Zhu Yue, Qian Xiaoyun, Hou Lihao, Heng Weiwei, Sun Guowen
Department of Otolaryngology Surgery, Nanjing Stomatological Hospital, Affiliated Hospital of Medical School, Institute of Stomatology, Nanjing University.
Department of Otolaryngology Head and Neck Surgery, Nanjing Drum Tower Hospital, Jiangsu Provincial Key Medical Discipline, Medical School, Nanjing University.
J Craniofac Surg. 2025 Jun 1;36(4):1119-1123. doi: 10.1097/SCS.0000000000010975. Epub 2024 Dec 11.
To investigate the clinical application of fiberoptic endoscopic evaluation of swallowing (FEES) and recovery of swallowing function in patients with lesions involving both the oral and base of the tongue (OBOT). Patients diagnosed with OBOT lesions underwent assessments preoperatively and at 1 week, 1 month, and 1 year postoperatively. The swallowing function evaluation included the MD Anderson Dysphagia Inventory (MDADI), University of Washington Quality-of-Life Questionnaire, Performance Status Scale for Head and Neck Cancer, water swallow test, tongue motion measurement, and FEES (a simple dysphagia score, and penetration-aspiration scale). Postoperative swallowing rehabilitation uses functional therapy. In total, 18 patients participated in this study. The FEES-based dysphagia score had high reliability and diagnostic value. FEES parameters were significantly correlated with results of the water swallow test and MDADI scores. At 1 year postoperatively, the swallowing function of patients with OBOT lesions returned to preoperative levels, although their quality of life was impacted. FEES is a reliable method for evaluating the postoperative swallowing function of patients with OBOT lesions and is worth clinically promoting. Although the swallowing function of these patients was restored, attention should be paid to the quality of life.
探讨纤维光学吞咽内镜评估（FEES）在涉及口腔和舌根（OBOT）病变患者中的临床应用及吞咽功能恢复情况。诊断为OBOT病变的患者在术前以及术后1周、1个月和1年接受评估。吞咽功能评估包括MD安德森吞咽障碍量表（MDADI）、华盛顿大学生活质量问卷、头颈癌性能状态量表、水吞咽试验、舌运动测量以及FEES（简单吞咽障碍评分和渗透-误吸量表）。术后吞咽康复采用功能治疗。共有18例患者参与本研究。基于FEES的吞咽障碍评分具有较高的可靠性和诊断价值。FEES参数与水吞咽试验结果和MDADI评分显著相关。术后1年，OBOT病变患者的吞咽功能恢复到术前水平，但其生活质量受到影响。FEES是评估OBOT病变患者术后吞咽功能的可靠方法，值得临床推广。虽然这些患者的吞咽功能得以恢复，但应关注其生活质量。
