Respiratory‐swallow coordination and swallowing impairment in head and neck cancer

Background The aim of the study was to determine the link between frequency of optimal respiratory‐swallow coordination, swallowing impairment, and airway invasion in head and neck cancer (HNC) patients. Method A cross‐sectional study of a heterogeneous group of HNC patients (49), precancer (N = 30)...

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Bibliographic Details
Published in:Head & neck Vol. 43; no. 5; pp. 1398 - 1408
Main Authors: Hopkins‐Rossabi, Theresa, Armeson, Kent E., Zecker, Steven G., Martin‐Harris, Bonnie
Format: Journal Article
Language:English
Published: Hoboken, USA John Wiley & Sons, Inc 01.05.2021
Wiley Subscription Services, Inc
Subjects:
Barium
Cancer therapies
dysphagia
Head & neck cancer
head and neck cancer
lung volume
Patients
Pharynx
Respiration
respiratory‐swallow phase patterns
Swallowing
swallowing impairment
dysphagia
respiratory-swallow phase patterns
head and neck cancer
lung volume
swallowing impairment
ISSN:1043-3074, 1097-0347, 1097-0347
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Summary:Background The aim of the study was to determine the link between frequency of optimal respiratory‐swallow coordination, swallowing impairment, and airway invasion in head and neck cancer (HNC) patients. Method A cross‐sectional study of a heterogeneous group of HNC patients (49), precancer (N = 30) or postcancer treatment (N = 29), participated in a single Modified Barium Swallow Study (MBSS) with synchronized respiratory data. Results Spearman correlation coefficients revealed significant negative correlations between optimal respiratory‐swallow phase pattern and objective measures of swallowing impairment: penetration‐aspiration scale max, pharyngeal total, and oral total scores with Spearman correlation coefficients of −0.53 (z .001), −0.50 (P < .001), and −0.43 (P = .002), respectively. Optimal respiratory‐swallow pattern was significantly decreased (P = .03) in patients after cancer treatment compared with another patient group before cancer treatment. Conclusion These findings indicate that as the percentage of optimal respiratory‐swallow phase patterns increase, swallowing impairment decreases in the HNC patient population.
Bibliography:Funding information
Veterans Administration Edward Hines Jr., Grant/Award Number: 1I01RX002352‐01A1; National Institute on Deafness and Other Communication Disorders Award, Grant/Award Number: K24DC12801
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SourceType-Scholarly Journals-1
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ISSN:1043-3074
1097-0347
1097-0347
DOI:10.1002/hed.26609