Intensive dysphagia rehabilitation program for patients with head and neck cancer

xlomafota13 shared this article with you from Inoreader Intensive dysphagia rehabilitation program for patients with head and neck cancer Via swallowing exercises ANZ J Surg. 2021 Nov 18. doi: 10.1111/ans.17365. Online ahead of print. ABSTRACT BACKGROUND: In response to the pathophysiology and expected trajectory of dysphagia that arises following treatment for head and neck cancer (HNC), an intensive and progressive approach to dysphagia is warranted. This pilot study evaluates the recovery of swallowing function following the implementation of an exercise-based approach to dysphagia rehabilitation. METHODS: Consecutive recruitment wa s carried out prospectively at a quaternary referral centre. Participants were aged 18 years and older and had completed treatment for HNC. Dysphagia was assessed pre and post a 10-week rehabilitation program using videofluoroscopy swallow study (VFSS) and clinician-and patient-reported outcomes. RESULTS: Ten participants were recruited over a 6-month period, all of whom had oropharyngeal dysphagia confirmed on VFSS. At the conclusion of the 10-week intervention period, DIGEST (Dynamic Imaging Grade of Swallowing Toxicity) scores improved significantly for both safety and efficiency components. Four of seven participants who had a percutaneous endoscopic gastrostomy tube at baseline were no longer reliant on it for their nutrition, hydration or medication at the completion of the therapeutic period. While four participants continued to aspirate on thin fluids, none developed aspiration pneumonia. CONCLUSION: Oropharyngeal dysphagia as a consequence of HNC treatment is ch allenging to rehabilitate; however, in selected patients, it is responsive to intensive and individualized rehabilitation programs. PMID:34791759 | DOI:10.1111/ans.17365 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.