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Strategies to reduce long-term postchemoradiation dysphagia in patients with head and neck cancer: An evidence-based review

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Paleri, Vinidh Roe, Justin W.G. Strojan, Primoz Corry, June Grégoire, Vincent [UCL] Hamoir, Marc [UCL] Ferlito, Alfio

Background: Swallowing dysfunction following chemoradiation for head and neck cancer is a major cause of morbidity and reduced quality of life. This review discusses 3 strategies that may improve posttreatment swallowing function. Methods: The literature was assessed by a multiauthor team that produced evidence-based recommendations. Results: (1) Prospective and randomized studies with small cohorts show a trend toward benefits for a preventative exercise program addressing oral and pharyngeal structures. (2) Prospective and retrospective data indicate that better swallowing outcomes are likely when nasogastric tubes are used in preference to gastrostomy tubes to supplement enteral nutrition during chemoradiation. (3) Emerging prospective data with mature results on small cohorts support the hypothesis that radiation dose restriction to swallowing structures using intensity-modulated radiation therapy techniques leads to better swallow outcomes. Conclusions: This study discusses 3 strategies for improving swallow-related outcomes in patients undergoing chemoradiation for head and neck cancer and identifies areas for future research. © 2013 Wiley Periodicals, Inc., A Wiley Company.

Document type Article de périodique (Journal article) – Article de recherche
Access type Accès restreint
Publication date 2014
Language Anglais
Journal information "Head & Neck : journal for the sciences and specialities of the head and neck" - Vol. 36, no. 3, p. 431-443 (2014)
Peer reviewed yes
Publisher JohnWiley & Sons, Inc. ((United States) New York, NY)
issn 1043-3074
e-issn 1097-0347
Publication status Publié
Affiliations UCL - SSS/IREC/MIRO - Pôle d'imagerie moléculaire, radiothérapie et oncologie
UCL - (SLuc) Service de radiothérapie oncologique
UCL - (SLuc) Service d'oto-rhino-laryngologie
Keywords Chemoradiation ; Dysphagia ; IMRT ; Swallowing exercise ; Tube feeding
Links
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Bibliographic reference Paleri, Vinidh ; Roe, Justin W.G. ; Strojan, Primoz ; Corry, June ; Grégoire, Vincent ; et. al. Strategies to reduce long-term postchemoradiation dysphagia in patients with head and neck cancer: An evidence-based review. In: Head & Neck : journal for the sciences and specialities of the head and neck, Vol. 36, no. 3, p. 431-443 (2014)
Permanent URL http://hdl.handle.net/2078.1/135356