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September 1, 1979Cancer

Swallowing disorders in three types of head and neck surgical patients

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Authors

JLJeri A. LogemannNorthwestern UniversityDBDavid E. BytellNorthwestern University

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Implication

Observational study reveals distinct swallowing motility impairments in head and neck surgical patients, highlighting surgery-specific rehabilitation needs.

Key Points

  • To evaluate swallowing transit times and motility disturbances in patients following three distinct head and neck surgical resections compared to healthy controls.
  • Assessed 30 patients across three surgical groups (10 anterior floor of mouth resections, 12 tonsil/base of tongue resections, and 8 supraglottic laryngectomies) alongside 10 healthy control subjects.
  • Conducted videofluoroscopic swallowing evaluations using liquid, thin paste, thick paste, and combined consistencies one week after oral feeding initiation.
  • Measured oral and pharyngeal transit times and categorized stage-specific motility disturbances from recorded video footage.
  • All three post-surgical patient cohorts demonstrated severe swallowing impairment relative to normal controls.
  • Patients undergoing anterior floor of mouth resection presented with pronounced deficits during oral preparation and oral transit phases.
  • Tonsil/base of tongue resections caused marked slowing across preparatory, oral, and pharyngeal stages, whereas supraglottic laryngectomy resulted in only minor oral and pharyngeal transit delays.

Cite This Study

Logemann et al. (1979) studied this question.

synapsesocial.com/papers/6a9a722cb4bd48c222e43e2ehttps://doi.org/10.1002/1097-0142(197909)44:3<1095::aid-cncr2820440344>3.0.co;2-c
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Also Consider

Synapse has enriched 2 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Surgery of Head and Neck Tumors1958 · 33 citations
  2. 2Tongue Flap Reconstruction in Cancer of the Oral Cavity1975 · 28 citations