Swallowing function in advanced tongue cancer patients before and after bilateral neck dissection following superselective intra-arterial chemoradiotherapy for organ preservation: a case-control study.
Advanced tongue cancer
Bilateral neck dissection
Hyoid bone
Superselective intra-arterial chemoradiotherapy
Swallowing function
Journal
Oral radiology
ISSN: 1613-9674
Titre abrégé: Oral Radiol
Pays: Japan
ID NLM: 8806621
Informations de publication
Date de publication:
09 2019
09 2019
Historique:
received:
25
05
2018
accepted:
30
07
2018
pubmed:
30
11
2018
medline:
8
8
2020
entrez:
29
11
2018
Statut:
ppublish
Résumé
This study aimed to evaluate swallowing function in advanced tongue cancer patients before and after bilateral neck dissection following superselective intra-arterial chemoradiotherapy (CRT). A videofluoroscopic swallowing study (VFSS) was used to evaluate swallowing function in 10 patients with advanced tongue cancer before and after bilateral neck dissection. Laryngeal penetration increased in the postoperative VFSS. Temporal analysis comparing two time points revealed that, after surgery, oral transit time increased significantly, but there was no difference in pharyngeal delay time or pharyngeal transit time. Spatial analysis revealed significant decreases after surgery in the maximum distance of upper esophageal sphincter (UES) opening, the maximum distance of hyoid bone movement in both the anterior and superior direction, and the maximum velocity of hyoid bone movement. Laryngeal penetration and aspiration increased as a result of limited hyoid movement and diminished UES opening after bilateral neck dissection following superselective intra-arterial CRT for advanced tongue cancer.
Identifiants
pubmed: 30484199
doi: 10.1007/s11282-018-0341-0
pii: 10.1007/s11282-018-0341-0
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
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