Pharyngeal swallowing dysfunction following treatment for oral and pharyngeal cancer-Association with diminished intraoral sensation and discrimination ability

Background. Swallowing disorders following treatment for oral and pharyngeal cancer are mainly considered a surgical sequel. The recent finding that radiotherapy‐induced decline in intraoral sensory abilities established an incentive to elucidate any association between the degree of sensory decline...

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Bibliographic Details
Published in:Head & neck 2008-10, Vol.30 (10), p.1344-1351
Main Authors: Jäghagen, Eva Levring, Bodin, Ingrid, Isberg, Annika
Format: Article
Language:English
Subjects:
Aged
Biological and medical sciences
Cineradiography
deglutition disorders
Deglutition Disorders - diagnosis
Deglutition Disorders - etiology
Deglutition Disorders - rehabilitation
Esophagus
Female
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Male
Medical sciences
Middle Aged
ODONTOLOGI
ODONTOLOGY
Oral Surgical Procedures - adverse effects
oropharyngeal cancer treatment
Oropharyngeal Neoplasms - radiotherapy
Oropharyngeal Neoplasms - surgery
Other diseases. Semiology
Otorhinolaryngology. Stomatology
Prospective Studies
radiotherapy
Radiotherapy, Adjuvant - adverse effects
Risk Assessment
Severity of Illness Index
Stereognosis - radiation effects
surgery
Sweden
Taste Disorders - etiology
Taste Threshold
Time Factors
Tumors
Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology
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Summary:Background. Swallowing disorders following treatment for oral and pharyngeal cancer are mainly considered a surgical sequel. The recent finding that radiotherapy‐induced decline in intraoral sensory abilities established an incentive to elucidate any association between the degree of sensory decline and the degree of swallowing dysfunction. Methods. Oral and pharyngeal swallowing was cineradiographically examined in 15 patients with oral or pharyngeal cancer before and after treatment. The patients were also tested for intraoral sensation, shape recognition, and hole size identification. Results. Swallowing function deteriorated in 67% of the patients 6 months posttreatment, with no significant improvement after 12 months. The degree of swallowing dysfunction was statistically significantly associated with the degree of diminished intraoral sensation and shape recognition. Conclusion. In the quest for rehabilitation after treatment for oral and pharyngeal cancer, the impact of impaired intraoral sensation and discrimination ability on swallowing function should be taken into consideration. © 2008 Wiley Periodicals, Inc. Head Neck, 2008
ISSN:1043-3074
1097-0347
1097-0347
DOI:10.1002/hed.20881