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- Title
Swallowing disorders in the first year after radiation and chemoradiation.
- Authors
Logemann, Jeri A.; Pauloski, Barbara Roa; Rademaker, Alfred W.; Lazarus, Cathy L.; Gaziano, Joy; Stachowiak, Linda; Newman, Lisa; MacCracken, Ellen; Santa, Daphne; Mittal, Bharat
- Abstract
Background Radiation alone or concurrent chemoradiation can result in severe swallowing disorders. This manuscript defines the swallowing disorders occurring at pretreatment and 3 and 12 months after completion of radiation or chemoradiation. Methods Forty-eight patients (10 women and 38 men) participated in this study involving videofluorographic evaluation of oropharyngeal swallow at the 3 time points. Results At baseline, patients had some swallow disorders, probably related to presence of their tumor. At 3 months posttreatment, frequency of reduced tongue base retraction, slow or delayed laryngeal vestibule closure, and reduced laryngeal elevation increased from baseline. Some disorders continued at 12 months posttreatment. Functional swallow decreased over time in patients treated with chemoradiation, but not those treated with radiation alone. Discussion Chemoradiation results in fewer functional swallowers than radiation alone at 12 months posttreatment completion. © 2007 Wiley Periodicals, Inc. Head Neck, 2008
- Subjects
DEGLUTITION disorders; RADIATION; VIDEOFLUOROSCOPY; TUMORS; INGESTION disorders
- Publication
Head & Neck, 2008, Vol 30, Issue 2, p148
- ISSN
1043-3074
- Publication type
Article
- DOI
10.1002/hed.20672