Change in tongue pressure in patients with head and neck cancer after surgical resection
| Autor: | Shota Saito, Nobuhide Horii, Kana Hasegawa, Saori Sano, Yuta Nakao, Ayumi Sakuramoto, Kazuma Noguchi, Tomoki Nanto, Kanenori Kadoi, Tatsuyuki Fukuoka, Kuniyasu Moridera, Kazuma Sugahara, Hiromitsu Kishimoto, Yoko Hasegawa, Kazuhisa Domen |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment 03 medical and health sciences Postoperative Complications 0302 clinical medicine Tracheotomy Tongue Swallowing Pressure medicine Humans General Dentistry Aged Aged 80 and over business.industry Head and neck cancer Cancer Neck dissection Middle Aged medicine.disease Dysphagia Surgery Radiation therapy Head and Neck Neoplasms 030220 oncology & carcinogenesis Disease Progression Oral and maxillofacial surgery Female medicine.symptom Deglutition Disorders business 030217 neurology & neurosurgery |
| Zdroj: | Odontology. 105:494-503 |
| ISSN: | 1618-1255 1618-1247 |
| Popis: | Tongue pressure is reportedly associated with dysphagia. This study investigated relationships among characteristics of head and neck cancer, tongue pressure and dysphagia screening tests performed in patients with head and neck cancer during the acute phase after surgical resection. Fifty-seven patients (36 men, 21 women; age range 26-95 years) underwent surgical resection and dysphagia screening tests (Repetitive Saliva Swallowing Test, Water Swallowing Test, Modified Water Swallowing Test and Food Test) and pre- and postoperative measurement of tongue pressure at 5 time points (preoperatively, and 1-2 weeks and 1, 2, and 3 months postoperatively). Progression of cancer (stage), tracheotomy, surgical reconstruction, chemotherapy, radiotherapy and neck dissection were factors associated with postoperative tongue pressure. Data were analyzed by linear mixed-effect model, Spearman correlation coefficient and receiver operating characteristic (ROC) curve. Tongue pressure was significantly reduced 1-2 weeks after surgery, and recovered over time. Changes in tongue pressure were significantly associated with stage, radiotherapy and reconstruction. All screening tests showed a significant relationship with tongue pressure. Analysis of ROC and area under the effect curve suggested that a tongue pressure of 15 kPa can be used as a cut-off value to detect dysphagia after surgery for head and neck cancer. Our results suggest that tongue pressure evaluation might offer a safe, useful and objective tool to assess dysphagia immediately postoperatively in patients with head and neck cancer. |
| Databáze: | OpenAIRE |
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