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Swallowing outcomes following surgical and non-surgical treatment for advanced laryngeal cancer

Published online by Cambridge University Press:  04 November 2013

E Burnip ,
S J Owen ,
S Barker  and
J M Patterson
E Burnip
Affiliation:
Speech and Language Therapy Department, Sunderland Royal Hospital, UK
S J Owen
Affiliation:
Speech and Language Therapy Department, Freeman Hospital, Newcastle upon Tyne, UK
S Barker
Affiliation:
Speech and Language Therapy Department, Sunderland Royal Hospital, UK
J M Patterson*
Affiliation:
Institute for Health and Society, Newcastle University, Newcastle upon Tyne, UK
*
Address for correspondence: Dr J Patterson, Institute for Health and Society, Newcastle University, The Baddiley-Clark Building, Richardson Road, Newcastle upon Tyne NE2 4AX, UK E-mail: joanne.patterson@ncl.ac.uk
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Abstract

Background:

Treatment for advanced laryngeal cancer includes surgery, and/or chemoradiotherapy or radiotherapy. Each of these treatments results in major changes to the swallowing mechanism. Dysphagia is strongly correlated with poorer quality of life. A good understanding of outcomes is needed for well-informed treatment decisions.

Method:

This study reports on patients' swallowing outcomes following surgical and non-surgical treatments based on the results of three different swallowing tests. A total of 123 data sets were collected in out-patient clinics across two hospitals in North East England.

Results:

There were no significant differences between treatment groups for patient-reported swallowing outcomes or swallowing performance. However, patients who had undergone chemoradiotherapy or radiotherapy (with or without laryngectomy) had significantly more diet restrictions than other groups.

Conclusion:

Long-term dysphagia is a common outcome of treatment for advanced laryngeal cancer. Patients treated with chemoradiotherapy and laryngectomy reported the worst overall outcomes. More longitudinal prospective research with large treatment groups is needed to investigate swallowing outcomes following different treatment methods.

Keywords

DysphagiaChemoradiotherapyLaryngectomyHead And Neck CancerLarynxSwallowing
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 11 , November 2013 , pp. 1116 - 1121
Copyright
Copyright © JLO (1984) Limited 2013 

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