A retrospective cross-sectional analysis of swallowing and tongue functions in maxillectomy patients.
Cancer-related therapy
Maxillectomy
Swallowing function
Tongue functions
Journal
Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer
ISSN: 1433-7339
Titre abrégé: Support Care Cancer
Pays: Germany
ID NLM: 9302957
Informations de publication
Date de publication:
Oct 2021
Oct 2021
Historique:
received:
25
11
2020
accepted:
25
03
2021
pubmed:
1
4
2021
medline:
16
10
2021
entrez:
31
3
2021
Statut:
ppublish
Résumé
To investigate the profiles of swallowing and tongue functions, and to identify factors influencing swallowing in maxillectomy patients. Maxillectomy patients whose swallowing function defined by Eating Assessment Tool (EAT-10) score and tongue functions (oral diadochokinesis: ODK, maximum tongue pressure: MTP) with or without obturator prostheses had been evaluated were enrolled in this study. The effects of the history of radiotherapy and soft palate defect on swallowing function were evaluated. The effect of radiotherapy on oral dryness was also evaluated. To examine correlations of swallowing function with continuous variables, Spearman correlation coefficients were calculated. A total of 47 maxillectomy patients (23 males and 24 females, median age: 71 [IQR: 63-76]) were registered. The median value of EAT-10 scores was 3 [IQR: 0-14]. Patients with the history of radiotherapy, but not with soft palate defect, showed significantly declined swallowing function. ODK and MTP of patients wearing obturator prostheses were significantly improved. No significant effect of radiotherapy on oral dryness was found. A significant correlation was found between EAT-10 score and MTP (P = 0.04). Swallowing function in maxillectomy patients was relatively impaired and the patients with the history of radiotherapy showed lower swallowing function. Obturator prostheses could contribute to the improvement of MTP and ODK (/ta/). MTP may play a crucial role in swallowing in maxillectomy patients.
Identifiants
pubmed: 33788004
doi: 10.1007/s00520-021-06186-w
pii: 10.1007/s00520-021-06186-w
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
6079-6085Informations de copyright
© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Références
Kreeft AM, Krap M, Wismeijer D, Speksnijder CM, Smeele LE, Bosch SD, Muijen MS, Balm AJ (2012) Oral function after maxillectomy and reconstruction with an obturator. Int J Oral Maxillofac Surg 41:1387–1392. https://doi.org/10.1016/j.ijom.2012.07.014
doi: 10.1016/j.ijom.2012.07.014
pubmed: 22939876
Chen C, Ren WH, Huang RZ, Gao L, Hu ZP, Zhang LM, Li SM, Dong K, Qi H, Zhi KQ (2016) Quality of life in patients after maxillectomy and placement of prosthetic obturator. Int J Prosthodont 29:363–368. https://doi.org/10.11607/ijp.4608
doi: 10.11607/ijp.4608
pubmed: 27479344
Said MM, Otomaru T, Aimaijiang Y, Li N, Taniguchi H (2016) Association between masticatory function and oral health-related quality of life in partial maxillectomy patients. Int J Prosthodont 29:561–564. https://doi.org/10.11607/ijp.4852
doi: 10.11607/ijp.4852
pubmed: 27824974
Dos Santos DM, de Caxias FP, Bitencourt SB, Turcio KH, Pesqueira AA, Goiato MC (2018) Oral rehabilitation of patients after maxillectomy. A systematic review. Br J Oral Maxillofac Surg 56:256–266. https://doi.org/10.1016/j.bjoms.2018.03.001
doi: 10.1016/j.bjoms.2018.03.001
pubmed: 29655661
Koyama S, Sasaki K, Inai T, Watanabe M (2005) Effects of defect configuration, size, and remaining teeth on masticatory function in post-maxillectomy patients. J Oral Rehabil 32:635–641. https://doi.org/10.1111/j.1365-2842.2005.01483.x
doi: 10.1111/j.1365-2842.2005.01483.x
pubmed: 16102075
Matsuyama M, Tsukiyama Y, Tomioka M, Koyano K (2006) Clinical assessment of chewing function of obturator prosthesis wearers by objective measurement of masticatory performance and maximum occlusal force. Int J Prosthodont 19:253–257
pubmed: 16752621
Reitemeier B, Unger M, Richter G, Ender B, Range U, Markwardt J (2012) Clinical test of masticatory efficacy in patients with maxillary/mandibular defects due to tumors. Onkologie. 35:170–174. https://doi.org/10.1159/000337374
doi: 10.1159/000337374
pubmed: 22488086
Shibuya Y, Ishida S, Kobayashi M, Hasegawa T, Nibu K, Komori T (2013) Evaluation of masticatory function after maxillectomy using a colour-changing chewing gum. J Oral Rehabil 40:191–198. https://doi.org/10.1111/joor.12023
doi: 10.1111/joor.12023
pubmed: 23278102
de Groot RJ, Wetzels JW, Merkx MAW, Rosenberg AJWP, de Haan AFJ, van der Bilt A, Abbink JH, Speksnijder CM (2019) Masticatory function and related factors after oral oncological treatment: a 5-year prospective study. Head Neck 41:216–224. https://doi.org/10.1002/hed.25445
doi: 10.1002/hed.25445
pubmed: 30552819
de Groot RJ, Merkx MAW, Hamann MNS, Brand HS, de Haan AFJ, Rosenberg AJWP, Speksnijder CM (2020) Tongue function and its influence on masticatory performance in patients treated for oral cancer: a five-year prospective study. Support Care Cancer 28:1491–1501. https://doi.org/10.1007/s00520-019-04913-y
doi: 10.1007/s00520-019-04913-y
pubmed: 31273502
Jean A (2001) Brain stem control of swallowing: neuronal network and cellular mechanisms. Physiol Rev 81:929–969. https://doi.org/10.1152/physrev.2001.81.2.929
doi: 10.1152/physrev.2001.81.2.929
pubmed: 11274347
Lang IM (2009) Brain stem control of the phases of swallowing. Dysphagia. 24:333–348. https://doi.org/10.1007/s00455-009-9211-6
doi: 10.1007/s00455-009-9211-6
pubmed: 19399555
Jansma J, Vissink A, Bouma J, Vermey A, Panders AK, Gravenmade EJ (1992) A survey of prevention and treatment regimens for oral sequelae resulting from head and neck radiotherapy used in Dutch radiotherapy institutes. Int J Radiat Oncol Biol Phys 24:359–367. https://doi.org/10.1016/0360-3016(92)90692-b
doi: 10.1016/0360-3016(92)90692-b
pubmed: 1526875
King SN, Dunlap NE, Tennant PA, Pitts T (2016) Pathophysiology of radiation-induced dysphagia in head and neck cancer. Dysphagia. 31:339–351. https://doi.org/10.1007/s00455-016-9710-1
doi: 10.1007/s00455-016-9710-1
pubmed: 27098922
pmcid: 5340192
Abdulkareem EH, Aftan KT (2018) Surgical treatment of maxillary antrum neoplasms. J Craniofac Surg 29:e641–e645. https://doi.org/10.1097/SCS.0000000000004631
doi: 10.1097/SCS.0000000000004631
pubmed: 29863554
Sezgin B, Durusoy D, Demirci MS, Ozturk K, Kaya I, Eyigor S, Gode S (2018) The effect of “xanthan gum-based fluid thickener” on hydration, swallowing functions and nutritional status in total maxillectomy patients. Eur Arch Otorhinolaryngol 275:2997–3005. https://doi.org/10.1007/s00405-018-5167-1
doi: 10.1007/s00405-018-5167-1
pubmed: 30345475
Matsuyama M, Tsukiyama Y, Koyano K (2005) Objective clinical assessment of change in swallowing ability of maxillectomy patients when wearing obturator prostheses. Int J Prosthodont 18:475–479
pubmed: 16335165
Vero N, Mishra N, Singh BP, Singh K, Jurel SK, Kumar V (2015) Assessment of swallowing and masticatory performance in obturator wearers: a clinical study. J Adv Prosthodont 7:8–14. https://doi.org/10.4047/jap.2015.7.1.8
doi: 10.4047/jap.2015.7.1.8
pubmed: 25722831
pmcid: 4341192
Murphy J, Isaiah A, Wolf JS, Lubek JE (2015) Quality of life factors and survival after total or extended maxillectomy for sinonasal malignancies. J Oral Maxillofac Surg 73:759–763. https://doi.org/10.1016/j.joms.2014.11.002
doi: 10.1016/j.joms.2014.11.002
pubmed: 25661508
Said MM, Otomaru T, Yeerken Y, Taniguchi H (2017) Masticatory function and oral health-related quality of life in patients after partial maxillectomies with closed or open defects. J Prosthet Dent 118:108–112. https://doi.org/10.1016/j.prosdent.2016.11.003
doi: 10.1016/j.prosdent.2016.11.003
pubmed: 28089334
Sreeraj R, Krishnan V, Manju V, Thankappan K (2017) Comparison of masticatory and swallowing functional outcomes in surgically and prosthetically rehabilitated maxillectomy patients. Int J Prosthodont 30:573–576. https://doi.org/10.11607/ijp.4231
Kamiyanagi A, Sumita Y, Ino S, Chikai M, Nakane A, Tohara H, Minakuchi S, Seki Y, Endo H, Taniguchi H (2018) Evaluation of swallowing ability using swallowing sounds in maxillectomy patients. J Oral Rehabil 45:126–131. https://doi.org/10.1111/joor.12593
doi: 10.1111/joor.12593
pubmed: 29197111
Ono T, Hori K, Nokubi T (2004) Pattern of tongue pressure on hard palate during swallowing. Dysphagia. 19:259–264. https://doi.org/10.1007/s00455-004-0010-9
doi: 10.1007/s00455-004-0010-9
pubmed: 15667061
Kondoh J, Ono T, Tamine K, Fujiwara S, Minagi Y, Hori K, Maeda Y, Kreissl M, Nitschke I (2015) Effect of complete denture wearing on tongue motor biomechanics during swallowing in edentulous older adults. Geriatr Gerontol Int 15:565–571. https://doi.org/10.1111/ggi.12315
doi: 10.1111/ggi.12315
pubmed: 25109368
Kim HD, Choi JB, Yoo SJ, Chang MY, Lee SW, Park JS (2017) Tongue-to-palate resistance training improves tongue strength and oropharyngeal swallowing function in subacute stroke survivors with dysphagia. J Oral Rehabil 44:59–64. https://doi.org/10.1111/joor.12461
doi: 10.1111/joor.12461
pubmed: 27883209
Hiraoka A, Yoshikawa M, Nakamori M, Hosomi N, Nagasaki T, Mori T, Oda M, Maruyama H, Yoshida M, Izumi Y, Matsumoto M, Tsuga K (2017) Maximum tongue pressure is associated with swallowing dysfunction in ALS patients. Dysphagia. 32:542–547. https://doi.org/10.1007/s00455-017-9797-z
doi: 10.1007/s00455-017-9797-z
pubmed: 28424896
Belafsky PC, Mouadeb DA, Rees CJ, Pryor JC, Postma GN, Allen J, Leonard RJ (2008) Validity and reliability of the Eating Assessment Tool (EAT-10). Ann Otol Rhinol Laryngol 117:919–924. https://doi.org/10.1177/000348940811701210
doi: 10.1177/000348940811701210
pubmed: 19140539
Minakuchi S, Tsuga K, Ikebe K, Ueda T, Tamura F, Nagao K, Furuya J, Matsuo K, Yamamoto K, Kanazawa M, Watanabe Y, Hirano H, Kikutani T, Sakurai K (2018) Oral hypofunction in the older population: position paper of the Japanese Society of Gerodontology in 2016. Gerodontology. 35:317–324. https://doi.org/10.1111/ger.12347
doi: 10.1111/ger.12347
pubmed: 29882364
Takeuchi N, Sawada N, Ekuni D, Morita M (2020) Oral diadochokinesis is related to decline in swallowing function among community-dwelling Japanese elderly: a cross-sectional study. Aging Clin Exp Res. (online ahead of print.) 33:399–405. https://doi.org/10.1007/s40520-020-01547-7
doi: 10.1007/s40520-020-01547-7
pubmed: 32306370
Strojan P, Hutcheson KA, Eisbruch A, Beitler JJ, Langendijk JA, Lee AWM, Corry J, Mendenhall WM, Smee R, Rinaldo A, Ferlito A (2017) Treatment of late sequelae after radiotherapy for head and neck cancer. Cancer Treat Rev 59:79–92. https://doi.org/10.1016/j.ctrv.2017.07.003
doi: 10.1016/j.ctrv.2017.07.003
pubmed: 28759822
pmcid: 5902026
Mali SB (2015) Stereotactic radiotherapy for head neck cancer. Oral Oncol 5:e19–e20. https://doi.org/10.1016/j.oraloncology.2014.12.010
doi: 10.1016/j.oraloncology.2014.12.010
Quinlan-Davidson SR, Mohamed ASR, Myers JN, Gunn GB, Johnson FM, Skinner H, Beadle BM, Gillenwater AM, Phan J, Frank SJ, William WN, Wong AJ, Lai SY, Fuller CD, Morrison WH, Rosenthal DI, Garden AS (2017) Outcomes of oral cavity cancer patients treated with surgery followed by postoperative intensity modulated radiation therapy. Oral Oncol 72:90–97. https://doi.org/10.1016/j.oraloncology.2017.07.002
doi: 10.1016/j.oraloncology.2017.07.002
pubmed: 28797467
pmcid: 5796661
Perry A, Anderson K, Lean R, Cotton S (2002) Elevation of the soft palate in speech and swallowing in normal female participants and females with motor neuron disease: an innovative procedure for measuring palatal elevation. Int J Lang Commun Disord 37:197–214. https://doi.org/10.1080/13682820110116857
doi: 10.1080/13682820110116857
pubmed: 12012616
Britt CJ, Hwang MS, Day AT, Boahene K, Byrne P, Haughey BH, Desai SC (2019) A review of and algorithmic approach to soft palate reconstruction. JAMA Facial Plast Surg 21:332–339. https://doi.org/10.1001/jamafacial.2019.0008
doi: 10.1001/jamafacial.2019.0008
pubmed: 30920582
Moya-Plana A, Veyrat M, Honart JF, de Fremicourt K, Alkhashnam H, Sarfati B, Janot F, Leymarie N, Temam S, Kolb F (2019) Reconstruction of maxillectomy and midfacial defects using latissimus dorsi-scapular free flaps in a comprehensive cancer center. Oral Oncol 99:104468. https://doi.org/10.1016/j.oraloncology.2019.104468
doi: 10.1016/j.oraloncology.2019.104468
pubmed: 31678764
Yoshida M, Endo Y, Nishimura R, Masuda S, Amano J, Tsuga K (2019) Palatal augmentation prosthesis (PAP) can improve swallowing function for the patients in rehabilitation hospital. J Prosthodont Res. 63:199–201. https://doi.org/10.1016/j.jpor.2018.11.009
doi: 10.1016/j.jpor.2018.11.009
pubmed: 30553811
Sagawa K, Furuya H, Ohara Y, Yoshida M, Hirano H, Iijima K, Kikutani T (2019) Tongue function is important for masticatory performance in the healthy elderly: a cross-sectional survey of community-dwelling elderly. J Prosthodont Res 63:31–34. https://doi.org/10.1016/j.jpor.2018.03.006
doi: 10.1016/j.jpor.2018.03.006
pubmed: 30197226
Kobuchi R, Okuno K, Kusunoki T, Inoue T, Takahashi K (2020) The relationship between sarcopenia and oral sarcopenia in elderly people. J Oral Rehabil 47:636–642. https://doi.org/10.1111/joor.12948
doi: 10.1111/joor.12948
pubmed: 32072652
Oh JC (2015) Effects of tongue strength training and detraining on tongue pressures in healthy adults. Dysphagia. 30:315–320. https://doi.org/10.1007/s00455-015-9601-x
doi: 10.1007/s00455-015-9601-x
pubmed: 25840786
Namiki C, Hara K, Tohara H, Kobayashi K, Chantaramanee A, Nakagawa K, Saitou T, Yamaguchi K, Yoshimi K, Nakane A, Minakuchi S (2019) Tongue-pressure resistance training improves tongue and suprahyoid muscle functions simultaneously. Clin Interv Aging 22:601–608. https://doi.org/10.2147/CIA.S194808
doi: 10.2147/CIA.S194808
Aramany MA (1978) Basic principles of obturator design for partially edentulous patients. Part I: classification. J Prosthet Dent 40:554–557. https://doi.org/10.1016/0022-3913(78)90092-6
doi: 10.1016/0022-3913(78)90092-6
pubmed: 364015
Okay DJ, Genden E, Buchbinder D, Urken M (2001) Prosthodontic guidelines for surgical reconstruction of the maxilla: a classification system of defects. J Prosthet Dent 86:352–363. https://doi.org/10.1067/mpr.2001.119524
doi: 10.1067/mpr.2001.119524
pubmed: 11677528