SEQUENTIAL EVALUATION OF SWALLOWING FUNCTION IN PATIENTS WITH UNILATERAL NECK DISSECTION
SEQUENTIAL EVALUATION OF SWALLOWING FUNCTION IN PATIENTS WITH UNILATERAL NECK DISSECTION
复制标题
DOI：
10.1002/hed.21275
复制
发表时间：
2010-07-01
影响因子：
2.9
通讯作者：
Tohara, Haruka
中科院分区：
文献类型：
--
作者：
Hirai, Hideaki;Omura, Ken;Tohara, Haruka
背景。颈部清扫术是头颈癌颈部淋巴结转移最可靠的治疗方法。然而，尚不清楚颈部剥离是否会导致吞咽困难。本研究的目的是评估颈部解剖后的吞咽功能。采用视频透视和视频内窥镜方法，对17例患者在颈椎术前、术后1个月和术后4个月的吞咽功能进行了评估。与术前观察结果相比，颈部剥离后的吞咽功能受到以下变化的影响：静止和最高位置的舌骨向前和向下移位，吞咽时舌骨穿过的距离减少，喉部穿透增加。所有患者均未见咽部残留及误吸。虽然颈部剥离会影响吞咽功能，但不太可能出现严重的临床问题。(c) 2009 Wiley期刊公司中国生物医学工程学报（英文版），2010
Background. Neck dissection is the most reliable treatment for cervical lymph node metastases in head and neck cancer. However, it is unknown whether neck dissection can cause dysphagia. The aim of this study was to evaluate swallowing function after neck dissection.Methods. By using videofluoroscopic and videoendoscopic methods, swallowing function was evaluated in 17 patients prior to, 1 month after, and 4 months after neck dissection.Results. In comparison with preoperative observations, swallowing function after neck dissection was affected by the following changes: a forward and downward displacement of the hyoid bone at rest and at its highest position, a decrease in the distance traversed by the hyoid bone during swallowing, and an increase in laryngeal penetration. Pharyngeal residue and aspiration were not observed in any of the patients.Conclusion. Although swallowing function is affected by neck dissection, serious clinical problems are not likely to occur. (c) 2009 Wiley Periodicals, Inc. Head Neck 32: 896 904, 2010