DIGEST Scale Predictis More Quality of Life Than PAS: the Residue Influence on Supracricoid Laryngectomy

Introduction Supracricoid laryngectomy (SCL CHEP) removes ∼ 70% of the larynx, resulting in structural rearrangement and modification of the swallowing mechanism, promoting chronic dysphagia. One of the consequences of this new physiology is the formation of pharyngeal residues that can increase the...

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Autores principales:	Andressa Silva de Freitas, Guilherme Maia Zica, Mariana Salles, Ana Catarina Alves e Silva, Thiago Huaytalla Silva, Fernando Luiz Dias, Izabella Costa Santos
Formato:	article
Lenguaje:	EN
Publicado:	Thieme Revinter Publicações Ltda. 2021
Materias:	rehabilitation radiology deglutition disorders laryngectomy quality of life Medicine R Otorhinolaryngology RF1-547
Acceso en línea:	https://doaj.org/article/b54b46d431b24240b214a77e247b9431
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spelling	oai:doaj.org-article:b54b46d431b24240b214a77e247b94312021-11-04T00:04:12ZDIGEST Scale Predictis More Quality of Life Than PAS: the Residue Influence on Supracricoid Laryngectomy1809-97771809-486410.1055/s-0041-1730306https://doaj.org/article/b54b46d431b24240b214a77e247b94312021-11-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1730306https://doaj.org/toc/1809-9777https://doaj.org/toc/1809-4864Introduction Supracricoid laryngectomy (SCL CHEP) removes ∼ 70% of the larynx, resulting in structural rearrangement and modification of the swallowing mechanism, promoting chronic dysphagia. One of the consequences of this new physiology is the formation of pharyngeal residues that can increase the possibility of aspiration. The formation of residues after SCL CHEP, its functional consequences, and its influence on quality of life (QOL) is still poorly described in the literature. Objective To investigate and compare the association between self-reported QoL and objective assessments of swallowing function in patients undergoing SCL CHEP. Methods A cross-sectional study was performed from 2018 to 2020 in a reference service for head and neck surgery in Brazil. A total of 860 swallowing videofluoroscopy images were evaluated using the Penetration and Aspiration Scale (PAS) and Dynamic Imaging Grade of Swallowing Toxicity (DIGEST). Results In a group of 86 patients, there was a significant relationship between oncological staging and the global (p < 0.001) and total (p = 0.002) QoL domains. There was a negative correlation between the DIGEST scale and the emotional domain of the QoL protocol (p = 0.045). The swallowing function proved to be relevant for QoL. Conclusion The PAS scale did not show any correlation with QoL. The functional performance of swallowing according to the DIGEST scale was coherent with the QOL scores. It is suggested that the residue may be a more relevant aspect for QoL than the aspiration, making DIGEST a promising tool in the assessment of dysphagic patients.Andressa Silva de FreitasGuilherme Maia ZicaMariana SallesAna Catarina Alves e SilvaThiago Huaytalla SilvaFernando Luiz DiasIzabella Costa SantosThieme Revinter Publicações Ltda.articlerehabilitationradiologydeglutition disorderslaryngectomyquality of lifeMedicineROtorhinolaryngologyRF1-547ENInternational Archives of Otorhinolaryngology (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	rehabilitation radiology deglutition disorders laryngectomy quality of life Medicine R Otorhinolaryngology RF1-547
spellingShingle	rehabilitation radiology deglutition disorders laryngectomy quality of life Medicine R Otorhinolaryngology RF1-547 Andressa Silva de Freitas Guilherme Maia Zica Mariana Salles Ana Catarina Alves e Silva Thiago Huaytalla Silva Fernando Luiz Dias Izabella Costa Santos DIGEST Scale Predictis More Quality of Life Than PAS: the Residue Influence on Supracricoid Laryngectomy
description	Introduction Supracricoid laryngectomy (SCL CHEP) removes ∼ 70% of the larynx, resulting in structural rearrangement and modification of the swallowing mechanism, promoting chronic dysphagia. One of the consequences of this new physiology is the formation of pharyngeal residues that can increase the possibility of aspiration. The formation of residues after SCL CHEP, its functional consequences, and its influence on quality of life (QOL) is still poorly described in the literature. Objective To investigate and compare the association between self-reported QoL and objective assessments of swallowing function in patients undergoing SCL CHEP. Methods A cross-sectional study was performed from 2018 to 2020 in a reference service for head and neck surgery in Brazil. A total of 860 swallowing videofluoroscopy images were evaluated using the Penetration and Aspiration Scale (PAS) and Dynamic Imaging Grade of Swallowing Toxicity (DIGEST). Results In a group of 86 patients, there was a significant relationship between oncological staging and the global (p < 0.001) and total (p = 0.002) QoL domains. There was a negative correlation between the DIGEST scale and the emotional domain of the QoL protocol (p = 0.045). The swallowing function proved to be relevant for QoL. Conclusion The PAS scale did not show any correlation with QoL. The functional performance of swallowing according to the DIGEST scale was coherent with the QOL scores. It is suggested that the residue may be a more relevant aspect for QoL than the aspiration, making DIGEST a promising tool in the assessment of dysphagic patients.
format	article
author	Andressa Silva de Freitas Guilherme Maia Zica Mariana Salles Ana Catarina Alves e Silva Thiago Huaytalla Silva Fernando Luiz Dias Izabella Costa Santos
author_facet	Andressa Silva de Freitas Guilherme Maia Zica Mariana Salles Ana Catarina Alves e Silva Thiago Huaytalla Silva Fernando Luiz Dias Izabella Costa Santos
author_sort	Andressa Silva de Freitas
title	DIGEST Scale Predictis More Quality of Life Than PAS: the Residue Influence on Supracricoid Laryngectomy
title_short	DIGEST Scale Predictis More Quality of Life Than PAS: the Residue Influence on Supracricoid Laryngectomy
title_full	DIGEST Scale Predictis More Quality of Life Than PAS: the Residue Influence on Supracricoid Laryngectomy
title_fullStr	DIGEST Scale Predictis More Quality of Life Than PAS: the Residue Influence on Supracricoid Laryngectomy
title_full_unstemmed	DIGEST Scale Predictis More Quality of Life Than PAS: the Residue Influence on Supracricoid Laryngectomy
title_sort	digest scale predictis more quality of life than pas: the residue influence on supracricoid laryngectomy
publisher	Thieme Revinter Publicações Ltda.
publishDate	2021
url	https://doaj.org/article/b54b46d431b24240b214a77e247b9431
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DIGEST Scale Predictis More Quality of Life Than PAS: the Residue Influence on Supracricoid Laryngectomy

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