scholarly journals Dysphagia, Speech, Voice, and Trismus following Radiotherapy and/or Chemotherapy in Patients with Head and Neck Carcinoma: Review of the Literature

2016 ◽  
Vol 2016 ◽  
pp. 1-24 ◽  
Author(s):  
B. J. Heijnen ◽  
R. Speyer ◽  
B. Kertscher ◽  
R. Cordier ◽  
K. W. J. Koetsenruijter ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Oral Intake ◽  
Aerodigestive Tract ◽  
Upper Aerodigestive Tract ◽  
Treatment Protocols ◽  
Oncological Treatment

Introduction. Patients with head and neck cancer suffer from various impairments due to the primary illness, as well as secondary consequences of the oncological treatment. This systematic review describes the effects of radiotherapy and/or chemotherapy on the functions of the upper aerodigestive tract in patients with head and neck cancer.Methods. A systematic literature search was performed by two independent reviewers using the electronic databases PubMed and Embase. All dates up to May 2016 were included.Results. Of the 947 abstracts, sixty articles met the inclusion criteria and described one or more aspects of the sequelae of radiotherapy and/or chemotherapy. Forty studies described swallowing-related problems, 24 described voice-related problems, seven described trismus, and 25 studies described general quality of life. Only 14 articles reported that speech pathologists conducted the interventions, of which only six articles described in detail what the interventions involved.Conclusion. In general, voice quality improved following intervention, whereas quality of life, dysphagia, and oral intake deteriorated during and after treatment. However, as a consequence of the diversity in treatment protocols and patient characteristics, the conclusions of most studies cannot be easily generalised. Further research on the effects of oncological interventions on the upper aerodigestive tract is needed.

Evaluation and Management of Oropharyngeal Dysphagia in Head and Neck Cancer

2002 ◽  
Vol 9 (5) ◽  
pp. 400-409 ◽  
Author(s):  
Joy E. Gaziano
Keyword(s):  
Quality Of Life ◽  
Head And Neck Cancer ◽  
Nutritional Status ◽  
Head And Neck ◽  
Neck Cancer ◽  
Treatment Strategies ◽  
Oral Intake ◽  
Swallowing Disorders ◽  
Accurate Identification

Background Dysphagia is a common symptom of head and neck cancer or sequelae of its management. Swallowing disorders related to head and neck cancer are often predictable, depending on the structures or treatment modality involved. Dysphagia can profoundly affect posttreatment recovery as it may contribute to aspiration pneumonia, dehydration, malnutrition, poor wound healing, and reduced tolerance to medical treatments. Methods The author reviewed the normal anatomy and physiology of swallowing and contrasted it with the commonly identified swallowing deficits related to head and neck cancer management. Evaluation methods and treatment strategies that can be used to successfully manage the physical and psychosocial effects of dysphagia are also reviewed. Results Evaluation of dysphagia by the speech pathologist can be achieved with instrumental and non-instrumental methods. Once accurate identification of the deficits is completed, a range of treatment strategies can be applied that may return patients to safe oral intake, improve nutritional status, and enhance quality of life. Conclusions To improve safety of oral intake, normalize nutritional status, reduce complications of cancer treatment and enhance quality of life, accurate identification of swallowing disorders and efficient management of dysphagia symptoms must be achieved in an interdisciplinary team environment.

scholarly journals The quality of life and the occurrence of dysphagia in patients with head and neck cancer following combined oncological treatment

2017 ◽  
Vol 2 (1) ◽  
pp. 13-19
Author(s):  
Magdalena Dutsch-Wicherek ◽  
Magdalena Bańkowska-Woźniak ◽  
Wojciech Kazmierczak ◽  
Klaudia Cierniak-Kożuch ◽  
Konrad Dziobek ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Oncological Treatment

scholarly journals Analysis of the quality of life in patients submitted to oncological treatment of the head and neck

2020 ◽  
Vol 36 (6) ◽  
Author(s):  
Janaína Santos Paulista ◽  
Bianca Sakamoto Ribeiro Paiva ◽  
Carlos Eduardo Paiva ◽  
Marco Antônio De Oliveira ◽  
Maria Helena Barbosa ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Cancer Staging ◽  
Total Sample ◽  
Professional Activity ◽  
Cross Sectional ◽  
Oncological Treatment

To evaluate the quality of life and the influence of sociodemographic and clinical variables in patients undergoing treatment for head and neck cancer. Method: Quantitative, cross-sectional study. Two instruments were used: sociodemographic and clinical questionnaire and the Functional Assessment Cancer Therapy Head Neck (FACT-HN). Results: 170 respondents, 60.6% male, 51.2% married, with laryngeal cancer being the most found (34.7%) of the total sample, 78.8% underwent surgical procedures. In FACT-HN, the variables that showed significance were: educational level, professional activity and salary income. Only in the subscale additional head and neck cancer specific concerns (HNSC) were significant: type of cancer, staging, chemotherapy and surgical treatment. Conclusions: The research contributes by showing that predictive factors of quality of life are also socioeconomic issues and not just clinical issues related to the therapeutic approach. Assistance planning is essential to provide support for rehabilitation and reintegration into society.

Mapping the University of Washington Quality of life questionnaire onto EQ‐5D and HUI‐3 indices in patients with head and neck cancer

Head & Neck ◽  
2019 ◽  
Vol 42 (3) ◽  
pp. 513-521 ◽  
Author(s):  
Robert F. Stephens ◽  
Christopher W. Noel ◽  
Jie (Susie) Su ◽  
Wei Xu ◽  
Murray Krahn ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Life Questionnaire ◽  
University Of Washington ◽  
Quality Of Life Questionnaire ◽  
The University
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