Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Odontology
Published in: Odontology 4/2017

01-10-2017 | Original Article

Change in tongue pressure in patients with head and neck cancer after surgical resection

Authors: Yoko Hasegawa, Kazuma Sugahara, Tatsuyuki Fukuoka, Shota Saito, Ayumi Sakuramoto, Nobuhide Horii, Saori Sano, Kana Hasegawa, Yuta Nakao, Tomoki Nanto, Kanenori Kadoi, Kuniyasu Moridera, Kazuma Noguchi, Kazuhisa Domen, Hiromitsu Kishimoto

Published in: Odontology | Issue 4/2017

Login to get access

Abstract

Tongue pressure is reportedly associated with dysphagia. This study investigated relationships among characteristics of head and neck cancer, tongue pressure and dysphagia screening tests performed in patients with head and neck cancer during the acute phase after surgical resection. Fifty-seven patients (36 men, 21 women; age range 26–95 years) underwent surgical resection and dysphagia screening tests (Repetitive Saliva Swallowing Test, Water Swallowing Test, Modified Water Swallowing Test and Food Test) and pre- and postoperative measurement of tongue pressure at 5 time points (preoperatively, and 1–2 weeks and 1, 2, and 3 months postoperatively). Progression of cancer (stage), tracheotomy, surgical reconstruction, chemotherapy, radiotherapy and neck dissection were factors associated with postoperative tongue pressure. Data were analyzed by linear mixed-effect model, Spearman correlation coefficient and receiver operating characteristic (ROC) curve. Tongue pressure was significantly reduced 1–2 weeks after surgery, and recovered over time. Changes in tongue pressure were significantly associated with stage, radiotherapy and reconstruction. All screening tests showed a significant relationship with tongue pressure. Analysis of ROC and area under the effect curve suggested that a tongue pressure of 15 kPa can be used as a cut-off value to detect dysphagia after surgery for head and neck cancer. Our results suggest that tongue pressure evaluation might offer a safe, useful and objective tool to assess dysphagia immediately postoperatively in patients with head and neck cancer.
Literature
1.
Pauloski BR, Logemann JA, Rademaker AW, McConnel FM, Stein D, Beery Q, et al. Speech and swallowing function after oral and oropharyngeal resections: one-year follow-up. Head Neck. 1994;16:313–22.CrossRefPubMed
2.
Morimoto N, Yamashita T, Sato K, Kurata T, Ikeda Y, Kusuhara T, Murata N, Abe K. Assessment of swallowing in motor neuron disease and Asidan/SCA36 patients with new methods. J Neurol Sci. 2013;324(1–2):149–55.CrossRefPubMed
3.
Suarez-Cunqueiro MM, Schramm A, Schoen R, Seoane-Leston J, Otero-Cepeda XL, Bormann KH, Kokemueller H, Metzger M, Diz-Dios P, Gellrich NC. Speech and swallowing impairment after treatment for oral and oropharyngeal cancer. Arch Otolaryngol Head Neck Surg. 2008;134:1299–304.CrossRefPubMed
4.
Matsui Y, Ohno K, Shirota T, Michiwaki Y, Takahashi K, Yamashita Y, Yoshimasu H, Amagasa M, Okabe S, Ono M, Tei K, Totsuka Y, Tomitsuka K, Fujibayashi K, Satomi T, Chiba H, Matsuura M, Seto K, Sato T, Asada K, Ishibashi K, Umino S, Fujita K, Kinoshita Y, Yamamoto T, Iida S, Ookura M, Kogo M, Hosoda M, Oobu K, Ozeki S. Subjective evaluation of postoperative function in patients who had undergone reconstruction after ablation of tongue/floor of the mouth cancer—a multicenter study through a questionnaire. J Jpn Soc Oral Tumor. 2007;19:7–18.CrossRef
5.
Hey C, Lange BP, Eberle S, Zaretsky Y, Sader R, Stover T, Wagenblast J. Water swallow screening test for patients after surgery for head and neck cancer: early identification of dysphagia, aspiration and limitations of oral intake. Anticancer Res. 2013;33:4017–21.PubMed
6.
Yoshikawa M. Tongue pressure measurement for supporting the dental prosthetic treatment in super aging society. J Jpn Prosthodont Soc. 2013;5:145–8.CrossRef
7.
Umemoto J, Thuga K, Kitashima T, Tsuboi Y, Furuya H, Akagawa Y, Kikuta T. The relationship between findings in videofluorography and tongue pressure of patients with neuromuscular disease and cerebral infarction. Jpn J Gerodontol. 2008;23:354–9.
8.
Konaka K, Kondo J, Hirota N, Tamine K, Hori K, Ono T, Maeda Y, Sakoda S, Naritomi H. Relationship between tongue pressure and dysphagia in stroke patients. Eur Neurol. 2010;64:101–7.CrossRefPubMed
9.
Hirota N, Konaka K, Ono T, Tamine K, Kondo J, Hori K, Yoshimuta Y, Maeda Y, Sakoda S, Naritomi H. Reduced tongue pressure against the hard palate on the paralyzed side during swallowing predicts dysphagia in patients with acute stroke. Stroke. 2010;41:2982–4.CrossRefPubMed
10.
Ono T, Hori K, Tamine K, Kondo J, Hamanaka S, Sakoda S. The effects of lingual exercise in stroke patients with dysphagia. Arch Phys Med Rehabil. 2007;88:150–8.CrossRef
11.
Ono T, Hori K, Tamine K, Kondo J, Hamanaka S, Sakoda S. Swallowing function quantitative evaluation by the tongue pressure sensor sheet of patients with Parkinson’s disease. J Soc Biomech. 2010;34:105–10.CrossRef
12.
Takeuchi K, Ozawa Y, Hasegawa J, Tsuda T, Karino T, Ueda A, Toyota K. Usability of maximum tongue pressure measurement in patients with dysphagia or dysarthria—using a newly developed measurement device—. Jpn J Dysphagia Rehabil. 2012;16:165–74.
13.
Robbins J, Gangnon RE, Theis SM, Kays SA, Hewitt AL, Hind JA. The effects of lingual exercise on swallowing in older adults. J Am Geriatr Soc. 2005;53:1483–9.CrossRefPubMed
14.
Yoshikawa M, Yoshida M, Tsuga K, Akagawa Y, Groher ME. Comparison of three types of tongue pressure measurement devices. Dysphagia. 2011;26:232–7.CrossRefPubMed
15.
Utanohara Y, Hayashi R, Yoshikawa M, Yoshida M, Tsuga K, Akagawa Y. Standard values of maximum tongue pressure taken using newly developed disposable tongue pressure measurement device. Dysphagia. 2008;23:286–90.CrossRefPubMed
16.
Adams V, Mathisen B, Baines S, Lazarus C, Callister R. A systematic review and meta-analysis of measurements of tongue and hand strength and endurance using the Iowa Oral Performance Instrument (IOPI). Dysphagia. 2013;28:350–69.CrossRefPubMed
17.
Kato S, Shimogaki M, Onodera A, Ueda H, Oikawa K, Ikeda K, Kosaka A, Imai M, Hasegawa K. Creating a revised Hasegawa Dementia Scale (HDS-R). Jpn J Geriatr Psychiatry. 1991;2:1339–47.
18.
Leslie Sobin MG, Wittekind C. TNM classification of malignant tumours. 7th ed. Hoboken: Union for International Cancer Control International Union Against Cancer; 2010.
19.
Tsuga K, Yoshikawa M, Oue H, Okazaki Y, Tsuchioka H, Maruyama M, Yoshida M, Akagawa M. Maximal voluntary tongue pressure is decreased in Japanese frail elderly persons. Gerodontology. 2012;29:e1078–85.CrossRefPubMed
20.
Baba M, Saitoh E, Okada S. Dysphagia rehabilitation in Japan. Phys Med Rehabil Clin North Am. 2008;19:929–38.CrossRef
21.
Sakayori T, Maki Y, Hirata S, Okada M, Ishii T. Evaluation of a Japanese “Prevention of long-term care” project for the improvement in oral function in the high-risk elderly. Geriatr Gerontol Int. 2013;13:451–7.CrossRefPubMed
22.
Satoshi Horiguchi YS. Screening tests in evaluating swallowing function. Jpn Med Assoc J. 2011;54:31–4.
23.
Kubota T. Paralytic dysphagia in the brain vascular disorders—for screening test and the clinical application. Sogo Rehabilitation. 1982;10:271–6.
24.
Osawa A, Maeshima S, Tanahashi N. Water-swallowing test: screening for aspiration in stroke patients. Cerebrovasc Dis (Basel, Switzerland). 2013;35:276–81.CrossRef
25.
Tohara H, Saitoh E, Mays KA, Kuhlemeier K, Palmer JB. Three tests for predicting aspiration without videofluorography. Dysphagia. 2003;18:126–34.CrossRefPubMed
26.
Tohara H, Saitoh E, Baba M, Onogi K, Uematsu H. Swallowing characteristics and tongue surface movements of persons with regard to pasty foods -a dysphagia evaluation system without videofluorographic study. Jpn J Dysphagia Rehabil. 2002;6:196–206.
27.
Matsuda AMT, Shibata A, Katanoda K, Sobue T, Nishimoto H. The Japan Cancer Surveillance Research Group. National estimates of cancer incidence based on cancer registries in Japan (1975–2010). Jpn J Clin Oncol. 2013;44:388–96.CrossRef
28.
Matsuda T, Ajiki W, Marugame T, Ioka A, Tsukuma H, Sobue T, Research group of population-based cancer registries of Japan. Population-based survival of cancer patients diagnosed between 1993 and 1999 in Japan: a chronological and international comparative study. Jpn J Clin Oncol. 2011;41:40–51.CrossRefPubMed
29.
Matsuda T, Ajiki W, Marugame T, Ioka A, Tsukuma H, Sobue T. Research Group of Population-Based Cancer Registries of Japan. Jpn J Clin Oncol. 2011;41:40–51.CrossRefPubMed
30.
Thomas L, Moore EJ, Olsen KD, Kasperbauer JL. Long-term quality of life in young adults treated for oral cavity squamous cell cancer. Ann Otol Rhinol Laryngol. 2012;121:395–401.CrossRefPubMed
31.
Payakachat N, Ounpraseuth S, Suen JY. Late complications and long-term quality of life for survivors (>5 years) with history of head and neck cancer. Head Neck. 2013;35:819–25.CrossRefPubMed
32.
Lin BM, Starmer HM, Gourin CG. The relationship between depressive symptoms, quality of life, and swallowing function in head and neck cancer patients 1 year after definitive therapy. Laryngoscope. 2012;122:1518–25.CrossRefPubMed
33.
Hamahata A, Beppu T, Shirakura S, Hatanaka A, Yamaki T, Saitou T, Sakurai H. Tongue pressure in patients with tongue cancer resection and reconstruction. Auris Nasus Larynx. 2014;41:563–7.CrossRefPubMed
34.
Palmer PM, Jaffe DM, McCulloch TM, Finnegan EM, Van Daele DJ, Luschei ES. Quantitative contributions of the muscles of the tongue, floor-of-mouth, jaw, and velum to tongue-to-palate pressure generation. J Speech Lang Hear Res. 2008;51:828–35.CrossRefPubMed
35.
Lazarus C, Logemann JA, Pauloski BR, Rademaker AW, Helenowski IB, Vonesh EF, Mac CE, Mittal BB, Vokes EE, Haraf DJ. Effects of radiotherapy with or without chemotherapy on tongue strength and swallowing in patients with oral cancer. Head Neck. 2007;29:632–7.CrossRefPubMed
Metadata
Title
Change in tongue pressure in patients with head and neck cancer after surgical resection
Authors
Yoko Hasegawa
Kazuma Sugahara
Tatsuyuki Fukuoka
Shota Saito
Ayumi Sakuramoto
Nobuhide Horii
Saori Sano
Kana Hasegawa
Yuta Nakao
Tomoki Nanto
Kanenori Kadoi
Kuniyasu Moridera
Kazuma Noguchi
Kazuhisa Domen
Hiromitsu Kishimoto
Publication date
01-10-2017
Publisher
Springer Japan
Published in
Odontology / Issue 4/2017
Print ISSN: 1618-1247
Electronic ISSN: 1618-1255
DOI
https://doi.org/10.1007/s10266-016-0291-0

Other articles of this Issue 4/2017

Odontology 4/2017 Go to the issue

Original Article

Treatment of stage II medication-related osteonecrosis of the jaw with necrosectomy and autologous bone marrow mesenchymal stem cells

Original Article

Comparison of different techniques for removal of calcium hydroxide from straight root canals: an in vitro study

Original Article

The prevalence and morphological types of non-carious cervical lesions (NCCL) in a contemporary sample of people

Original Article

Relationship between tongue strength and 1-year life expectancy in elderly people needing nursing care

Announcement

Odontology prize 2017

Original Article

Micro-computed tomography analysis of early stage bone healing using micro-porous titanium mesh for guided bone regeneration: preliminary experiment in a canine model