Predicting Swallowing Outcomes from Objective Videofluoroscopic Timing and Displacement Measures in Head and Neck Cancer Patients

Radiation therapy with or without chemotherapy compromises swallowing efficiency and safety in patients with head and neck cancer (HNC). The resulting dysphagia leads to overall morbidity, with altered diets, reduced nutritional intake, reduced quality of life, and potential interruption of curative...

Full description

Saved in:
Bibliographic Details
Published in:Dysphagia 2020-10, Vol.35 (5), p.853-863
Main Authors: Vansant, Mathew B., Parker, Lindsey A., McWhorter, Andrew J., Bluoin, David, Kunduk, Melda
Format: Article
Language:English
Subjects:
Cancer
Cancer patients
Chemotherapy
Deglutition disorders
Gastroenterology
Head and neck cancer
Hepatology
Imaging
Measurement
Medicine
Medicine & Public Health
Original Article
Otorhinolaryngology
Patient outcomes
Physiological aspects
Prognosis
Radiation
Radiology
Radiotherapy
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Radiation therapy with or without chemotherapy compromises swallowing efficiency and safety in patients with head and neck cancer (HNC). The resulting dysphagia leads to overall morbidity, with altered diets, reduced nutritional intake, reduced quality of life, and potential interruption of curative cancer treatment. Despite well-documented radiation-related changes in swallowing physiology, scarce research exists on the potential clinical value for measurements of swallowing timing and displacement in this population. This study investigated the discriminatory value of quantitative timing and displacement parameters for the Functional Oral Intake Scale and Penetration Aspiration Scale scores using pre- and post-radiation videofluoroscopy data. Swallowtail Software Version 1 (Belldev Medical, Arlington Heights, IL) was used to obtain objective timing and displacement measurements from the pre- and post-radiation videofluoroscopy data for 31 patients who underwent radiation therapy, with or without chemotherapy, for head and neck cancer. The total pharyngeal transit time (BP2) ( p  
ISSN:0179-051X
1432-0460
DOI:10.1007/s00455-020-10091-5