Longitudinal changes in swallowing function after surgery and proactive swallowing therapy for oral cancer

Nai Hsin Meng, Chia Ing Li, Chun Hung Hua, Tzu Chieh Lin, Chien Jen Chiu, Chien Lin Lin, Ming Hsui Tsai, Pei Ju Chiu, Wen Dien Chang, Yung An Tsou*

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

Abstract

Background: This study aimed to describe and explore the longitudinal changes in swallowing function among patients with oral cancer who underwent surgery and proactive swallowing therapy from baseline to 1-year postoperation. Methods: We retrospectively studied 118 patients over a 4.5-year duration. Swallowing functional assessment including 10-item Eating Assessment Tool (EAT-10), Functional Oral Intake Scale (FOIS), M. D. Anderson Dysphagia Inventory, and Modified Barium Swallow Impairment Profile (MBSImP™) was performed at baseline, 1-month, 6-month, and 1-year postoperatively. Results: All swallowing parameters worsened 1-month postoperation. EAT-10, FOIS, and MBSImP™ oral and pharyngeal impairment scores improved significantly compared with 1-month postoperation at 6 months. Other swallowing parameters, except for weight, did not differ significantly from baseline at 6 months. The rate of tube-feeding dependency was 11.5% and 5.6% at 1 and 6 months postoperation, respectively. Conclusions: Periodic swallowing functional assessments help delineate the longitudinal changes in swallowing functional outcomes.

Original languageEnglish
Pages (from-to)1632-1642
Number of pages11
JournalHead and Neck
Volume45
Issue number7
DOIs
StatePublished - 07 2023
Externally publishedYes

Bibliographical note

© 2023 Wiley Periodicals LLC.

Keywords

  • dysphagia
  • oral cancer
  • quality of life
  • recovery of function

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