Isabela Porto de Toledo1,2, Leticia Lopes Quirino Pantoja3, Karen Fontes Luchesi4, Daniele Xavier Assad3,5, Graziela De Luca Canto6,7, Eliete Neves Silva Guerra3. 1. Laboratory of Oral Histopathology, Health Sciences Faculty, University of Brasília, Brasília, Brazil. pt.isabela@gmail.com. 2. Brazilian Centre for Evidence-Based Research, Department of Dentistry, Federal University of Santa Catarina, Florianopolis, SC, Brazil. pt.isabela@gmail.com. 3. Laboratory of Oral Histopathology, Health Sciences Faculty, University of Brasília, Brasília, Brazil. 4. Department of Speech-Language Therapy, Federal University of Santa Catarina, Florianopolis, SC, Brazil. 5. Hospital Sírio-Libanês, Brasília, Brazil. 6. Brazilian Centre for Evidence-Based Research, Department of Dentistry, Federal University of Santa Catarina, Florianopolis, SC, Brazil. 7. Department of Dentistry, Federal University of Santa Catarina, Florianopolis, SC, Brazil.
Abstract
PURPOSE: In this study, we aimed to estimate the frequency of deglutition disorders in patients pre- and post-treatment for head and neck cancer (HNC). METHODS: Search strategies were developed for the following databases: LILACS, PubMed, SpeechBITE, LIVIVO, Web of Science, and Scopus. Additionally, the gray literature was searched using Google Scholar, OpenGrey, and ProQuest. Only studies that conducted an evaluation of deglutition before and after cancer treatment and had sufficient quantitative data were included. We conducted a proportion of random effects meta-analysis using R statistical software. RESULTS: Seventeen studies were included. Aspiration showed a high frequency in the period less than 3 months post-treatment, with 28.6% (total sample = 229). Penetration of fluids above the vocal folds and reduced laryngeal elevation were more frequent in the period less than 6 months post-treatment. CONCLUSION: The frequency of deglutition disorders and its complications, such as aspiration, appears to be higher in the immediate to 6-month post-treatment period in patients with HNC. The parameter pharyngeal residue continued to increase through the period analyzed.
PURPOSE: In this study, we aimed to estimate the frequency of deglutition disorders in patients pre- and post-treatment for head and neck cancer (HNC). METHODS: Search strategies were developed for the following databases: LILACS, PubMed, SpeechBITE, LIVIVO, Web of Science, and Scopus. Additionally, the gray literature was searched using Google Scholar, OpenGrey, and ProQuest. Only studies that conducted an evaluation of deglutition before and after cancer treatment and had sufficient quantitative data were included. We conducted a proportion of random effects meta-analysis using R statistical software. RESULTS: Seventeen studies were included. Aspiration showed a high frequency in the period less than 3 months post-treatment, with 28.6% (total sample = 229). Penetration of fluids above the vocal folds and reduced laryngeal elevation were more frequent in the period less than 6 months post-treatment. CONCLUSION: The frequency of deglutition disorders and its complications, such as aspiration, appears to be higher in the immediate to 6-month post-treatment period in patients with HNC. The parameter pharyngeal residue continued to increase through the period analyzed.
Entities:
Keywords:
Chemotherapy; Deglutition disorders; Head and neck cancer; Radiation therapy
Authors: Samantha E Shune; Lucy Hynds Karnell; Michael P Karnell; Douglas J Van Daele; Gerry F Funk Journal: Head Neck Date: 2011-08-30 Impact factor: 3.147
Authors: S A C Kraaijenga; I M Oskam; R J J H van Son; O Hamming-Vrieze; F J M Hilgers; M W M van den Brekel; L van der Molen Journal: Oral Oncol Date: 2016-02-10 Impact factor: 5.337
Authors: P García-Peris; L Parón; C Velasco; C de la Cuerda; M Camblor; I Bretón; H Herencia; J Verdaguer; C Navarro; P Clave Journal: Clin Nutr Date: 2007-10-22 Impact factor: 7.324
Authors: S A C Kraaijenga; L van der Molen; M W M van den Brekel; F J M Hilgers Journal: Curr Opin Support Palliat Care Date: 2014-06 Impact factor: 2.302
Authors: S S Park; S H Choi; J A Hong; Y H Hong; N G Jeong; S Y Lee; M-W Sung; J H Hah Journal: Int J Oral Maxillofac Surg Date: 2015-12-15 Impact factor: 2.789
Authors: Ezra E W Cohen; Samuel J LaMonte; Nicole L Erb; Kerry L Beckman; Nader Sadeghi; Katherine A Hutcheson; Michael D Stubblefield; Dennis M Abbott; Penelope S Fisher; Kevin D Stein; Gary H Lyman; Mandi L Pratt-Chapman Journal: CA Cancer J Clin Date: 2016-03-22 Impact factor: 508.702