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J Laryngol Otol ; 137(7): 820-825, 2023 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-36517921

RESUMO

OBJECTIVE: Oropharyngeal dysphagia is caused by difficulty in bolus preparation and transport from the mouth to the oesophagus; this may result in malnutrition and aspiration pneumonia. It has a high prevalence in head and neck cancer patients. The objective of this study is to reduce these complications using a new protocol of diagnosis and evaluation of oropharyngeal dysphagia. METHOD: This is a prospective study developed in a secondary hospital. All patients diagnosed with head and neck cancer in 2021 and 2022 are subjected to this protocol: an oropharyngeal dysphagia screening test, a swallowing-related quality of life questionnaire and a flexible endoscopic evaluation of swallow. RESULTS: A total of 72 evaluations are reported using this protocol, before and after cancer treatment, and only 1 presents with aspiration pneumonia. CONCLUSION: Using this protocol, the incidence of aspiration pneumonia can be reduced, and diet recommendations can be given earlier in order to maintain a patient's nutritional requirements.


Assuntos
Transtornos de Deglutição , Neoplasias de Cabeça e Pescoço , Pneumonia Aspirativa , Humanos , Transtornos de Deglutição/diagnóstico , Transtornos de Deglutição/etiologia , Transtornos de Deglutição/terapia , Estudos Prospectivos , Qualidade de Vida , Neoplasias de Cabeça e Pescoço/complicações , Deglutição , Pneumonia Aspirativa/etiologia , Pneumonia Aspirativa/prevenção & controle , Pneumonia Aspirativa/epidemiologia
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