Evaluation of Swallowing by Sydney Swallow Questionnaire (SSQ) in Oral and Oropharyngeal Cancer Patients Treated with Primary Surgery

被引:43
作者
Dwivedi, Raghav C. [1 ,2 ]
St Rose, Suzanne [3 ]
Chisholm, Edward J. [1 ]
Georgalas, Christos [4 ]
Bisase, Brian [1 ]
Amen, Furrat [1 ]
Kerawala, Cyrus J. [1 ]
Clarke, Peter M. [1 ]
Nutting, Christopher M. [1 ,2 ]
Rhys-Evans, Peter H. [1 ,2 ]
Harrington, Kevin J. [1 ,2 ]
Kazi, Rehan [1 ,2 ]
机构
[1] Royal Marsden Hosp, Head & Neck Unit, London SW3 6JJ, England
[2] Inst Canc Res, London SW3 6JB, England
[3] Royal Marsden Hosp, Res Data & Stat Unit, London SW3 6JJ, England
[4] Univ Amsterdam, Acad Med Ctr, Dept Otolaryngol, Endoscop Skull Base Ctr, NL-1105 AZ Amsterdam, Netherlands
关键词
Swallowing; Deglutition; Head and neck cancer; Deglutition disorders; Sydney Swallow Questionnaire; SSQ; Oral cancer; Oropharyngeal cancer; QUALITY-OF-LIFE; PERFORMANCE STATUS SCALE; NECK-CANCER; SURGICAL-TREATMENT; HEAD; SPEECH; VALIDATION; DYSPHAGIA; CHEMORADIATION; IMPAIRMENT;
D O I
10.1007/s00455-012-9395-z
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 [耳鼻咽喉科学];
摘要
This work aimed at evaluating patients' swallowing functions by a newly validated swallow-specific questionnaire, the Sydney Swallow Questionnaire (SSQ), in a cohort of oral and oropharyngeal cancer patients. Mean/median SSQ scores were calculated and compared with study variables using the Mann-Whitney U test and Kruskal-Wallis test. The mean composite SSQ scores (SD) for the base of tongue, oral tongue, and tonsillar cancer patients were 663.8 (382.8), 456.2 (407.6), and 283.0 (243.1), respectively (p = 0.005); for advanced vs. early T stage disease they were 918.1 (319.5) vs. 344.8 (292.1) (p a parts per thousand currency sign 0.001); for patients < 60 years vs. a parts per thousand yen60 years they were 549.3 (415.1) vs. 314.0 (247.3) (p = 0.02); and for patients with reconstruction vs. without reconstruction they were 676.5 (410.5) vs. 331.9 (286.5) (p = 0.002). SSQ is a useful tool for evaluation of swallowing in head and neck cancer patients. Site of cancer, T stage, patient's age, and reconstruction directly affect post-treatment swallow outcome.
引用
收藏
页码:491 / 497
页数:7
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