Factors related to dysphagia early after surgery for head-and-neck squamous cell carcinoma
10.3969/j.issn.1006-9771.2022.09.010
- VernacularTitle:头颈部鳞状细胞癌术后早期吞咽障碍的临床相关因素
- Author:
Wei CHENG
1
;
Lingli XUE
1
;
Linsheng DONG
1
;
Yadong LI
1
Author Information
1. Department of Oral and Maxillofacial Surgery, the Frist Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
- Publication Type:Journal Article
- Keywords:
head-and-neck squamous cell carcinoma;
post-operation;
dysphagia
- From:
Chinese Journal of Rehabilitation Theory and Practice
2022;28(9):1074-1078
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo explore factors related to dysphagia early after surgery for head-and-neck squamous cell carcinoma (HNSCC). MethodsA total of 80 HNSCC inpatients in Department of Oral and Maxillofacial Surgery, the Frist Affiliated Hospital of Chongqing Medical University, from October, 2019 to April, 2021, were reviewed swallowing function with Kubota water drinking test, Functional Oral Intake Scale (FOIs) and M.D. Anderson Dysphagia Inventory (MDADI), two weeks after radical surgery for the first time; while the related data were collected and analyzed. ResultsThe incidence of early post-operative dysphagia was 91.25%. The T stages of the tumor, the location of the primary tumor, simultaneous flap repairment and neck dissection were the factors related to dysphagia (P < 0.05), and T stages of the tumor was the independent factor (B = -5.092, t = -6.770, P < 0.001). ConclusionIt's necessary to evaluate the swallowing function of HNSCC patients after surgery, especially for those in worse stages, for early intervention.
