J. Stachler</name>
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Swallowing of bolus types by postsurgical head and neck cancer patients

Swallowing of bolus types by postsurgical head and neck cancer patients

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Abstract

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