Simple Endoscopic Method of Scoring Swallowing Function After Treatment in Advanced Head and Neck Cancer Patients

Akira Ohkoshi, Takenori Ogawa, Kengo Kato, Ayako Nakanome, Ryo Ishii, Takuya Yoshida, Yuki Nakayama, Yukio Katori

Research output: Contribution to journalArticlepeer-review

Abstract

The aim of this prospective, observational study was to evaluate the effectiveness of a simple endoscopic method for scoring swallowing function after treatment of advanced head and neck cancer patients. A prospective, observational study was conducted involving 60 patients who had undergone surgery or chemoradiation for advanced head and neck cancer. Endoscopic score of swallowing function, penetration aspiration scale (PAS) score measured by videofluorography, and functional oral intake scale (FOIS) score were recorded, and their correlations were examined. There was a positive correlation between endoscopic and PAS scores. Patients with endoscopic scores of 4 points or more had significantly higher PAS scores and lower FOIS scores than those with scores of 3 points or less. These positive correlations were found only in patients who underwent surgery, and not those who received chemoradiation. This study showed the effectiveness of the simple endoscopic method for scoring swallowing function in patients after surgery for advanced head and neck cancers.

Original languageEnglish
JournalIndian Journal of Otolaryngology and Head and Neck Surgery
DOIs
Publication statusAccepted/In press - 2021
Externally publishedYes

Keywords

  • Dysphagia
  • Endoscopic scoring
  • Functional oral intake scale
  • Head and neck cancer
  • Penetration aspiration scale
  • Swallowing disorder

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

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