Instrumental evaluation of dysphagia after oropharyngeal cancer surgery with free flap reconstruction
Journal Title: Polski Przegląd Otorynolaryngologiczny - Year 2016, Vol 5, Issue 4
Abstract
Introduction: Assessment of usefulness of instrumental method of evaluation of dysphagia in creating a therapeutic plan among patients after oropharyngeal cancer surgery with free flap reconstruction. Material and Method: Seven patients after oropharyngeal cancer surgery with free flap reconstruction hospitalized from January to September 2016 in the ENT Department of Warsaw Medical University were included in this study. All patients underwent few times after surgery: clinical swallowing examination, water swallowing screening test and fiberoptic endoscopic evaluation of swallowing and/or videofluoroscopy. Results: All patients were diagnosed with dysphagia and had unitentional weight loss (average 5,9% of initial weight during 3 months). In water swallowing test only three participant achieved negative score for 5 ml, and two for 10 ml, 20 ml and 90 ml of water. Fiberoptic endoscopic evaluation of swallowing was analyzed for swallowing patterns and laryngeal pathology. FEES showed following abnormalities: aspiration (saliva, liquid), penetration (puree, liquid), premature swallowing (liquid, puree) and multiswallowing (liquid, puree, solid food), retention (saliva, puree, liquid, solid food). Videofluroscopy showed on the first place problems with oral phase of swallowing: difficulty forming and propeling bolus, tongue pumping movements, oral cavity residue, premature spillage and delayed oral onset. During the pharyngeal phase we observed: residue in valleculae and piriform sinuses, reduced laryngeal elevation, penetration and aspiration, multiple swallows. Conclusion: Instrumental assessment of swallowing helps during diagnostic and therapeutic process of patients with dysphagia after oncological treatment. a.
Authors and Affiliations
Barbra Jamróz, Joanna Chmielewska, Magdalena Milewska, Kazimierz Niemczyk
Keywords
Related Articles
- EP ID EP187363
- DOI -
- Views 164
- Downloads 0
Pevalence of active HPV infection in head and neck cancer patients
HPV, mainly HPV type 16 and to a lesser extent type 18, is a newly identifid causal factor for SCCHN. The association between HPV and SCCHN is strongest for cancers of the tonsil, intermediate for the rest of the orophar...
Diagnostic protocol in voice disorders
Leczenie objawowego liszaja płaskiego jamy ustnej: przegląd literatury
Liszaj płaski (ang. lichen planus, LP) jest stosunkowo częstą, przewlekłą chorobą zapalną skóry i błon śluzowych. Jego etiologia pozostaje nieznana, ale może mieć związek z funkcjonowaniem układu immunologicznego. Czynni...
Zespól Eagle'a – opis przypadku
The authors describe the case of 43-year-old male, with cervical pain in whom im aging with CT conclusively esta blished the diagnosis of Eagle Syndrome. Eagle Syndrome occurs due to elongation of the styloid process or...
Diagnostic value of the fistula test in patients with fixation nystagmus
The aim of the study was to evaluate the fistula test in patients of chronic otitis media with cholesteatoma and co-occurrence of fixation nystagmus. The results show limited diagnostic usefulness of fistula test due to...