Swallowing after free-flap reconstruction in patients with oral and pharyngeal cancer
| Autor: | Marja-Leena Haapanen, Antti Mäkitie, Erkki Suominen, Eija Rorarius, Mari Markkanen-Leppänen, Timo Pessi, Sirpa Asko-Seljavaara, Elina Isotalo |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Adult
Male Cancer Research medicine.medical_specialty Modified Barium Swallow medicine.medical_treatment Sensation Video Recording Free flap Surgical Flaps Swallowing otorhinolaryngologic diseases medicine Humans Postoperative Period Prospective Studies Prospective cohort study Aged Neoplasm Staging Aged 80 and over Mouth business.industry Microcirculation digestive oral and skin physiology Respiratory Aspiration Pharyngeal Neoplasms Recovery of Function Middle Aged Plastic Surgery Procedures Deglutition Surgery Radiation therapy Oncology Oropharyngeal Carcinoma Free flap reconstruction Female Mouth Neoplasms Oral Surgery business Follow-Up Studies |
| Zdroj: | Oral Oncology. 42:501-509 |
| ISSN: | 1368-8375 |
| DOI: | 10.1016/j.oraloncology.2005.10.007 |
| Popis: | Swallowing and intraoral sensation outcome were investigated prospectively after microvascular free-flap reconstruction. Forty-one patients with a large oral or oropharyngeal carcinoma underwent free-flap surgery usually combined with radiotherapy. The patients completed modified barium swallow, self-rating of swallowing, and 2-point moving discrimination preoperatively and at four time points during the 12-month follow-up period, and a plain chest X-ray one year after operation. Swallowing was impaired with respect to an objective and subjective measure after therapy. Rates for nonsilent and silent aspiration increased during the follow-up. Intraoral sensation deteriorated. Swallowing outcome was not related to sensation. One year after surgery, 86% of the patients ate regular masticated or soft food. Microvascular transfers offer a reasonable option for oral reconstruction. This study does not support the need for sensate flaps. Swallowing problems should be routinely sought and patients rehabilitated during a sufficiently long follow-up with videofluorography regardless of the patient's perception of swallowing. |
| Databáze: | OpenAIRE |
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