Aspiration Risk and Postoperative Radiation for Head and Neck Cancer

被引:3
作者
Nguyen, Nam P. [1 ]
Frank, Cheryl
Moltz, Candace C.
Millar, Carrie
Smith, Herbert J.
Dutta, Suresh [2 ]
Alfieri, Alan [3 ]
Lee, Howard [4 ]
Vos, Paul [5 ]
Karlsson, Ulf [6 ]
Nguyen, Ly M. [7 ]
Sallah, Sabah [8 ]
机构
[1] Univ Arizona, Radiat Oncol Serv 140, Dept Radiat Oncol, Tucson, AZ 85724 USA
[2] Univ So Calif, Dept Radiat Oncol, Los Angeles, CA USA
[3] Albert Einstein Univ, Dept Radiat Oncol, New York, NY USA
[4] VA N Texas Hlth Care Syst, Dallas, TX USA
[5] E Carolina Univ, Dept Biostat, Greenville, NC USA
[6] E Carolina Univ, Dept Radiat Oncol, Greenville, NC USA
[7] Univ Michigan, Ann Arbor, MI 48109 USA
[8] Novo Nordisk, Hematol Res Div, Athens, Greece
关键词
Dysphagia; Aspiration; Postoperative radiation; Head and neck cancer; SWALLOWING FUNCTION; ORAL-CANCER; DYSPHAGIA; SURGERY; CHEMORADIATION; RADIOTHERAPY; CARCINOMA; THERAPY; DISEASE; IMPACT;
D O I
10.1080/07357900802146162
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The aim of the study was to assess the aspiration risk following postoperative radiation for head and neck cancer. Thirty-seven patients had Modified Barium Swallow before and following treatment. Dysphagia severity was graded from 1 to 7. Before treatment there were sixteen grade 1, seventeen grade 2, three grade 3 and one grade 5. Following postoperative radiation, two patients had grade 1, eleven patients had grade 2, thirteen patients had grade 3, four patients had grade 4, four patients had grade 5, one patients had grade 6, and two patients had grade 7. Nineteen percent (7/37) of the patients developed aspiration (grade 5-7). Aspiration is life-threatening and may develop for all tumor sites and stages.
引用
收藏
页码:47 / 51
页数:5
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[31]   Aspiration in Head and Neck Cancer Patients: A Single Centre Experience of Clinical Profile, Bacterial Isolates and Antibiotic Sensitivity Pattern [J].
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