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Swallowing function after transoral surgery for laryngopharyngeal cancer

Ueda, Tsutomu ; Yumii, Kouhei ; Urabe, Yuji ; Chikuie, Nobuyuki ; Taruya, Takayuki ; Kono, Takashi ; Hamamoto, Takao ; Takumida, Masaya ; Hattori, Minoru ; Ishino, Takashi ; Takeno, Sachio Murugan, Avaniyapuram Kannan

PloS one, 2022-06, Vol.17 (6), p.e0270509-e0270509 [Periódico revisado por pares]

San Francisco: Public Library of Science

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Título:
Swallowing function after transoral surgery for laryngopharyngeal cancer
Autor: Ueda, Tsutomu ; Yumii, Kouhei ; Urabe, Yuji ; Chikuie, Nobuyuki ; Taruya, Takayuki ; Kono, Takashi ; Hamamoto, Takao ; Takumida, Masaya ; Hattori, Minoru ; Ishino, Takashi ; Takeno, Sachio
Murugan, Avaniyapuram Kannan
Assuntos: Alcohol ; Anemia ; Asymptomatic ; Auroral kilometric radiation ; Biology and Life Sciences ; Body mass index ; Cancer ; Cancer therapies ; Care and treatment ; Complications ; Complications and side effects ; Deglutition disorders ; Dysphagia ; Endoscopy ; Esophagus ; Head & neck cancer ; Hemoglobin ; Hospitals ; Laryngeal cancer ; Larynx ; Lymphocytes ; Medical research ; Medicine and Health Sciences ; Medicine, Experimental ; Multivariate analysis ; Neutrophils ; Nutrition ; Patient outcomes ; Patients ; Postoperative ; Quality of life ; Radiation ; Radiation therapy ; Radiotherapy ; Review boards ; Surgery ; Swallowing
É parte de: PloS one, 2022-06, Vol.17 (6), p.e0270509-e0270509
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
Competing Interests: The authors have declared that no competing interests exist.
Descrição: Transoral surgery (TOS) has been widely used to treat laryngopharyngeal cancers. Although TOS is a minimally invasive procedure, postoperative complications, such as postoperative dysphagia, may occur, which can lead to a poor quality of life for patients undergoing TOS. This study aimed to investigate factors that may affect swallowing function in patients who underwent TOS for laryngopharyngeal cancers. Swallowing function of 84 patients who underwent endoscopic resection for oropharyngeal, hypopharyngeal, and supraglottic lesions was evaluated by the Functional Outcome Swallowing Scale, and predictors for postoperative dysphagia were identified. Multivariate analysis identified the following factors as independent predictors for postoperative dysphagia: Eastern Cooperative Oncology Group Performance Status (ECOG PS, p = 0.008), prior neck radiation therapy (p = 0.008), and operative time (p = 0.021). This study suggests that patients with poor ECOG PS or those who received prior neck radiation therapy should be fully assessed for preoperative swallowing function. In the future, we would like to clarify the criteria for preoperative swallowing evaluation to create a system that can identify patients suitable for TOS.
Editor: San Francisco: Public Library of Science
Idioma: Inglês

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Swallowing function after transoral surgery for laryngopharyngeal cancer

Ueda, Tsutomu ; Yumii, Kouhei ; Urabe, Yuji ; Chikuie, Nobuyuki ; Taruya, Takayuki ; Kono, Takashi ; Hamamoto, Takao ; Takumida, Masaya ; Hattori, Minoru ; Ishino, Takashi ; Takeno, Sachio Murugan, Avaniyapuram Kannan

San Francisco: Public Library of Science

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