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Supportive Care in Cancer
Published in: Supportive Care in Cancer 10/2019

01-10-2019 | Foreign Body Aspiration | Review Article

Deglutition disorders as a consequence of head and neck cancer therapies: a systematic review and meta-analysis

Authors: Isabela Porto de Toledo, Leticia Lopes Quirino Pantoja, Karen Fontes Luchesi, Daniele Xavier Assad, Graziela De Luca Canto, Eliete Neves Silva Guerra

Published in: Supportive Care in Cancer | Issue 10/2019

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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.
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Metadata
Title
Deglutition disorders as a consequence of head and neck cancer therapies: a systematic review and meta-analysis
Authors
Isabela Porto de Toledo
Leticia Lopes Quirino Pantoja
Karen Fontes Luchesi
Daniele Xavier Assad
Graziela De Luca Canto
Eliete Neves Silva Guerra
Publication date
01-10-2019
Publisher
Springer Berlin Heidelberg
Published in
Supportive Care in Cancer / Issue 10/2019
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-019-04920-z

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