Skip to main content
SpringerLink
Log in

Management of Dysphagia Following Treatment for Oral Cancer

  • Chapter
  • First Online:
Oral Cancer

  • 3486 Accesses

Abstract

This chapter is focusing on the management of dysphagia caused by the treatment of oral cancer. The causes, site-specific characteristics, evaluation, and treatment of dysphagia following oral cancer treatment are introduced in detail. The noninstrumental evaluating methods, the cervical auscultation, the videofluoroscopic swallow study, the videoendoscopic swallow study, and the ultrasound study are introduced in the section of the evaluation methods for dysphagia. The treatment methods for dysphagia include the airway clearance techniques, the compensatory techniques, and the swallow exercises. The short-term intensive dysphagia rehabilitation is also introduced. The sophisticated techniques and newly developed methods in both evaluation and treatment for dysphagia are introduced with a lot of clinical figures. Chapter 16 and this chapter provide the clinicians the way how to manage the oral and pharyngeal dysfunction caused after the treatment of oral cancer.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 139.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Pauloski BR, Logemann JA, Rademaker AW et al (1994) Speech and swallowing function after oral and oropharyngeal resections: one-year follow-up. Head Neck 16(4):313–322

    Article  CAS  PubMed  Google Scholar 

  2. McConnel FMS, McConnel FM, Logemann JA, Rademaker AW et al (1994) Surgical variables affecting postoperative swallowing efficiency in oral cancer patients: a pilot study. Laryngoscope 104(1):87–90

    Article  CAS  PubMed  Google Scholar 

  3. Bonanno PC (1971) Swallowing dysfunction after tracheotomy. Ann Surg 174:29–33

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  4. Cameron JL, Renolds J, Zuidema GD et al (1973) Aspiration in patients with tracheostomies. Surg Gynecol Obstetr 136:68–70

    CAS  Google Scholar 

  5. Bone DK, Davis JL, Zuidema GD, Cameron JL et al (1974) Aspiration pneumonia: prevention of aspiration in patients with tracheostomies. Ann Thoracic Surg 18:30–37

    Article  CAS  Google Scholar 

  6. Nash M (1988) Swallowing problems in the tracheostomized patient. Otolaryngol Clin North Am 21(4):701–709

    CAS  PubMed  Google Scholar 

  7. Muz J, Sandra H, Robert M, Ronnie F et al (1994) Scintigraphic assessment of aspiration in head and neck cancer patients with tracheostomy. Head Neck 16:17–20

    Article  CAS  PubMed  Google Scholar 

  8. Buchbinder D, Currivan RB, Kaplan AJ, Urken ML et al (1993) Mobilization regimens for the prevention of jaw hypomobility in the radiated patient: a comparison of three techniques. J Oral Maxillofac Surg 51:863–867

    Article  CAS  PubMed  Google Scholar 

  9. Pauloski BR, Rademaker AW, Logemann JA, Colangelo LA (1998) Speech and swallowing in irradiated and nonirradiated postsurgical oral cancer patients. Otolaryngol Head Neck Surg 118(5):616–624

    CAS  PubMed  Google Scholar 

  10. Logemann JA, Smith CH, Pauloski BR, Rademaker AW, Lazarus CL et al (2001) Effects of xerostomia on perception and performance of swallow function. Head Neck 23(4):317–321

    Article  CAS  PubMed  Google Scholar 

  11. Hamlet S, Faull J, Klein B, Aref A et al (1997) Mastication and swallowing in patients with postirradiation xerostomia. Int J Radiat Oncol Biol Phys 37(4):789–796

    Article  CAS  PubMed  Google Scholar 

  12. Pauloski BR, Logemann JA, Joan CF, Colangelo LA et al (1995) Biomechanical analysis of the pharyngeal swallow in postsurgical patients with anterior tongue and floor of mouth resection and distal flap reconstruction. J Speech Hear Res 38:110–123

    Article  CAS  PubMed  Google Scholar 

  13. Ekberg O, Göran N et al (1983) Pharyngeal dysfunction after treatment for pharyngeal cancer with surgery and radiotherapy. Gastrointest Radiol 8:97–104

    Article  CAS  PubMed  Google Scholar 

  14. Logemann JA, Pauloski BR, Rademaker AW, McConnel FMS (1993) Speech and swallow function after tonsil/base of tongue resection with primary closure. J Speech Hear Res 36:918–926

    Article  CAS  PubMed  Google Scholar 

  15. Nishiwaki K, Tsuji T, Liu M, Hase K, Tanaka N, Fujiwara T (2005) Identification of a simple screening tool for dysphagia in patients with stroke using factor analysis of multiple dysphagia variables. J Rehabil Med 37(4):247–251

    Article  PubMed  Google Scholar 

  16. Okamoto N, Tomioka K, Saeki K, Iwamoto J et al (2012) Relationship between swallowing problems and tooth loss in community-dwelling independent elderly adults. J Am Geriatr Soc 60(5):849–853

    Article  PubMed  Google Scholar 

  17. Osawa A, Maeshima S, Tanahashi N (2013) Water-swallowing test: screening for aspiration in stroke patients. Cerebrovasc Dis 35(3):276–281

    Article  PubMed  Google Scholar 

  18. Wakasugi Y, Tohara H, Hattori F, Motohashi Y et al (2008) Screening test for silent aspiration at the bedside. Dysphagia 23(4):364–370

    Article  PubMed  Google Scholar 

  19. Saito E (2000) An integrated research on treatment and handling of dysphagia: general research report. In: Research project on aging and health, fiscal 1999 health and labour sciences research grant (Chief researcher: Saito E) (in Japanese) 3 ml food, Apr 2000, pp 1–18

    Google Scholar 

  20. Shinjo Y, Okitsu A, Ukeda I, Miyagi A, Domen K et al (2013) Effects of posture on subjective swallowing difficulty during screening tests for dysphagia. Int J Phys Med Rehabil 1(4):133

    Google Scholar 

  21. Oguchi K, Saitoh E, Baba M, Kusudo S et al (2000) The repetitive saliva swallowing test (RSST) as a screening test of functional dysphagia (2nd report)-validity of RSST (in Japanese). Jpn J Rehabil Med 37(6):383–388

    Article  Google Scholar 

  22. Hongama S, Nagao K, Toko S et al (2012) MI sensor-aided screening system for assessing swallowing dysfunction: application to the repetitive saliva swallowing test. J Prosthodont Res 56(1):53–57

    Article  PubMed  Google Scholar 

  23. Takahashi K (1998) Cervical auscultation. In: Kaneko Y (ed) Eating and swallowing rehabilitation. Ishiyaku Publishers, Tokyo, pp 171–175 (in Japanese)

    Google Scholar 

  24. Takahashi K, Uyama R, Hirano K, Yamashita Y et al (2001) Accuracy of cervical auscultation for detecting dysphagia in head and neck cancer patients (in Japanese). Head Neck Cancer 27(1):198–203

    Article  Google Scholar 

  25. Logemann JA, Pauloski BR, Rademaker AW, McConnel FM, Heiser MA, Cardinale S et al (1997) Speech and swallowing rehabilitation in head and neck cancer patients. Oncology 11:651–659

    CAS  PubMed  Google Scholar 

  26. Takahashi K (1998) Treatment strategies. In: Kaneko Y et al (eds) Dysphagia rehabilitation. Ishiyaku Publishing, Tokyo, pp 175–183 (in Japanese)

    Google Scholar 

  27. Takahashi K, Uyama R et al (1999) Swallow exercises in patients with head and neck cancer: objective assessment of swallow functions and subjective assessment by patients. Jpn J Head Neck Cancer 25(1):123–129

    Article  Google Scholar 

  28. Takahashi K, Michi K (1999) Rehabilitation of dysphagia. In: Enomoto S et al (eds) Latest oral surgery (in Japanese), 4th edn. Ishiyaku Publishing, Tokyo, pp 422–426

    Google Scholar 

  29. Takahashi K (2000) Rehabilitation of dysphagia in patients with head and neck cancer (video). Tokyo, Ishiyaku Pub, in Japanese

    Google Scholar 

  30. Takahashi K (2003) Dysphagia rehabilitation: management of dysphagia in patients with head and neck cancer. In: Uematsu H et al (eds) Dental guidebook for the elderly. Ishiyaku Publishing, Tokyo, pp 265–273 (in Japanese)

    Google Scholar 

  31. Namba A, Yamashita Y, Takahashi K et al (2001) Application of a systematic manual for training swallowing disorders to postoperative oral cancer patients. J Jpn Stomatol Soc 50(2):122–129

    Google Scholar 

  32. Logemann JA, Ashford JR, McCullough G et al (1994) Effects of postural change on aspiration in head and neck surgical patients. Otolaryngol Head Neck Surg 110:222–227

    CAS  PubMed  Google Scholar 

  33. Welch MV, Logemann JA, Rademaker AW, Kahrilas PJ et al (1993) Changes in pharyngeal dimensions effected by chin tuck. Arch Phys Med Rehabil 74:178–181

    CAS  PubMed  Google Scholar 

  34. Shanahan TK, Logemann JA, Rademaker AW, Pauloski BR, Kahrilas PJ et al (1993) Chin-down posture effect on aspiration in dysphagic patients. Arch Phys Med Rehabil 74:736–739

    Article  CAS  PubMed  Google Scholar 

  35. Fukasawa M, Takahashi K et al (2004) Effects of postural adjustment techniques on dysphagia in head and neck surgical patients: videofluoroscopic comparison of the upright posture and the posture with head tilted to the stronger side. Jpn J Oral Maxillofac Surg 50(8):461–465, in Japanese

    Article  Google Scholar 

  36. Fukasawa M, Takahashi K et al (2006) Effects of postural adjustment techniques on dysphagia in patients with tongue cancer: comparison of successful and unsuccessful cases with the head tilt posture. Jpn J Oral Maxillofac Surg 52:225–233, in Japanese

    Article  Google Scholar 

  37. Felt P et al (2002) National dysphagia task force. In: The national dysphagia diet: standardization for optimal care. American Dietetic Association, Chicago

    Google Scholar 

  38. Wheeler R, Logemann JA, Rosen MS et al (1980) Maxillary reshaping prosthesis: effectiveness in improving speech and swallowing of post-surgical oral cancer patients. J Prosthet Dent 43:313–319

    Article  CAS  PubMed  Google Scholar 

  39. Davis J, Lazarus C, Logemann JA, Hurst PS et al (1987) Effect of maxillary glossectomy prosthesis on articulation and swallowing. J Prosthet Dent 57:715–719

    Article  CAS  PubMed  Google Scholar 

  40. Pauloski B et al (1996) Effect of intraoral prostheses on swallowing function in postsurgical oral and oropharyngeal cancer patients. Am J Speech Lang Pathol 5:31–46

    Article  Google Scholar 

  41. Takahashi K (2006) Function recovering devices for disorders: devices for dysphagia. In: Mayazaki T et al (eds) Clinical dental engineering. Ishiyaku Publishing, Tokyo, pp 302–307 (in Japanese)

    Google Scholar 

  42. Michael A Crary (2010) Changing the swallow: active therapy techniques. Chapter 14 Treatment for Adults. pp285-296 Michael E. Groher and Michael A. Crary Dysphagia: Clinical Management in Adults and Children. 2010 Mosby Elsevier

    Google Scholar 

  43. Lazarus CL (1993) Effect of radiation therapy and voluntary maneuvers on swallow functioning in head and neck cancer patients. Clin Commun Disord 3(4):11–20

    CAS  PubMed  Google Scholar 

  44. Lazarus CL, Logemann JA, Gibbons P (1993) Effect of maneuvers on swallowing function in a dysphagic oral cancer patient. Head Neck 15:419–424

    Article  CAS  PubMed  Google Scholar 

  45. Dou Z, Zu Y, Wen H, Wan G et al (2012) The effect of different catheter balloon dilatation modes on cricopharyngeal dysfunction in patients with dysphagia. Dysphagia 27(4):514–520

    Article  PubMed  Google Scholar 

  46. Shaker R, Easterling C, Kern M, Nitschke T et al (2002) Rehabilitation of swallowing by exercise in tube-fed patients with pharyngeal dysphagia secondary to abnormal UES opening. Gastroenterology 122(5):1314–1321

    Article  PubMed  Google Scholar 

  47. Crary MA, Groher ME (2000) Basic concepts of surface electromyographic biofeedback in the treatment of dysphagia. Am J Speech Lang Pathol 9:116–125

    Article  Google Scholar 

  48. Beom J, Kim SJ, Han TR (2011) Electrical stimulation of the suprahyoid muscles in brain-injured patients with dysphagia: a pilot study. Ann Rehabil Med 35(3):322–327

    Article  PubMed Central  PubMed  Google Scholar 

  49. Kim SR, Kwon KH, Cho BJ (2013) The effects of neuromuscular electrical stimulation on pharyngeal transit time. J Phys Ther Sci 25(7):849–851

    Article  PubMed Central  PubMed  Google Scholar 

  50. Takahashi K (2009) Management of dysphagia in post-surgical head and neck cancer patients with intractable dysphagia-hospitalization for dysphagic patients who were told in other clinics that in would be impossible or extremely difficult to eat orally. J Jpn Soc Oral Tumors 21(4):245–254

    Article  Google Scholar 

  51. Takahashi K, Uyama R, Yokoyama K, Nakamichi Y et al (2011) Management of dysphagia for patients being treated for head and neck cancer in our department. Head Neck Cancer 37(4):508–513

    Google Scholar 

  52. Yuasa K, Yokoyama K, Takei Y, Nakamichi Y et al (2013) Effectiveness of short-term intensive dysphagia rehabilitation in head and neck cancer patients with severe dysphagia. Dysphagia 28:647

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Division of Oral Rehabilitation Medicine, Department of Special Needs Oral medicine, School of Dentistry, Showa University, 2-1-1 Kitasenzoku Ohta-ku, Tokyo, 145-8515, Japan

    Koji Takahashi D.D.S., Ph.D.

Authors
  1. Koji Takahashi D.D.S., Ph.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Koji Takahashi D.D.S., Ph.D. .

Editor information

Editors and Affiliations

  1. Dept of Oral and Maxillofacial Surg, Nara Medical University, Kashihara, Nara, Japan

    Tadaaki Kirita

  2. Oral Cancer Center, Tokyo General Hospital, Tokyo, Tokyo, Japan

    Ken Omura

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer Japan

About this chapter

Cite this chapter

Takahashi, K. (2015). Management of Dysphagia Following Treatment for Oral Cancer. In: Kirita, T., Omura, K. (eds) Oral Cancer. Springer, Tokyo. https://doi.org/10.1007/978-4-431-54938-3_17

Download citation

  • DOI: https://doi.org/10.1007/978-4-431-54938-3_17

  • Published:

  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-54937-6

  • Online ISBN: 978-4-431-54938-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation