Faculty Collaboration Database

Surgical variables affecting swallowing in patients treated for oral/oropharyngeal cancer. Head Neck 2004 Jul;26(7):625-36

Date

07/02/2004

Pubmed ID

15229906

DOI

10.1002/hed.20013

Scopus ID

2-s2.0-3042698226 (requires institutional sign-in at Scopus site)   104 Citations

Abstract

BACKGROUND: Postoperative swallowing function may be influenced by a number of treatment variables; this study examines the relationship of various treatment factors to measures of swallow function.

METHODS: Swallowing was examined with the modified barium swallow procedure in 144 patients surgically treated for oral or oropharyngeal cancer 3 months after healing. Univariate and multivariate correlations were used to examine the relationship between swallowing function and treatment.

RESULTS: Percent tongue base resected and total volume resected were most often correlated with swallowing function in the univariate analyses. Multivariate analyses identified the following combinations with the strongest correlations: (1) percent tongue base resected and closure type for liquids; (2) percent tongue base resected and unreconstructed mandible for pastes; (3) total volume resected, percent lateral floor of mouth resected, and postoperative radiotherapy dose for masticated boluses.

CONCLUSIONS: Total volume resected and percent tongue base resected had a profound impact on postoperative swallowing function. Combinations of percent tongue base resected with other surgical variables had the strongest relationships with overall swallowing function.

Author List

Pauloski BR, Rademaker AW, Logemann JA, McConnel FM, Heiser MA, Cardinale S, Lazarus CL, Pelzer H, Stein D, Beery Q

Author

Barbara R. Pauloski PhD, CCC-SLP Associate Professor in the Communication Sciences & Disorders department at University of Wisconsin - Milwaukee

MESH terms used to index this publication - Major topics in bold

Adult
Aged
Aged, 80 and over
Deglutition
Female
Humans
Male
Middle Aged
Multivariate Analysis
Oropharyngeal Neoplasms
Postoperative Period
Recovery of Function
Regression Analysis
Skin Transplantation
Tongue Neoplasms