单侧颈清扫术后吞咽功能的序贯评估。
Sequential evaluation of swallowing function in patients with unilateral neck dissection.
机构信息
Department of Oral and Maxillofacial Surgery, Oral Restitution, Division of Oral Health Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.
出版信息
Head Neck. 2010 Jul;32(7):896-904. doi: 10.1002/hed.21275.
BACKGROUND
Neck dissection is the most reliable treatment for cervical lymph node metastases in head and neck cancer. However, it is unknown whether neck dissection can cause dysphagia. The aim of this study was to evaluate swallowing function after neck dissection.
METHODS
By using videofluoroscopic and videoendoscopic methods, swallowing function was evaluated in 17 patients prior to, 1 month after, and 4 months after neck dissection.
RESULTS
In comparison with preoperative observations, swallowing function after neck dissection was affected by the following changes: a forward and downward displacement of the hyoid bone at rest and at its highest position, a decrease in the distance traversed by the hyoid bone during swallowing, and an increase in laryngeal penetration. Pharyngeal residue and aspiration were not observed in any of the patients.
CONCLUSION
Although swallowing function is affected by neck dissection, serious clinical problems are not likely to occur.
背景
颈清扫术是治疗头颈部癌症颈部淋巴结转移最可靠的方法。然而，目前尚不清楚颈清扫术是否会导致吞咽困难。本研究旨在评估颈清扫术后的吞咽功能。
方法
通过使用录像荧光透视和视频内镜方法，在颈清扫术前、术后 1 个月和术后 4 个月评估 17 例患者的吞咽功能。
结果
与术前观察相比，颈清扫术后吞咽功能受到以下变化的影响：静息和最高位置时舌骨向前向下移位，吞咽时舌骨移动距离减少，以及喉穿透增加。所有患者均未观察到咽后残留和吸入。
结论
尽管颈清扫术会影响吞咽功能，但不太可能出现严重的临床问题。
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