Factors Affecting the Swallowing Dysfunction Following Oral Cancer Surgery

Objective To investigate the factors affecting the postoperative swallowing dysfunction in patients who underwent oral cancer surgery. Methods Retrospective review of clinical records of 70 patients (50 males and 20 females) who underwent oral cancer surgeries from July 2007 to April 2015 were enrol...

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Autores principales:	Narihiro Kodama, Yoshihiko Kumai, Takumi Miyamoto, Keigo Matsubara, Yasuhiro Samejima, Yorihisa Orita
Formato:	article
Lenguaje:	EN
Publicado:	Korean Academy of Rehabilitation Medicine 2021
Materias:	oral cancer swallowing dysfunction food intake level scale (fils) videofluoroscopic analysis Medicine R
Acceso en línea:	https://doaj.org/article/00ea2e0a53294b92b9bb258fc432104c
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spelling	oai:doaj.org-article:00ea2e0a53294b92b9bb258fc432104c2021-11-05T02:27:48ZFactors Affecting the Swallowing Dysfunction Following Oral Cancer Surgery2234-06452234-065310.5535/arm.21035https://doaj.org/article/00ea2e0a53294b92b9bb258fc432104c2021-10-01T00:00:00Zhttp://www.e-arm.org/upload/pdf/arm-21035.pdfhttps://doaj.org/toc/2234-0645https://doaj.org/toc/2234-0653Objective To investigate the factors affecting the postoperative swallowing dysfunction in patients who underwent oral cancer surgery. Methods Retrospective review of clinical records of 70 patients (50 males and 20 females) who underwent oral cancer surgeries from July 2007 to April 2015 were enrolled. Multiple regression analysis was performed using the Food Intake LEVEL Scale (FILS) at discharge as the objective variable and age, tumor size, resection of the tongue base, suprahyoid muscle resection, segmental mandibulectomy, neck dissection and radiation therapy as the explanatory variables in 70 patients. In addition, multiple regression analysis was performed between objective variables, which include maximum hyoid bone movement, laryngeal elevation delay time, pharyngeal constriction ratio (PCR), residue in the vallecular and pear-shaped depression (pyriform sinuses), and Penetration-Aspiration Scale score and one of the main factors representing the characteristics of each case as the explanatory variables, and age was treated as an adjustment factor in 23 patients. Results The FILS shows significant negative correlation by age and resection of the tongue base. In videofluoroscopic swallowing study, the maximum movement, PCR and residue in the vallecular are significantly correlated with factors demonstrating the characteristic for each case. Conclusion It was suggested that in elderly patients, the presence of more than half of the tongue base resection, suprahyoid muscle resection and neck dissection cause severe dysphagia after surgery.Narihiro KodamaYoshihiko KumaiTakumi MiyamotoKeigo MatsubaraYasuhiro SamejimaYorihisa OritaKorean Academy of Rehabilitation Medicinearticleoral cancerswallowing dysfunctionfood intake level scale (fils)videofluoroscopic analysisMedicineRENAnnals of Rehabilitation Medicine, Vol 45, Iss 5, Pp 368-378 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	oral cancer swallowing dysfunction food intake level scale (fils) videofluoroscopic analysis Medicine R
spellingShingle	oral cancer swallowing dysfunction food intake level scale (fils) videofluoroscopic analysis Medicine R Narihiro Kodama Yoshihiko Kumai Takumi Miyamoto Keigo Matsubara Yasuhiro Samejima Yorihisa Orita Factors Affecting the Swallowing Dysfunction Following Oral Cancer Surgery
description	Objective To investigate the factors affecting the postoperative swallowing dysfunction in patients who underwent oral cancer surgery. Methods Retrospective review of clinical records of 70 patients (50 males and 20 females) who underwent oral cancer surgeries from July 2007 to April 2015 were enrolled. Multiple regression analysis was performed using the Food Intake LEVEL Scale (FILS) at discharge as the objective variable and age, tumor size, resection of the tongue base, suprahyoid muscle resection, segmental mandibulectomy, neck dissection and radiation therapy as the explanatory variables in 70 patients. In addition, multiple regression analysis was performed between objective variables, which include maximum hyoid bone movement, laryngeal elevation delay time, pharyngeal constriction ratio (PCR), residue in the vallecular and pear-shaped depression (pyriform sinuses), and Penetration-Aspiration Scale score and one of the main factors representing the characteristics of each case as the explanatory variables, and age was treated as an adjustment factor in 23 patients. Results The FILS shows significant negative correlation by age and resection of the tongue base. In videofluoroscopic swallowing study, the maximum movement, PCR and residue in the vallecular are significantly correlated with factors demonstrating the characteristic for each case. Conclusion It was suggested that in elderly patients, the presence of more than half of the tongue base resection, suprahyoid muscle resection and neck dissection cause severe dysphagia after surgery.
format	article
author	Narihiro Kodama Yoshihiko Kumai Takumi Miyamoto Keigo Matsubara Yasuhiro Samejima Yorihisa Orita
author_facet	Narihiro Kodama Yoshihiko Kumai Takumi Miyamoto Keigo Matsubara Yasuhiro Samejima Yorihisa Orita
author_sort	Narihiro Kodama
title	Factors Affecting the Swallowing Dysfunction Following Oral Cancer Surgery
title_short	Factors Affecting the Swallowing Dysfunction Following Oral Cancer Surgery
title_full	Factors Affecting the Swallowing Dysfunction Following Oral Cancer Surgery
title_fullStr	Factors Affecting the Swallowing Dysfunction Following Oral Cancer Surgery
title_full_unstemmed	Factors Affecting the Swallowing Dysfunction Following Oral Cancer Surgery
title_sort	factors affecting the swallowing dysfunction following oral cancer surgery
publisher	Korean Academy of Rehabilitation Medicine
publishDate	2021
url	https://doaj.org/article/00ea2e0a53294b92b9bb258fc432104c
work_keys_str_mv	AT narihirokodama factorsaffectingtheswallowingdysfunctionfollowingoralcancersurgery AT yoshihikokumai factorsaffectingtheswallowingdysfunctionfollowingoralcancersurgery AT takumimiyamoto factorsaffectingtheswallowingdysfunctionfollowingoralcancersurgery AT keigomatsubara factorsaffectingtheswallowingdysfunctionfollowingoralcancersurgery AT yasuhirosamejima factorsaffectingtheswallowingdysfunctionfollowingoralcancersurgery AT yorihisaorita factorsaffectingtheswallowingdysfunctionfollowingoralcancersurgery
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Factors Affecting the Swallowing Dysfunction Following Oral Cancer Surgery

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