Effect of swallowing training on dysphagia and depression in postoperative tongue cancer patients

Zhang, Liping; Huang, Zhuoshan; Wu, Hong

doi:10.1016/j.ejon.2014.06.003

Cited by 39 publications

(50 citation statements)

References 18 publications

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“…One article ranked as poor and was therefore excluded from the review [33], one article ranked as adequate [34], 13 articles ranked as strong, and 21 articles as good (see Table 2). NHMRC [16,18,19,34,38,41,42,44,47,48,50,52,54,56,59], neurological diseases including PD (five articles) [35,40,43,46,57], stroke (two articles) [6,60], or a combination of the above (11 articles) [7,26,27,36,37,39,45,49,51,55,58]. One article described patients with Sjogren's syndrome [53] and another article studied the general population [14].…”

Section: Quality Assessmentmentioning

confidence: 99%

Health-Related Quality of Life and Oropharyngeal Dysphagia: A Systematic Review

et al. 2017

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The negative impact of increased bolus modification on health-related quality of life (HRQoL) in persons with oropharyngeal dysphagia (OD) has been described in previous literature; however, findings may have been influenced by the severity of OD and underlying etiology. The current systematic review therefore aims to investigate the relationships between HRQoL and OD and to report on changes in HRQoL and OD following intervention. This review was conducted in accordance with the PRISMA statement. A systematic search of the literature was performed using PubMed and Embase. All available English publications up to February 2016 that reported on OD and HRQoL were included. Articles that studied OD arising from esophageal dysfunction or included less than 15 participants with OD, were excluded. Thirty-five studies met the inclusion criteria. Inverse bidirectional relationships were found between decreased HRQoL and increased OD severity. Following intervention, changes were evident through improved HRQoL with decreased OD severity. The findings of this paper highlight the importance of targeting HRQoL in patients with OD. However, because of the heterogeneity in methodology, terminology, and assessment procedures used in the retrieved articles, the generalization of study results is limited. More research investigating the relationships between HRQoL and OD is needed. Future studies should implement study designs that lead to stronger levels of evidence, quantify the severity of OD and underlying diseases, use validated measures and less ambiguous terminology.

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Section: Quality Assessmentmentioning

confidence: 99%

Health-Related Quality of Life and Oropharyngeal Dysphagia: A Systematic Review

et al. 2017

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“…Past research has shown reduced bulk of tongue can result in more severe dysphagia. Patients with less than 50% tongue resection scored significantly higher in water swallow test than those with more than 50% resection [29]. It is worth to mention patient no.…”

Section: Discussionmentioning

confidence: 98%

The Swallow Physiology Change of Balloon Dilatation on Pharyngeal Dysphagia

Ding¹

2017

OHNS

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ObjectiveTo evaluate the effect of balloon dilatation in treating pyriform sinus residue caused by various swallow physiology changes from different medical diagnoses. Study designMedical records of 12 in-patients with moderate to severe pyriform sinus residue were retrospectively reviewed. MethodsAll patients were examined with fiberoptic endoscopic evaluation of swallowing and video fluoroscopic swallowing assessment. The diagnoses of the 12 patients included infarction, nasopharyngeal carcinoma post-radiation, oral cancer post partial glossectomy, and motor neuron disease. All 12 patients underwent balloon dilatation.Each session lasted 30 minutes, with eight dilatations per session, three sessions per week for two weeks. ResultsThere was significant reduction in pharyngeal residue pre-versus post-balloon dilatation (p=0.002). There were also significant improvements in cricopharyngeal muscle achalasia (p=0.004) and weak pharyngeal contraction (p=0.008) pre-versus post-treatment. Eight out of the 12 patients made significant progress toward oral feeding (66.67%). ConclusionOur study found cricopharyngeal muscle achalasia and weak pharyngeal contraction were closely related to pyriform sinus residue in pharyngeal dysphagia. Balloon dilatation eliminated cricopharyngeal muscle achalasia and weak pharyngeal contraction and significantly reduced pyriform sinus residue in 8 of the 12 patients. Balloon dilatation seems to have no effect on the reduction of pyriform sinus residue when the cause was either from discoordination of swallowing subsystems in the case of infarction of the left pontocerebellar trigone or loss of large bulk of tongue tissue in the case of cancer treatment.

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“…[9101112131415] However, little is known about how oral tongue cancer survivors perceive speech and its implications in their daily lives. Survivor perspectives on speech after tongue cancer treatment may elucidate features important to improved supportive care and help clinicians provide survivors with information about expected recovery trajectories and rehabilitation options.…”

Section: Introductionmentioning

confidence: 99%

Speaking legibly: Qualitative perceptions of altered voice among oral tongue cancer survivors

Philiponis

Kagan

2015

Asia-Pacific Journal of Oncology Nursing

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Objective:Treatment for oral tongue cancer poses unique challenges to restoring and maintaining personally acceptable, intelligible speech.Methods:We report how oral tongue cancer survivors describe their speech after treatment in a qualitative descriptive approach using constant comparative technique to complete a focal analysis of interview data from a larger grounded theory study of oral tongue cancer survivorship. Interviews were completed with 16 tongue cancer survivors 3 months to 12 years postdiagnosis with stage I-IV disease and treated with surgery alone, surgery and radiotherapy, or chemo-radiation. All interview data from the main study were analyzed for themes describing perceptions of speech as oral tongue cancer survivors.Results:Actual speech impairments varied among survivors. None experienced severe impairments that inhibited their daily lives. However, all expressed some level of concern about speech. Concerns about altered speech began when survivors heard their treatment plans and continued through to survivorship without being fully resolved. The overarching theme, maintaining a pattern and character of speech acceptable to the survivor, was termed “speaking legibly” using one survivor's vivid in vivo statement. Speaking legibly integrate the sub-themes of “fears of sounding unusual”, “learning to talk again”, “problems and adjustments”, and “social impact”.Conclusions:Clinical and scientific efforts to further understand and address concerns about speech, personal presentation, and identity among those diagnosed with oral tongue are important to improving care processes and patient-centered experience.

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Effect of swallowing training on dysphagia and depression in postoperative tongue cancer patients

Cited by 39 publications

References 18 publications

Health-Related Quality of Life and Oropharyngeal Dysphagia: A Systematic Review

Health-Related Quality of Life and Oropharyngeal Dysphagia: A Systematic Review

The Swallow Physiology Change of Balloon Dilatation on Pharyngeal Dysphagia

Speaking legibly: Qualitative perceptions of altered voice among oral tongue cancer survivors

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