Pharyngeal swallowing dysfunction following treatment for oral and pharyngeal cancer--association with diminished intraoral sensation and discrimination ability

Head & Neck
Eva Levring JäghagenAnnika Isberg

Abstract

Swallowing disorders following treatment for oral and pharyngeal cancer are mainly considered a surgical sequel. The recent finding that radiotherapy-induced decline in intraoral sensory abilities established an incentive to elucidate any association between the degree of sensory decline and the degree of swallowing dysfunction. Oral and pharyngeal swallowing was cineradiographically examined in 15 patients with oral or pharyngeal cancer before and after treatment. The patients were also tested for intraoral sensation, shape recognition, and hole size identification. Swallowing function deteriorated in 67% of the patients 6 months posttreatment, with no significant improvement after 12 months. The degree of swallowing dysfunction was statistically significantly associated with the degree of diminished intraoral sensation and shape recognition. In the quest for rehabilitation after treatment for oral and pharyngeal cancer, the impact of impaired intraoral sensation and discrimination ability on swallowing function should be taken into consideration.

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Citations

May 19, 2009·Current Opinion in Otolaryngology & Head and Neck Surgery·Majd Al Mardini
Aug 6, 2013·Otolaryngologic Clinics of North America·Katherine A Hutcheson, Jan S Lewin
Apr 24, 2016·The Laryngoscope·Thorbjörn HolmlundDiana Berggren
Feb 6, 2017·Journal of Oral Rehabilitation·K TomitaS Hironaka
Apr 12, 2017·The Laryngoscope·Shethal BearellySteven W Cheung
Jan 26, 2013·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Jacqueline de LeeuwMatthias A W Merkx
Jan 24, 2019·Dysphagia·M StadingO Ekberg
Mar 20, 2020·Journal of Applied Physiology·Stéphane J MontuelleSusan H Williams
Mar 5, 2019·Laryngoscope Investigative Otolaryngology·Farhan ShahPer Stål
Sep 30, 2021·Sleep & Breathing = Schlaf & Atmung·Emma S WallaceKendrea Garand

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