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Outcomes of Self-Esophageal Dilation for Head and Neck Cancer Patients.
Sinha, Uttam K; Swanson, Mark S; Villegas, Brenda Capobres; Ouyoung, Laishyang Melody; Kokot, Niels.
Afiliação
  • Sinha UK; Department of Otolaryngology-Head and Neck Surgery, Keck School Medicine of the University of Southern California, Los Angeles.
  • Swanson MS; Department of Otolaryngology-Head and Neck Surgery, Keck School Medicine of the University of Southern California, Los Angeles.
  • Villegas BC; Department of Otolaryngology-Head and Neck Surgery, Keck School Medicine of the University of Southern California, Los Angeles.
  • Ouyoung LM; Division of Speech Pathology, Keck Medical Center of the University of Southern California, Los Angeles.
  • Kokot N; Department of Otolaryngology-Head and Neck Surgery, Keck School Medicine of the University of Southern California, Los Angeles.
Am J Speech Lang Pathol ; 28(3): 1060-1066, 2019 08 09.
Article em En | MEDLINE | ID: mdl-31112391
Introduction Dysphagia is common following treatment for head and neck cancers, and self-esophageal dilation is a safe and effective treatment method. Prior studies on self-dilation have reported only qualitative results and included heterogeneous populations with dysphagia. The objective of this study is to quantitatively assess the safety and efficacy of a self-esophageal dilation program for patients with oropharyngeal squamous cell cancer with treatment-induced dysphagia. Materials and Methods This is a retrospective review of patients with oropharyngeal squamous cell cancer treated at the University of Southern California from 2009 to 2013 with dysphagia following radiation treatment that persisted after swallow therapy. The treatment program consisted of swallow therapy in conjunction with weekly self-esophageal dilation at home with increasing size bougie dilators. Oral intake was monitored using the Functional Oral Intake Scale (Crary, Mann, & Groher, 2005), Modified Barium Swallow Impairment Profile Pharyngoesophageal opening score, and Penetration-Aspiration Scale (Rosenbek, Robbins, Roecker, Coyle, & Wood, 1996) pre- and posttreatment. Results Thirty-three patients met study criteria and completed the program. Twenty-five patients required nutrition via a gastrostomy tube prior to starting therapy, and 84% (21/25) of these patients were able to have the feeding tube removed. Median Functional Oral Intake Scale (Crary et al., 2005) predilation was 1 (range: 1-5), and postdilation was 6 (range: 3-6, p < .05). In addition, there was improvement of the Modified Barium Swallow Impairment Profile Pharyngoesophageal opening score from 2 to 1 after treatment (p < .05). No complications were encountered. Discussion Home self-dilation with concurrent swallowing therapy is a safe and feasible procedure to be used in motivated patients with dysphagia following head and neck cancer treatment.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Autocuidado / Carcinoma de Células Escamosas / Transtornos de Deglutição / Neoplasias Orofaríngeas / Dilatação Tipo de estudo: Etiology_studies / Evaluation_studies / Observational_studies / Qualitative_research / Risk_factors_studies Limite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Am J Speech Lang Pathol Assunto da revista: PATOLOGIA DA FALA E LINGUAGEM Ano de publicação: 2019 Tipo de documento: Article País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Autocuidado / Carcinoma de Células Escamosas / Transtornos de Deglutição / Neoplasias Orofaríngeas / Dilatação Tipo de estudo: Etiology_studies / Evaluation_studies / Observational_studies / Qualitative_research / Risk_factors_studies Limite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Am J Speech Lang Pathol Assunto da revista: PATOLOGIA DA FALA E LINGUAGEM Ano de publicação: 2019 Tipo de documento: Article País de publicação: Estados Unidos