Functional Swallowing Units (FSUs) as organs-at-risk for radiotherapy. PART 1: Physiology and anatomy

Gawryszuk, A.; Bijl, H.P.; Holwerda, Monique; Halmos, György B.; Wedman, Jan; Witjes, Max J. H.; Vliet, A. M. van der; Dorgelo, Bart; Langendijk, Johannes A.

doi:10.1016/j.radonc.2018.10.028

Cited by 24 publications

(22 citation statements)

References 50 publications

(76 reference statements)

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“…Although not yet clinically validated, the introduction of functional swallowing units (FSUs), defined by hyolaryngeal elevation, tongue base retraction, and tongue motion, is certainly promising. Using these contouring guidelines to mark the delineation of FSUs may reduce toxicity, leading to better outcomes [20,21]. A new randomized control trial is planned to more definitively explore the role of IMRT in reducing dysphagia [22].…”

Section: Discussionmentioning

confidence: 99%

Late Feeding Tube Dependency in Head and Neck Cancer Patients Treated with Definitive Radiation Therapy and Concurrent Systemic Therapy

Friedes

Klingensmith²,

Nimo

et al. 2020

Cureus

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Section: Discussionmentioning

confidence: 99%

Late Feeding Tube Dependency in Head and Neck Cancer Patients Treated with Definitive Radiation Therapy and Concurrent Systemic Therapy

Friedes

Klingensmith²,

Nimo

et al. 2020

Cureus

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“…swollen epiglottis, reduction of pharyngeal contraction, tongue base retraction or hyolaryngeal elevation) [35]. Such management would include swallowing rehabilitation as well as swallowing-sparing radiation strategies focused on specific aspiration-related structures (for instance: floor of mouth/ thyrohyoid muscles in case of reduced hyolaryngeal elevation) [40,45,46,51,52].…”

Section: Discussionmentioning

confidence: 99%

Relationship between videofluoroscopic and subjective (physician- and patient- rated) assessment of late swallowing dysfunction after (chemo) radiation: Results of a prospective observational study

Gawryszuk

Bijl

Schaaf

et al. 2021

Radiotherapy and Oncology

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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“…The interpterygoid fascia starts from the base of the skull with a medial vector, covering the oval foramen and the sphenoid spine, involving the tympanosquamous suture and the sphenopetrosal fissure [32]. The interpterygoid fascia covers the anterior surface of the styloid process, merging with the styloglossus muscle (part of the extrinsic musculature of the tongue) and with other muscles such as the styloid and stylopharyngeal muscle, the latter two fundamentals for the functioning of the tongue [32][33]. The tensor-vascular styloid fascia (from the lower limit of the tensor veli palatine muscle to the styloid process) laterally covers the styloid prominence and merges, finally, into the fascial network of the internal carotid artery [32].…”

Section: Systemic Myofascial Relationships Of the Five Diaphragms: Pomentioning

confidence: 99%

The Five Diaphragms in Osteopathic Manipulative Medicine: Myofascial Relationships, Part 1

Bordoni

2020

Cureus

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Working on the diaphragm muscle and the connected diaphragms is part of the respiratorycirculatory osteopathic model. The breath allows the free movement of body fluids and according to the concept of this model, the patient's health is preserved thanks to the cleaning of the tissues by means of the movement of the fluids (blood, lymph). The respiratory muscle has several systemic connections and multiple functions. The founder of osteopathic medicine emphasized the importance of the thoracic diaphragm and body health. The five diaphragms (tentorium cerebelli, tongue, thoracic outlet, thoracic diaphragm and pelvic floor) represent an important tool for the osteopath to evaluate and find a treatment strategy with the ultimate goal of patient well-being. The two articles highlight the most up-to-date scientific information on the myofascial continuum for the first time. Knowledge of myofascial connections is the basis for understanding the importance of the five diaphragms in osteopathic medicine. In this first part, the article reviews the systemic myofascial posterolateral relationships of the respiratory diaphragm; in the second I will deal with the myofascial anterolateral myofascial connections.

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Functional Swallowing Units (FSUs) as organs-at-risk for radiotherapy. PART 1: Physiology and anatomy

Cited by 24 publications

References 50 publications

Late Feeding Tube Dependency in Head and Neck Cancer Patients Treated with Definitive Radiation Therapy and Concurrent Systemic Therapy

Late Feeding Tube Dependency in Head and Neck Cancer Patients Treated with Definitive Radiation Therapy and Concurrent Systemic Therapy

Relationship between videofluoroscopic and subjective (physician- and patient- rated) assessment of late swallowing dysfunction after (chemo) radiation: Results of a prospective observational study

The Five Diaphragms in Osteopathic Manipulative Medicine: Myofascial Relationships, Part 1

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