Instrumental evaluation of dysphagia after oropharyngeal cancer surgery with free flap reconstruction
Journal Title: Polski Przegląd Otorynolaryngologiczny - Year 2016, Vol 5, Issue 4
Abstract
Introduction: Assessment of usefulness of instrumental method of evaluation of dysphagia in creating a therapeutic plan among patients after oropharyngeal cancer surgery with free flap reconstruction. Material and Method: Seven patients after oropharyngeal cancer surgery with free flap reconstruction hospitalized from January to September 2016 in the ENT Department of Warsaw Medical University were included in this study. All patients underwent few times after surgery: clinical swallowing examination, water swallowing screening test and fiberoptic endoscopic evaluation of swallowing and/or videofluoroscopy. Results: All patients were diagnosed with dysphagia and had unitentional weight loss (average 5,9% of initial weight during 3 months). In water swallowing test only three participant achieved negative score for 5 ml, and two for 10 ml, 20 ml and 90 ml of water. Fiberoptic endoscopic evaluation of swallowing was analyzed for swallowing patterns and laryngeal pathology. FEES showed following abnormalities: aspiration (saliva, liquid), penetration (puree, liquid), premature swallowing (liquid, puree) and multiswallowing (liquid, puree, solid food), retention (saliva, puree, liquid, solid food). Videofluroscopy showed on the first place problems with oral phase of swallowing: difficulty forming and propeling bolus, tongue pumping movements, oral cavity residue, premature spillage and delayed oral onset. During the pharyngeal phase we observed: residue in valleculae and piriform sinuses, reduced laryngeal elevation, penetration and aspiration, multiple swallows. Conclusion: Instrumental assessment of swallowing helps during diagnostic and therapeutic process of patients with dysphagia after oncological treatment. a.
Authors and Affiliations
Barbra Jamróz, Joanna Chmielewska, Magdalena Milewska, Kazimierz Niemczyk
Zastosowanie testu VHIT w diagnostyce układu równowagi u dzieci
Wstęp. Jedną z nowych metod badania układu równowagi jest VHIT (Video Head Impulse Test). Używany jest w diagnostyce obwodowego uszkodzenia układu równowagi, wykorzystując odruch przedsionkowo-oczny, który polega na ruch...
Anomalie pierwszej szczeliny skrzelowej
The face and neck are morphologi cally complex of anato mical struc ture. It determines the formation of a special susceptibili ty to various malfo rmations. The aim of this study was to present anomalies of the first br...
Prediction, diagnosisdiagnostics, prevention and treatment of mandibular osteoradione-crosis - current understandingstate
This paper presents the current understanding concerning the possibility of predicting radiation-induced osteonecrosis of the jaw and its prevention, as well as currently used conservative treatment options for both, as...
Rare non-squamous cell neoplasms of the larynx
Squamous cell carcinoma is the most common malignant neoplasm of the larynx. However, there are other rare malignancies that are reported by worldwide literature, such as neuroendocrine tumors, mesenchymal sarcomas, mali...
Recurrent respiratory papillomatosis – epidemiology and characteristics of HPV infection in children
Recurrent respiratory papillomatosis (RRP) is the most common non -malignant neoplastic respiratory tract disease in children. Main symptoms are relate d to the period s of recurrent growth of multiple exophytic nodules...