Can Videofluoroscopic Swallowing Kinematic Analysis Predict Recovery of Oral Intake in Postoperative Oral Cancer Patients Requiring Nasogastric Tube Feeding?

This retrospective study determined the significant predictive factors for the number of days required to remove nasogastric tubes (NGTs) after surgery in patients with oral cancer (OC). In this study, patients underwent a videofluoroscopic swallowing study (VFSS) approximately 2 weeks after surgery...

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Autores principales:	Takuma Okumura, Koji Hara, Ayako Nakane, Chizuru Namiki, Kazuharu Nakagawa, Kohei Yamaguchi, Kanako Yoshimi, Mizue Toyoshima, Yoshiyuki Sasaki, Haruka Tohara
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	oral cancer nasogastric tube oral intake swallowing kinematics videofluoroscopic swallowing Medicine R
Acceso en línea:	https://doaj.org/article/6c294066df5c45489ab236f78e4c5099
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spelling	oai:doaj.org-article:6c294066df5c45489ab236f78e4c50992021-11-25T17:50:34ZCan Videofluoroscopic Swallowing Kinematic Analysis Predict Recovery of Oral Intake in Postoperative Oral Cancer Patients Requiring Nasogastric Tube Feeding?10.3390/ijerph1822120451660-46011661-7827https://doaj.org/article/6c294066df5c45489ab236f78e4c50992021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/22/12045https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601This retrospective study determined the significant predictive factors for the number of days required to remove nasogastric tubes (NGTs) after surgery in patients with oral cancer (OC). In this study, patients underwent a videofluoroscopic swallowing study (VFSS) approximately 2 weeks after surgery. Videofluoroscopic images were analyzed, and variables such as swallowing and swallowing kinematics were measured. Patient characteristics, swallowing kinematics, and swallowing results were assessed using a Cox proportional hazards model. This study assessed 129 participants (66 men, 63 women, mean age: 69.0 ± 14.1 years) with nine types of cancer. The Cox proportional hazard ratio revealed that sex, body mass index before surgery, radiotherapy and/or chemotherapy, dysphagia before surgery, normalized pharyngeal constriction ratio, upper esophageal sphincter (UES) opening, and laryngeal vestibule disclosure (LVC) disorder were predictive factors for the removal of NGTs when adjusted for age. The study identified several predictive factors for the removal of NGTs and oral intake recovery in patients with OC. Regarding swallowing kinematics, UES opening is the most significant predictive factor. After surgery for OC, VFSS should be performed to assess safe eating methods and predict the recovery of oral intake and removal of the NGT.Takuma OkumuraKoji HaraAyako NakaneChizuru NamikiKazuharu NakagawaKohei YamaguchiKanako YoshimiMizue ToyoshimaYoshiyuki SasakiHaruka ToharaMDPI AGarticleoral cancernasogastric tubeoral intakeswallowing kinematicsvideofluoroscopic swallowingMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 12045, p 12045 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	oral cancer nasogastric tube oral intake swallowing kinematics videofluoroscopic swallowing Medicine R
spellingShingle	oral cancer nasogastric tube oral intake swallowing kinematics videofluoroscopic swallowing Medicine R Takuma Okumura Koji Hara Ayako Nakane Chizuru Namiki Kazuharu Nakagawa Kohei Yamaguchi Kanako Yoshimi Mizue Toyoshima Yoshiyuki Sasaki Haruka Tohara Can Videofluoroscopic Swallowing Kinematic Analysis Predict Recovery of Oral Intake in Postoperative Oral Cancer Patients Requiring Nasogastric Tube Feeding?
description	This retrospective study determined the significant predictive factors for the number of days required to remove nasogastric tubes (NGTs) after surgery in patients with oral cancer (OC). In this study, patients underwent a videofluoroscopic swallowing study (VFSS) approximately 2 weeks after surgery. Videofluoroscopic images were analyzed, and variables such as swallowing and swallowing kinematics were measured. Patient characteristics, swallowing kinematics, and swallowing results were assessed using a Cox proportional hazards model. This study assessed 129 participants (66 men, 63 women, mean age: 69.0 ± 14.1 years) with nine types of cancer. The Cox proportional hazard ratio revealed that sex, body mass index before surgery, radiotherapy and/or chemotherapy, dysphagia before surgery, normalized pharyngeal constriction ratio, upper esophageal sphincter (UES) opening, and laryngeal vestibule disclosure (LVC) disorder were predictive factors for the removal of NGTs when adjusted for age. The study identified several predictive factors for the removal of NGTs and oral intake recovery in patients with OC. Regarding swallowing kinematics, UES opening is the most significant predictive factor. After surgery for OC, VFSS should be performed to assess safe eating methods and predict the recovery of oral intake and removal of the NGT.
format	article
author	Takuma Okumura Koji Hara Ayako Nakane Chizuru Namiki Kazuharu Nakagawa Kohei Yamaguchi Kanako Yoshimi Mizue Toyoshima Yoshiyuki Sasaki Haruka Tohara
author_facet	Takuma Okumura Koji Hara Ayako Nakane Chizuru Namiki Kazuharu Nakagawa Kohei Yamaguchi Kanako Yoshimi Mizue Toyoshima Yoshiyuki Sasaki Haruka Tohara
author_sort	Takuma Okumura
title	Can Videofluoroscopic Swallowing Kinematic Analysis Predict Recovery of Oral Intake in Postoperative Oral Cancer Patients Requiring Nasogastric Tube Feeding?
title_short	Can Videofluoroscopic Swallowing Kinematic Analysis Predict Recovery of Oral Intake in Postoperative Oral Cancer Patients Requiring Nasogastric Tube Feeding?
title_full	Can Videofluoroscopic Swallowing Kinematic Analysis Predict Recovery of Oral Intake in Postoperative Oral Cancer Patients Requiring Nasogastric Tube Feeding?
title_fullStr	Can Videofluoroscopic Swallowing Kinematic Analysis Predict Recovery of Oral Intake in Postoperative Oral Cancer Patients Requiring Nasogastric Tube Feeding?
title_full_unstemmed	Can Videofluoroscopic Swallowing Kinematic Analysis Predict Recovery of Oral Intake in Postoperative Oral Cancer Patients Requiring Nasogastric Tube Feeding?
title_sort	can videofluoroscopic swallowing kinematic analysis predict recovery of oral intake in postoperative oral cancer patients requiring nasogastric tube feeding?
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/6c294066df5c45489ab236f78e4c5099
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Can Videofluoroscopic Swallowing Kinematic Analysis Predict Recovery of Oral Intake in Postoperative Oral Cancer Patients Requiring Nasogastric Tube Feeding?

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