Questionnaire Analysis of Swallowing-Related Outcomes following Glossectomy

Abstract

Objective: To determine the effects of a partial/total glossectomy on the swallow-related quality of life (QOL). Design: Cross-sectional, single-centre cohort study. Patients and Methods: Thirty-one patients who underwent partial/total glossectomy at our centre participated in the study. Main outcome was measured using the MD Andersen Dysphagia Inventory (MDADI) questionnaire. Results: Responses were received from 24 males and 7 females (response rate of 77.5%) with a median age of 50 years (range: 28–72). Median follow-up in patients was 33 months (range 4–210). The mean MDADI total score in our series of patients was 71.7 (SD 18.8). Mean MDADI global score was 64.5 (SD 29.1), mean Emotional score was 71.9 (SD 19.1), mean Functional score was 73.7 (SD 19.1) and mean Physical score was 69.3 (SD 21.7). Statistically significant differences were seen between the global, emotional and physical scores of patients who had received radiotherapy (Mann-Whitney, p < 0.05) and tracheostomy (functional score, Mann-Whitney, p = 0.038). Conclusion: The presence of tracheostomy tube and previous radiotherapy affects swallowing outcome in patients who have had surgery for squamous cell carcinoma of the tongue.

An exploratory study of the influence of clinico-demographic variables on swallowing and swallowing-related quality of life in a cohort of oral and oropharyngeal cancer patients treated with primary surgery

“…Deterioration of swallowing function is a key component that aVects QOL in HNC patients [1][2][3][4][5]. This represents a signiWcant concern for OC and OP cancer patients and must be addressed to improve the QOL [13].…”

“…Functional impairment of swallowing is often seen in head and neck cancer (HNC) patients, and is known to result in a poor quality of life (QOL) [1][2][3][4][5]. According to the recent estimates, as many as 50-75% of HNC survivors report some degree of swallowing diYculties [6][7][8].…”

Funktionserhalt nach der Therapie von Kopf-Hals-Tumoren

“…Das Vorliegen einer Tracheostomie beeinträchtigt die Schluckfunktion nachhaltig [ 152 ] . Eine prospektiv randomisierte Studie untersucht den Einfl uss der Technik des Tracheostomaverschlusses auf die folgende Schluckfähigkeit und stationäre Liegezeiten.…”

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

“…Dysphagia occurs in up to 50% of head and neck cancer survivors and an estimated 10,000e20,000 new cases are diagnosed annually in the USA (Kazi et al, 2008), particularly in patients with oral cavity and oropharyngeal cancers (Pauloski et al, 2006). Patients with tongue cancer are at high risk for oropharyngeal dysphagia (OD) after surgery.…”