Role of Swallowing Function of Tracheotomised Patients in Major Head and Neck Cancer Surgery

The Journal of Craniofacial Surgery
Alexander K BartellaBernd Lethaus

Abstract

Tracheotomy is a frequent procedure in extended head and neck cancer surgery and known to be a risk factor for prolonged hospitalization. The authors hypothesized that the clinical course and delayed decannulation of patients are not only influenced by airway narrowing, but also by a compromised postoperative swallowing function. The investigators implemented a retrospective cohort study. The sample was composed of a tertiary care center patients who underwent major head and neck cancer surgery, each receiving a tracheostomy. Data collected include general clinical data as well as endoscopical evaluation of swallowing function and aspiration rate. Descriptive and bivariate statistics were computed and the P value was set at.05. The sample was composed of 96 patients with an average age of 64.2 and sex ratio of 1.4:1 (m:f). There was a strong statistically significant relation between swallowing function and timing of decannulation (P < 0.001) and duration of hospitalization (P < 0.001). Age (P = 0.55), sex (P = 0.54), tumor size (P = 0.12), general diseases (P = 0.24), distant metastases (P = 0.15), or extent of neck dissection (P = 0.15) were not significantly associated to swallowing function. Permanent cannulation was signif...Continue Reading

References

Apr 6, 2007·Critical Reviews in Oncology/hematology·Barbara A MurphyMary Dietrich
Dec 30, 2008·Auris, Nasus, Larynx·Hitomi OgiharaYuichi Majima
May 5, 2012·International Journal of Oral and Maxillofacial Surgery·D Oreadi, E R Carlson
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Sep 27, 2015·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Li LiHong Ruan
May 12, 2016·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Andre IsaacHadi Seikaly

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Citations

Jul 16, 2020·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Juho NurkkalaJanne Liisanantti
Apr 7, 2019·Journal of Burn Care & Research : Official Publication of the American Burn Association·So Young JooCheong Hoon Seo
Dec 21, 2020·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Laura W J BaijensPere Clavé

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