TY - JOUR
T1 - Respiratory-swallow coordination and swallowing impairment in head and neck cancer
AU - Hopkins-Rossabi, Theresa
AU - Armeson, Kent E.
AU - Zecker, Steven G.
AU - Martin-Harris, Bonnie
N1 - Funding Information:
This work was supported in part by the National Institute on Deafness and Other Communication Disorders award K24DC12801 (PI: Martin‐Harris) and the US Department of Veteran Affairs RR&D award I01 RX002352 (PI: Martin‐Harris). Dr. Martin‐Harris also receives MBSImP copyright royalties from Northern Speech Services through agreement with Medical University of South Carolina and has an education funding from Bracco Diagnostics.
Publisher Copyright:
© 2021 Wiley Periodicals LLC.
PY - 2021/5
Y1 - 2021/5
N2 - 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.
AB - 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.
KW - dysphagia
KW - head and neck cancer
KW - lung volume
KW - respiratory-swallow phase patterns
KW - swallowing impairment
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U2 - 10.1002/hed.26609
DO - 10.1002/hed.26609
M3 - Article
C2 - 33496044
AN - SCOPUS:85099767349
SN - 1043-3074
VL - 43
SP - 1398
EP - 1408
JO - Head and Neck Surgery
JF - Head and Neck Surgery
IS - 5
ER -
