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Postoperative dysphagia is often improved by postural compensatory techniques in patients with head and neck cancer. This study was done to evaluate the effects of postural technique on postoperative dysphagia in patients with tongue cancer. We compared improved cases with unimproved cases on head tilting toward the stronger side. Fifteen patients with dysphagia were subjects. All subjects swallowed 5ml of the contrast medium in both an upright position and with the head tilted toward the stronger side during videofluorographic (VF) examination. Eight patients (improved cases) showed aspiration in the upright position and no aspiration during head tilting. Seven patients (unimproved cases) showed aspiration in both the upright position and on head tilting. Tilting magnitude, vallecular angle, and epiglottic angle were measured on video prints. Pharyngeal delay time, pharyngeal passing time, and pharyngo-esophageal (PE) segment opening time were measured using a video motion analyzer. Retention amounts (intraoral, valleculae, and pyriform sinuses) were qualitatively evaluated on video prints. The results were as follows: 1) Vallecular angle in the tilting posture was greater than that in the upright posture in 6 of the 8 improved

nihon koukuu geka gakkai zasshi/nippon kōkū geka gakkai zasshi

Effects of the postural technique on postoperative dysphagia in patients with tongue cancer: A comparison of improved cases with unimproved cases on head tilting toward the stronger side