特殊群体：头颈癌

Special groups: head and neck cancer.

作者信息

Arrese Loni C, Lazarus Cathy L

机构信息

Department of Otolaryngology, JamesCare Head & Neck Clinic, JamesCare Voice and Swallowing Disorders Clinic, The Ohio State University Comprehensive Cancer Center, Arthur G. James Cancer Hospital, Richard J. Solove Research Institute, The Ohio State University, 300 West 10th Avenue, Columbus, OH 43210, USA.

出版信息

Otolaryngol Clin North Am. 2013 Dec;46(6):1123-36. doi: 10.1016/j.otc.2013.08.009. Epub 2013 Oct 23.

DOI:10.1016/j.otc.2013.08.009

PMID:24262964

Abstract

Head and neck cancer is a unique cause of dysphagia. Altered swallow function can be secondary to the mechanical effects of a tumor invading normal anatomy needed for deglutition, or as a direct sequela of cancer treatment (surgery and/or radiation ± chemotherapy). This article outlines the incidence of head and neck cancer, effects of anatomic changes associated with common surgical intervention, and the consequences of treatment-induced dysphagia. Assessment and rehabilitation techniques applicable for this population are discussed.

摘要

头颈癌是吞咽困难的一个独特病因。吞咽功能改变可能继发于肿瘤侵犯吞咽所需正常解剖结构的机械性影响，或者是癌症治疗（手术和/或放疗±化疗）的直接后遗症。本文概述了头颈癌的发病率、常见手术干预相关解剖学改变的影响以及治疗引起的吞咽困难的后果。还讨论了适用于该人群的评估和康复技术。