Prevalence of profound laryngeal sensory neuropathy in head and neck cancer survivors with feeding tube‐dependent oropharyngeal dysphagia
| Autor: | Omid B. Mehdizadeh, Arnaud F. Bewley, Nogah Nativ-Zeltzer, Shumon I. Dhar, Lisa M. Evangelista, Peter C. Belafsky |
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| Rok vydání: | 2019 |
| Předmět: |
Larynx
medicine.medical_specialty Cough reflex Gastroenterology 03 medical and health sciences 0302 clinical medicine Swallowing Internal medicine Prevalence otorhinolaryngologic diseases medicine Humans Survivors Esophagus 030223 otorhinolaryngology Feeding tube Retrospective Studies business.industry Head and neck cancer medicine.disease Dysphagia Deglutition medicine.anatomical_structure Otorhinolaryngology Head and Neck Neoplasms 030220 oncology & carcinogenesis medicine.symptom Deglutition Disorders business Oropharyngeal dysphagia |
| Zdroj: | Head & Neck. 42:898-904 |
| ISSN: | 1097-0347 1043-3074 |
| DOI: | 10.1002/hed.26059 |
| Popis: | Background Laryngopharyngeal sensory neuropathy (LSN) has been observed to be a contributing factor to swallowing dysfunction in head and neck cancer (HNC) survivors. Methods Retrospective review of 43 tube-dependent HNC survivors was conducted. LSN was assessed with direct palpation of the aryepiglottic fold and by traversing the true vocal folds without eliciting a cough reflex with a flexible laryngoscope. Results The primary tumor sites were oropharynx (51%), larynx (14%), nasopharynx (4.7%), oral cavity (14%), thyroid (4.7%), unknown primary (9.3%), and esophagus (2.3%). The prevalence of profound LSN was 79.1%. Objective fluoroscopic parameters contributing to swallowing dysfunction were diminished laryngohyoid elevation (100%), pharyngeal weakness (67%), and reduced lateral PES opening (37%). Conclusions The prevalence of LSN in HNC survivors with feeding tube-dependent dysphagia is high (79.1%). The data suggest that LSN, in addition to fibrosis, pharyngoesophageal stenosis, and cranial nerve motor deficits contributes to swallowing dysfunction in these patients. |
| Databáze: | OpenAIRE |
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