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Swallowing disorders in the first year after radiation and chemoradiation
Author(s) -
Logemann Jeri A.,
Pauloski Barbara Roa,
Rademaker Alfred W.,
Lazarus Cathy L.,
Gaziano Joy,
Stachowiak Linda,
Newman Lisa,
MacCracken Ellen,
Santa Daphne,
Mittal Bharat
Publication year - 2008
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.20672
Subject(s) - medicine , swallowing , radiation therapy , dysphagia , tongue , larynx , pharyngeal muscles , surgery , pathology
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