Swallowing disorders after radiotherapy-based treatment of head and neck cancer
Journal Title: International Journal of Medical and Health Research - Year 2018, Vol 4, Issue 1
Abstract
Introduction: This study aimed to assess the swallowing function of head-and-neck cancer patients before and after radiotherapy. Materials and Methods: A repeated descriptive cross-sectional study was carried out on 33 head and neck cancers patients treated at Aristide LeDantec Hospital Radiation Therapy Department, Dakar, Senegal. The swallowing function was assessed through a self-assessment questionnaire (DHI) and a functional swallowing test: : Constraints, Oral phase, Laryngeal phase, Pharyngeal phase- Grade of dysphagia- Aspirations (COLP-G-A). Each patient was seen twice: before treatment (T0) and three months after radiotherapy (T). Results: Patients maximum ages were 18 and 69 years. Persons aged over 60 (39.4%) were predominant. Men have accounted for the majority of the 58% series with a sex ratio of 1.35. Swallowing disorders existed in some patients before radiotherapy (T0). In fact, at this stage, nine people had physical disorders, fourteen functional disorders and twelve emotional disorders all related to swallowing. At time of T, DHI scores in (P) (F) and (E) areas had significantly increased (p = 0.0001 for (P); p = 0.001 for (F); p = 0.004 for (E). Likewise, the COLP-G-A on mineral water, sparkling water, actimel, compote and cake had shown that dysphagia was highly associated with radiotherapy (p ≤ 0.05). These results show that radiotherapy aggravates swallowing disorders. Conclusion: Oropharyngeal dysphagia is a common symptom in irradiated head and neck cancer patients and compromising their quality of life. Exploring, preventing and relieving swallowing disorders remains a key priority in head and neck cancer care.
Authors and Affiliations
Dr. Papa Abdou Lecor, Mamadou Lamine Ndiaye, Pape Macoumba Gaye, Oumar Harouna Sall, Sarah Zida, Bay Karim Diallo
Keywords
Related Articles
- EP ID EP581944
- DOI -
- Views 169
- Downloads 0
Outcome of emergency peripartum hysterectomy in teaching hospital: A two year retrospective cohort study
Introduction: Emergency peripartum hysterectomy (EPH) is performed when there is unresponsive to conservative management as a lifesaving procedure. Peripartum hysterectomy is a major operation and is invariably performed...
Evaluation of biliary leakage in patient’s undergone cholecystectomy
Cystic duct and accessory bile duct leaks are generally treated easily without a problem. Stricture development after endoscopic treatment of main bile duct leaks, even in patients without stricture at the beginning, is...
Causative agents of neonatal sepsis: A study in Tertiary Care Paediatric Hospital, Dhaka, Bangladesh
Sepsis means the presence of bacteria (bacteremia), other infectious organisms, or toxins created by infectious organisms in the bloodstream with spread throughout the body. Neonatal sepsis is an invasive infection, usua...
Hypokalemic paralysis and its correlation on biochemical parameters
Background: Hypokalemic Paralysis is a relatively common but potentially life threatening syndrome. If recognized and treated appropriately in time, the chances of recovery without any clinical sequelae are high. The syn...
Effectiveness of intervention programme on glycemic control among mothers with gestational diabetes mellitus at Venkatachalam, Nellore, Andhra Pradesh
Background: A woman with gestational diabetes needs to control her blood sugar in order to avoid problems such as high blood pressure, early delivery or the need for a caesarean delivery. The baby may be extra-large whic...