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Clinical Swallow Evaluation in Head and Neck Cancer

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Dysphagia Management in Head and Neck Cancers

Abstract

Evaluating the swallowing function of the patient with head and neck cancer (HNC) is an important part of the management process and should be completed on all patients. The ability to swallow is an integral part of our existence and impacts the quality of life as well as nutrition and hydration. Proper nutrition is critical for wound healing and to provide the body with energy as the patient goes through the treatment process.

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References

  1. Stenson KM, MacCracken E, List M, et al. Swallowing function in patients with head and neck cancer prior to treatment. Arch Otolaryngol Head Neck Surg. 2000;126:371–7.

    Article  CAS  Google Scholar 

  2. Pauloski BR, Rademaker AW, Logemann JA, et al. Pretreatment swallowing function in patients with head and neck cancer. Head Neck. 2000;22:474–82.

    Article  CAS  Google Scholar 

  3. Van der Molen L, van Rossum MA, Ackerstaff AH, Smeele L, Rasch CR, Hilgers FJ. Pretreatment organ function in patients with advanced head and neck cancer: clinical outcome measures and patients’ views. BMC Ear Nose Throat Disord. 2009;15:10.

    Article  Google Scholar 

  4. Starmer H, Gourin C, Lua LL, Burkhead L. Pretreatment swallowing assessment in head and neck cancer patients. Laryngoscope. 2011;121:1208–11.

    Article  Google Scholar 

  5. Carnaby-Mann G, Crary MA, Schmalfuss I, Amdur R. “Pharyngocize”: randomized controlled trial of preventive exercises to maintain muscle structure and swallowing function during head-and-neck chemoradiotherapy. Int J Radiat Oncol Biol Phys. 2012;83:210–9.

    Article  Google Scholar 

  6. Hutcheson KA, Bhayani M, Beadle BM, et al. Eat and exercise during radiotherapy or chemoradiotherapy for pharyngeal cancers: use it or lose it. JAMA Otolaryngol Head Neck Surg. 2013;139:1127–34.

    Article  Google Scholar 

  7. Kotz T, Federman AD, Kao J, et al. Prophylactic swallowing exercises in patients with head and neck cancer undergoing chemoradiation: a randomized trial. Arch Otolaryngol Head Neck Surg. 2012;138:376–82.

    Article  Google Scholar 

  8. Kulbersch BD, Rosenthal EL, McGrew BM, et al. Pretreatment, preoperative swallowing exercises may improve dysphagia quality of life. Laryngoscope. 2006;116:883–6.

    Article  Google Scholar 

  9. Carroll WR, Locher JL, Canon CL, Bohannon IA, McColloch NL, Magnuson JS. Pretreatment swallowing exercises improve swallow function after chemoradiation. Laryngoscope. 2008;118:39–43.

    Article  Google Scholar 

  10. Van der Molen L, van Rossum MA, Rasch CR, Smeele LE, Hilgers FJ. Two-year results of a prospective preventive swallowing rehabilitation trial in patients treated with chemoradiation for advanced head and neck cancer. Eur Arch Otolaryngol. 2014;271:1257–70.

    Article  Google Scholar 

  11. Van der Molen L, van Rossum MA, Burkhead LM, Smeele LE, Rasch CR, Hilgers FJ. A randomized preventive rehabilitation trial in advanced head and neck cancer patients treated with chemoradiotherapy: feasibility, compliance, and short-term effects. Dysphagia. 2011;26:155–70.

    Article  Google Scholar 

  12. Gillespie MB, Brodsky MB, Day TA, Lee FS, Martin-Harris B. Swallowing-related quality of life after head and neck cancer treatment. Laryngoscope. 2004;114:1362–7.

    Article  Google Scholar 

  13. Shinn EH, Basen-Engquist K, Baum G, et al. Adherence to preventive exercises and self-reported swallowing outcomes in post-radiation head and neck cancer patients. Head Neck. 2013;35:1707–12.

    Article  Google Scholar 

  14. Hirano M, Kuroiwa Y, Tanaka S, Yoshida T. Dysphagia following various degrees of surgical resection for oral cancer. Ann Otol Rhinol Laryngol. 1992;101:138–41.

    Article  CAS  Google Scholar 

  15. Tei K, Maekawa K, Kitada H, Ohiro Y, Yamazaki Y, Totsuka Y. Recovery from postsurgical swallowing dysfunction in patients with oral cancer. J Oral Maxillofac Surg. 2007;65:1077–83.

    Article  Google Scholar 

  16. Tei K, Sakakibara N, Yamazaki Y, Ohiro Y, Ono M, Totsuka Y. Does swallowing function recover in the long-term in patients with surgically treated tongue carcinomas? J Oral Maxillofac Surg. 2012;70:2680–6.

    Article  Google Scholar 

  17. Friedlander P, Caruana S, Sing B, et al. Functional status after primary surgical therapy for squamous cell carcinoma of the base of tongue. Head Neck. 2002;24:111–4.

    Article  Google Scholar 

  18. Liang Y, Cui Y, Liao G. Comparison of quality of life in tongue cancer patients undergoing tongue reconstruction with lateral upper arm free flap and radial forearm free flap. Int J Clin Exp Med. 2015;8:4533–8.

    PubMed  PubMed Central  Google Scholar 

  19. Owen S, Puvanendran M, Meikle D, et al. Baseline swallowing measures predict recovery at 6 weeks after transoral robotic surgery for head and neck cancer. Clin Otolaryngol. 2017;42:366–72.

    Article  CAS  Google Scholar 

  20. Eisbruch A, Schwartz M, Rasch C, et al. Dysphagia and aspiration after chemoradiotherapy for head and neck cancer: which anatomic structures are affected and can they be spared by IMRT. Int J Radiat Oncol Biol Phys. 2004;60:1425–39.

    Article  Google Scholar 

  21. Feng FY, Kim HM, Lyden TH, et al. Intensity-modulated radiotherapy of head and neck cancer aiming to reduce dysphagia: early dose-effect relationships for the swallowing structures. Int J Radiat Oncol Biol Phys. 2007;68:1289–98.

    Article  Google Scholar 

  22. Levendag PC, Teguh DN, Voet P, et al. Dysphagia disorders in patients with head and neck cancer of the oropharynx are significantly affected by the radiation therapy dose to the superior and middle constrictor muscle: a dose effect relationship. Radiother Oncol. 2007;50:65–70.

    Google Scholar 

  23. Denaro N, Merlano MC, Russi EG. Dysphagia in head and neck cancer patients: pretreatment evaluation, predictive factors, and assessment during radio-chemotherapy, recommendations. Clin Exp Otorhinol. 2013;6:117–26.

    Article  Google Scholar 

  24. Starmer HM, Quon H, Kumar R, et al. The effect of radiation dose on swallowing evaluation of aspiration and kinematics. Dysphagia. 2015;30:430–7.

    Article  Google Scholar 

  25. Rogus-Pulia NM, Larson C, Mittal BB, et al. Effects of change in tongue pressure and salivary flow rate on swallow efficiency following chemoradiation treatment for head and neck cancer. Dysphagia. 2016;31:687–96.

    Article  Google Scholar 

  26. Kumar R, Madanikia S, Starmer H, et al. Radiation dose to the floor of mouth muscles predicts swallowing complications following chemoradiation in oropharyngeal squamous cell carcinoma. Oral Oncol. 2014;50:65–70.

    Article  Google Scholar 

  27. Agarwal J, Dutta D, Palwe V, et al. Prospective subjective evaluation of swallowing function and dietary pattern in head and neck cancers treated with concomitant chemoradiation. J Cancer Res Ther. 2011;6:15–21.

    Article  Google Scholar 

  28. Patterson JM, McColl E, Carding PN, Hildreth AJ, Kelly C, Wilson JA. Swallowing in the first year after chemoradiotherapy for head and neck cancer: clinician-and patient-reported outcomes. Head Neck. 2014;36:352–8.

    Article  Google Scholar 

  29. Mercadante S. Options for treating pain in cancer patients with dysphagia. Drugs. 2017;77:629–35.

    Article  CAS  Google Scholar 

  30. Pauli N, Johnson J, Finizia C, Andrell P. The incidence of trismus and long-term impact on health-related quality of life in patients with head and neck cancer. Acta Oncol. 2013:1137–45.

    Article  Google Scholar 

  31. Mercadante S, Aielli F, Adile C, et al. Prevalence of oral mucositis, dry mouth, and dysphagia in advanced cancer patients. Support Care Cancer. 2015;23:3249–55.

    Article  Google Scholar 

  32. Wang X, Eisbruch A. IMRT for head and neck cancer: reducing xerostomia and dysphagia. J Radiat Res. 2016;57:i69–75.

    Article  Google Scholar 

  33. Kent ML, Brennan MT, Noll JL, et al. Radiation-induced trismus in head and neck cancer patients. Support Care Cancer. 2008;16:305–9.

    Article  Google Scholar 

  34. Johnson J, van As-Brooks CJ, Fagerberg-Mohlin B, Finizia C. Trismus in head and neck cancer patients in Sweden: incidence and risk factors. Med Sci Monit. 2010;16:CR278–82.

    PubMed  Google Scholar 

  35. Scott B, D’Souza J, Perinparajah N, Lowe D, Rogers SN. Longitudinal evaluation of restricted mouth opening (trismus) in patients following primary surgery for oral and oropharyngeal squamous cell carcinoma. Br J Oral Maxillofac Surg. 2011;49:106–11.

    Article  CAS  Google Scholar 

  36. Bensadoun RJ, Riesenbeck D, Lockhart PB, Elting LS, Spijkervet FK, Brennan MT. A systematic review of trismus induced by cancer therapies in head and neck cancer patients. Support Care Cancer. 2010;18:1033–8.

    Article  Google Scholar 

  37. Ridner SH, Dietrich MS, Niermann K, Cmelak A, Mannion K, Murphy B. A prospective study of the lymphedema and fibrosis continuum in patients with head and neck cancer. Lymphat Res Biol. 2016;14:198–205.

    Article  Google Scholar 

  38. Deng J, Murphy BA, Dietrich MS, et al. Impact of secondary lymphedema after head and neck cancer treatment on symptoms, functional status, and quality of life. Head Neck. 2013;35:1026–35.

    Article  Google Scholar 

  39. Smith BG, Lewin JS. Lymphedema management in head and neck cancer. Curr Opin Otolarynol Head Neck Surg. 2010;18:153–8.

    Article  Google Scholar 

  40. Nourissat A, Bairati I, Samson E, et al. Predictors of weight loss during radiotherapy in patients with stage I or II head and neck cancer. Cancer. 2010;116:2275–83.

    PubMed  Google Scholar 

  41. Nourissat A, Bairati I, Fortin A, et al. Factors associated with weight loss during radiotherapy in patients with stage I or II head and neck cancer. Support Care Cancer. 2012;20:591–9.

    Article  Google Scholar 

  42. Langius JA, Tuisk J, Kampman M, et al. Prediction model to predict critical weight loss in patients with head and neck cancer during (chemo) radiotherapy. Oral Oncol. 2016;52:91–6.

    Article  Google Scholar 

  43. Kubrak C, Olson K, Baracos VE. The head and neck symptom checklist: an instrument to evaluate nutrition impact symptoms effect on energy intake and weight loss. Support Care Center. 2013;21:3127–36.

    Article  Google Scholar 

  44. Kubrak C, Olson K, Jha N, et al. Clinical determinants of weight loss in patients receiving radiation and chemo-irradiation for head and neck cancer: a prospective longitudinal view. Head Neck. 2013;35:695–703.

    Article  Google Scholar 

  45. Yamashita H, Nakagawa K, Tago M, et al. Taste dysfunction in patients receiving radiotherapy. Head Neck. 2006;28:508–16.

    Article  Google Scholar 

  46. McLaughlin L. Taste dysfunction in head and neck cancer survivors. Oncol Nurs Forum. 2013;40:E4–E13.

    Article  Google Scholar 

  47. Tsutsumi R, Goda M, Fujimoto C, et al. Effects of chemotherapy on gene expression of lingual taste receptors in patients with head and neck cancer. Laryngoscope. 2016;126:E103–9.

    Article  CAS  Google Scholar 

  48. Ogama N, Suzuki S, Umeshita K, et al. Appetite and adverse effects associated with radiation therapy to patients with head and neck cancer. Eur J Oncol Nurs. 2010;14:3–10.

    Article  Google Scholar 

  49. Jiang N, Zhang L, Zhao Y. Risk factors for late dysphagia after (chemo) radiotherapy for head and neck cancer: a systematic methodological review. Head Neck. 2016;38:792–800.

    Article  Google Scholar 

  50. Popovtzer A, Cao Y, Feng FY, Eisbruch A. Anatomical changes in the pharyngeal constrictors after chemo-irradiation of head and neck cancer and their dose-effect relationship: MRI-based study. Radiother Oncol. 2009;93:510–5.

    Article  Google Scholar 

  51. Hutcheson KA, Lewin JS, Barringer DA, et al. Late dysphagia after radiotherapy-based treatment of head and neck cancer. Cancer. 2012;118:5793–9.

    Article  Google Scholar 

  52. Kraaijenga SA, Oskam IM, van der Molen L, Hamming-Vrieze O, Hilgers FJ, van den Brekel MW. Evaluation of long term (10 years+) dysphagia and trismus in patients treated with concurrent chemoradiotherapy for advanced head and neck cancer. Oral Oncol. 2015;51:787–94.

    Article  CAS  Google Scholar 

  53. Kraaijenga SA, van der Molen L, Jacobi I, Hamming-Vrieze O, Hilgers FJ, van den Brekel MW. Prospective clinical study on long-term swallowing function and voice quality in advanced head and neck cancer patients treated with concurrent chemoradiotherapy and preventive swallowing exercises. Eur Arch Otorhinolaryngol. 2015;272:3521–31.

    Article  Google Scholar 

  54. Morton RP. Studies in the quality of life of head and neck cancer patients: results of a two-year longitudinal study and a comparative cross-sectional cross-cultural survey. Laryngoscope. 2003;113:1091–103.

    Article  Google Scholar 

  55. Rogus-Pulia NM, Pierce M, Mittal BB, Zecker SG, Logemann J. Bolus effects on patient awareness of swallowing difficulty and swallowing physiology after chemoradiation for head and neck cancer. Head Neck. 2015;37:1122–9.

    Article  Google Scholar 

  56. Patterson JM, McColl E, Wilson J, Carding P, Rapley T. Head and neck cancer patients’ perceptions of swallowing following chemoradiotherapy. Support Care Cancer. 2015;23:3531–8.

    Article  Google Scholar 

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Correspondence to Brenda Capobres Villegas .

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Villegas, B.C. (2018). Clinical Swallow Evaluation in Head and Neck Cancer. In: Thankappan, K., Iyer, S., Menon, J. (eds) Dysphagia Management in Head and Neck Cancers. Springer, Singapore. https://doi.org/10.1007/978-981-10-8282-5_4

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  • DOI: https://doi.org/10.1007/978-981-10-8282-5_4

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  • Online ISBN: 978-981-10-8282-5

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