Document Detail


Assessment of swallowing function in patients with head and neck cancer.
MedLine Citation:
PMID:  14751094     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Difficulty in swallowing is a common complaint among patients with head and neck cancer. Preexistent dysphagia is often compounded by any of the side effects and sequelae of the current treatment modalities for malignancies of the head and neck. Surgery, radiotherapy, and chemoradiotherapy produce sensory and motor denervation and fibrosis of the upper aerodigestive tract musculature and mucosa. Clinicians must learn to anticipate and identify the various deficits of swallowing function in these patients. Flexible fiberoptic evaluation of swallowing and the modified barium swallow are critical tests for delineating the pathophysiology of these patients and establishing a protocol for their rehabilitation. Rehabilitation for patients with swallowing disorders decreases the morbidity of aspiration and allows for better nutrition, better hydration, and overall improvement in quality of life.
Authors:
Alfred A Simental; Ricardo L Carrau
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current oncology reports     Volume:  6     ISSN:  1523-3790     ISO Abbreviation:  Curr Oncol Rep     Publication Date:  2004 Mar 
Date Detail:
Created Date:  2004-01-30     Completed Date:  2004-05-12     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  100888967     Medline TA:  Curr Oncol Rep     Country:  United States    
Other Details:
Languages:  eng     Pagination:  162-5     Citation Subset:  IM    
Affiliation:
Department of Otolaryngology, University of Pittsburgh Medical Center, Eye and Ear Institute, Suite 500, 200 Lothrop Street, Pittsburgh, PA 15213, USA.
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MeSH Terms
Descriptor/Qualifier:
Deglutition / drug effects,  physiology*,  radiation effects
Deglutition Disorders / diagnosis*,  etiology
Head and Neck Neoplasms / complications,  diagnosis*,  physiopathology
Humans

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