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Surgical variables affecting swallowing in patients treated for oral/oropharyngeal cancer

✍ Scribed by Barbara Roa Pauloski; Alfred W. Rademaker; Jerilyn A. Logemann; Fred M. S. McConnel; Mary Anne Heiser; Salvatore Cardinale; Cathy L. Lazarus; Harold Pelzer; David Stein; Quinter Beery

Publisher: John Wiley and Sons
Year: 2004
Tongue: English
Weight: 119 KB
Volume: 26
Category: Article
ISSN: 1043-3074
DOI: 10.1002/hed.20013

No coin nor oath required. For personal study only.

✦ Synopsis

Abstract

Background.

Postoperative swallowing function may be influenced by a number of treatment variables; this study examines the relationship of various treatment factors to measures of swallow function.

Methods.

Swallowing was examined with the modified barium swallow procedure in 144 patients surgically treated for oral or oropharyngeal cancer 3 months after healing. Univariate and multivariate correlations were used to examine the relationship between swallowing function and treatment.

Results.

Percent tongue base resected and total volume resected were most often correlated with swallowing function in the univariate analyses. Multivariate analyses identified the following combinations with the strongest correlations: (1) percent tongue base resected and closure type for liquids; (2) percent tongue base resected and unreconstructed mandible for pastes; (3) total volume resected, percent lateral floor of mouth resected, and postoperative radiotherapy dose for masticated boluses.

Conclusions.

Total volume resected and percent tongue base resected had a profound impact on postoperative swallowing function. Combinations of percent tongue base resected with other surgical variables had the strongest relationships with overall swallowing function. © 2004 Wiley Periodicals, Inc. Head Neck 26: 625–636, 2004

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