scholarly journals Change in Nutritional Status and Dysphagia after Resection of Head and Neck Cancer

Nutrients ◽  
2021 ◽  
Vol 13 (7) ◽  
pp. 2438
Author(s):  
Ayumi Sadakane-Sakuramoto ◽  
Yoko Hasegawa ◽  
Kazuma Sugahara ◽  
Nobuhide Horii ◽  
Syota Saito ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
High Risk ◽  
Nutritional Status ◽  
Head And Neck ◽  
Surgical Resection ◽  
Neck Cancer ◽  
Oral Intake ◽  
The Body ◽  
Tongue Pressure ◽  
Functional Oral Intake Scale

Nutritional status is well-known to influence patient recovery after resection of head and neck cancer (HNC). The influence of preoperative nutritional status on dysphagia was assessed in patients who underwent surgical resection of HNC along with the assessment of nutritional status during the acute and subacute phases. Eighty-six patients underwent surgical resection and dysphagia assessments (repetitive saliva-swallowing test, water-swallowing test, and functional oral intake scale) and had their tongue pressure assessed five times (before surgery, after 1–2 weeks, and 1, 2, and 3 months after surgery). The nutritional status was assessed according to the body mass index, total protein, and albumin. The prognostic nutritional index was calculated from preoperative data, and the subjects were classified into three groups: Low-risk, Attention and High-risk groups. After surgery, the nutritional status index values were low, and the High-risk group showed significantly lower values in comparison to the other two groups. The water-swallowing test and functional oral intake scale findings were worse than they had been preoperatively until 2 months after surgery, and a significant correlation was noted between the postoperative nutritional status and the presence of dysphagia. The results indicated that the preoperative nutritional status of HNC patients influenced their ability to ingest/swallow, which in turn influenced their nutritional status after HNC resection.

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 Does the Masticatory Function Interfere With the Nutritional Status and Quality of Life in Individuals After Treatment for Head and Neck Cancer?

2021 ◽  
Author(s):  
Renata Camilla Favarin Froes ◽  
Mariana Inri Carvalho² ◽  
Raquel Rosa Rodrigues³ ◽  
Paulo Sérgio dos Santos Silva ◽  
Giédre Berretin-Felix
Keyword(s):  
Quality Of Life ◽  
Head And Neck Cancer ◽  
Oral Health ◽  
Nutritional Status ◽  
Head And Neck ◽  
Neck Cancer ◽  
Muscle Activity ◽  
The Body ◽  
Fat Percentage

Abstract Head and neck cancer damages the oral health and chewing performance, impairing the nutritional status and quality of life even after treatment completion. Objective: This study investigated the effect of treatment on the chewing function, the influence on oral health in chewing function and the relationships between chewing, nutritional status and quality of life in individuals after treatment of head and neck cancer. Methods: The study was conducted on twenty individuals who were evaluated by surface electromyography; nutritional status; evaluation of oral health and quality of life. Results: The results of electromyography showed an asymmetric pattern, with predominance of activity on the working side. The correlations evidenced that the greater the use of upper dentures and caries activity, the greater the asymmetry of muscle activity, while the greater need of lower denture led to more chewing cycles. The lower the body fat percentage, the greater the symmetry of muscle activity; and the lower the recruitment of temporalis muscles, the greater the physical limitation. Conclusions: It was concluded that, in individuals after treatment of head and neck cancer, there was relationship between the correlated variables.

Change in tongue pressure in patients with head and neck cancer after surgical resection

Odontology ◽  
2017 ◽  
Vol 105 (4) ◽  
pp. 494-503 ◽  
Author(s):  
Yoko Hasegawa ◽  
Kazuma Sugahara ◽  
Tatsuyuki Fukuoka ◽  
Shota Saito ◽  
Ayumi Sakuramoto ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Surgical Resection ◽  
Neck Cancer ◽  
Tongue Pressure

Effect of Pretreatment Dysphagia on Postchemoradiation Swallowing Function in Head and Neck Cancer

2021 ◽  
pp. 019459982110098
Author(s):  
Daniel J. Cates ◽  
Lisa M. Evangelista ◽  
Peter C. Belafsky
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Odds Ratio ◽  
Independent Predictor ◽  
Oral Intake ◽  
Swallowing Function ◽  
Swallowing Dysfunction ◽  
The Mean ◽  
Functional Oral Intake Scale

Objectives Chemoradiation therapy (CRT) for head and neck cancer can have profound effects on swallowing function. Identification of risk factors for development of swallowing dysfunction after CRT may improve allocation of preventive strategies. The purpose of this study is to determine the association between pre-CRT dysphagia and post-CRT swallowing dysfunction. Study Design Retrospective cohort study. Setting Academic medical center. Methods Patients with head and neck cancer were evaluated before and 3 months after CRT. Dysphagia was assessed with the Eating Assessment Tool (EAT-10). Swallowing dysfunction was evaluated by a videofluoroscopic swallow study and the Penetration-Aspiration Scale and swallowing safety was evaluated by the Functional Oral Intake Scale. The association between pre-CRT EAT-10 scores and post-CRT swallowing dysfunction was evaluated. Results The mean ± SD post-CRT Functional Oral Intake Scale score was 6.5 ± 1.2 for individuals with a pre-CRT EAT-10 score <3 and 5.3 ± 1.9 for those with a pre-CRT EAT-10 score ≥3 ( P < .001). The mean post-CRT Penetration-Aspiration Scale score was 2.2 ± 1.5 for individuals with a pre-CRT EAT-10 score <3 and 3.8 ± 2.6 for those with a pre-CRT EAT-10 score ≥3 ( P < .001). After multivariate analysis adjusting for age, tumor subsite, T classification, and primary surgery, pre-CRT dysphagia (EAT-10 ≥3) was an independent predictor of post-CRT aspiration (odds ratio, 4.19 [95% CI, 1.08-16.20]; P = .04) and feeding tube dependence (odds ratio, 3.54 [95% CI, 1.01-12.33]; P = .04). Conclusion The presence of dysphagia before chemoradiation for head and neck cancer is an independent predictor of swallowing dysfunction after completion of therapy. These results may help target intervention toward preventing swallowing dysfunction in high-risk individuals.

scholarly journals Impact of geniohyoid and masseter muscle masses on dysphagia after salvage surgery and radiotherapy in head and neck cancer

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Nao Hashida ◽  
Hiroshi Shamoto ◽  
Keisuke Maeda ◽  
Hidetaka Wakabayashi
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Muscle Mass ◽  
Neck Cancer ◽  
Masseter Muscle ◽  
Salvage Surgery ◽  
Oral Intake ◽  
Male Patients ◽  
The Mean ◽  
Functional Oral Intake Scale

AbstractThis study aimed to determine whether geniohyoid and/or masseter muscle mass can predict the severity of dysphagia after salvage surgery for head and neck cancer. We conducted a retrospective cohort study of 45 male patients with head and neck cancer (median age, 68 years) who underwent salvage surgery. The preoperative geniohyoid and masseter muscle masses were evaluated using computed tomography and the severity of dysphagia was evaluated by Penetration Aspiration Scale (PAS), Functional Oral Intake Scale (FOIS) and Oropharyngeal swallow efficiency (OPSE). The median PAS, FOIS and OPSE scores after surgery were 7 (interquartile range [IQR] 1–8), 6 (IQR 2–7) and 95.8 (IQR 67.1–116.2), respectively. The mean geniohyoid muscle masses were 3.13 ± 0.78 cm2 and the mean masseter muscle masses were 4.37 ± 0.99 cm2, respectively. The multivariate analysis showed that the geniohyoid muscle mass was significantly associated with the PAS, FOIS and OPSE scores. Conversely, the masseter muscle mass was not significantly associated with the PAS score but was significantly associated with the FOIS and OPSE scores. Geniohyoid muscle mass may predict the severity of dysphagia after salvage surgery.

Nutritional status as a prognostic factor in advanced head and neck cancer

1998 ◽  
Vol 23 (4) ◽  
pp. 376-376
Author(s):  
Quak ◽  
Van Bokhorst ◽  
Klop ◽  
Van Leeuwen ◽  
Snow
Keyword(s):  
Head And Neck Cancer ◽  
Prognostic Factor ◽  
Nutritional Status ◽  
Head And Neck ◽  
Neck Cancer ◽  
Advanced Head

Prognosis in Head and Neck Cancer: Importance of Nutritional and Biological Inflammatory Status

2021 ◽  
pp. 019459982110045
Author(s):  
Nicolas Saroul ◽  
Mathilde Puechmaille ◽  
Céline Lambert ◽  
Achraf Sayed Hassan ◽  
Julian Biau ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Prognostic Factors ◽  
Inflammatory Response ◽  
Nutritional Status ◽  
Head And Neck ◽  
Neck Cancer ◽  
Risk Index ◽  
Nutritional Risk ◽  
Inflammatory Status ◽  
Nutritional Risk Index

Objectives To determine the importance of nutritional status, social status, and inflammatory status in the prognosis of head and neck cancer. Study Design Single-center retrospective study of prospectively collected data. Setting Tertiary referral center. Methods Ninety-two consecutive patients newly diagnosed for cancer of the upper aerodigestive tract without metastases were assessed at time of diagnosis for several prognostic factors. Nutritional status was assessed by the nutritional risk index, social status by the EPICES score, and inflammatory status by the systemic inflammatory response index. The primary endpoint was overall survival. Results In multivariable analysis, the main prognostic factors were the TNM classification (hazard ratio [HR] = 3.34, P = .002, for stage T3-4), malnutrition as assessed by the nutritional risk index (HR = 3.64, P = .008, for severe malnutrition), and a systemic inflammatory response index score ≥1.6 (HR = 3.32, P = .02). Social deprivation was not a prognostic factor. Conclusion Prognosis in head and neck cancer is multifactorial; however, malnutrition and inflammation are important factors that are potentially reversible by early intervention.

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