Swallowing performance in patients with head and neck cancer: A simple clinical test

被引：45

作者：

Patterson, Joanne M. ^{[1
]}

McColl, Elaine ^{[1
]}

Carding, Paul N. ^{[2
]}

Kelly, Charles ^{[3
]}

Wilson, Janet A. ^{[4
]}

机构：

[1] Univ Newcastle, Inst Hlth & Soc, Newcastle Upon Tyne NE2 4AA, Tyne & Wear, England

[2] Freeman Rd Hosp, Newcastle Upon Tyne NE7 7DN, Tyne & Wear, England

[3] Newcastle Gen Hosp, No Ctr Canc Treatment, Newcastle Upon Tyne NE4 6BE, Tyne & Wear, England

[4] Univ Newcastle, Dept Surg & Reprod Sci, Newcastle Upon Tyne NE2 4AA, Tyne & Wear, England

来源：

ORAL ONCOLOGY | 2009年 / 45卷 / 10期

关键词：

Dysphagia; Deglutition; Head and neck cancer; Swallowing efficiency;

D O I：

10.1016/j.oraloncology.2009.03.012

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 [肿瘤学];

摘要：

Few simple clinical measures are available to monitor swallowing performance in head and neck cancer. Water swallow tests (WST) have been used as a part of clinical assessments in neurological dysphagia. The aim of this paper is to evaluate the utility of the 100 mL WST in head and neck cancer patients. The 100 mL WST was performed on 167 head and neck cancer patients. Measures were compared with respect to tumor site/stage, gender and age. The cohort was compared with published healthy controls. The test was quick to administer with excellent compliance. Patients had significantly poorer swallows than the published control group (mean reduction 1.6 mL/s). Function worsened with increased tumor stage and for patients with pharyngeal tumors. The 100 mL WST is an effective swallowing performance measure and is easily incorporated into a clinical examination. This paper provides benchmark data on the 100 mL WST for individuals with head and neck cancer. (C) 2009 Elsevier Ltd. All rights reserved.

引用

页码：904 / 907

页数：4

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