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European Archives of Oto-Rhino-Laryngology

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01-08-2014 | Head and Neck

Laryngeal sensation and pharyngeal delay time after (chemo)radiotherapy

Authors: Takashi Maruo, Yasushi Fujimoto, Kikuko Ozawa, Mariko Hiramatsu, Atsushi Suzuki, Naoki Nishio, Tsutomu Nakashima

Published in: European Archives of Oto-Rhino-Laryngology | Issue 8/2014

Abstract

The objective of the study was to evaluate the association between changes in laryngeal sensation and initiation of swallowing reflex or swallowing function before and after (chemo)radiotherapy. A prospective study was conducted in a tertiary referral university hospital. Thirteen patients who received (chemo)radiotherapy for treatment of laryngeal or hypopharyngeal cancer were included. Laryngeal sensation was evaluated at the tip of the epiglottis before and 1, 3 months, and 1 year after (chemo)radiotherapy. Videofluoroscopy was performed at the same time. Quantitative determinations included changes in laryngeal sensation, computed analysis of pharyngeal delay time, the distance and velocity of hyoid bone movement during the phase of hyoid excursion, and pharyngeal residue rate (the proportion of the bolus that was left as residue in the pharynx at the first swallow). Laryngeal sensation significantly deteriorated 1 month after (chemo)radiotherapy, but there was a tendency to return to pretreatment levels 1 year after treatment. Neither pharyngeal delay time nor displacement of the hyoid bone changed significantly before and after (chemo)radiotherapy. In addition, there was no significant difference in the mean velocity of hyoid bone movement and the amount of stasis in the pharynx at the first swallow before and after (chemo)radiotherapy. After (chemo)radiotherapy, laryngeal sensation deteriorated. But, in this study, videofluoroscopy showed that swallowing reflex and function were maintained.

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Title: Laryngeal sensation and pharyngeal delay time after (chemo)radiotherapy
Authors: Takashi Maruo
Yasushi Fujimoto
Kikuko Ozawa
Mariko Hiramatsu
Atsushi Suzuki
Naoki Nishio
Tsutomu Nakashima
Publication date: 01-08-2014
Publisher: Springer Berlin Heidelberg
Published in: European Archives of Oto-Rhino-Laryngology / Issue 8/2014
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-013-2775-7

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Laryngeal sensation and pharyngeal delay time after (chemo)radiotherapy

Abstract

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Abstract

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