Swallowing Function and Quality of Life in Patients Treated With Transoral Videolaryngoscopic Surgery for Pharyngolaryngeal Cancer
It is controversial whether transoral resection for early pharyngolaryngeal cancer preserves swallowing function and quality of life. We investigated swallowing function and quality of life before and after transoral videolaryngoscopic surgery (TOVS). Seventy-three patients with pharyngolaryngeal ca...
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| Veröffentlicht in: | Curēus (Palo Alto, CA) CA), 2024-03, Vol.16 (3), p.e57143-e57143 |
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| creator | Ebisumoto, Koji Sakai, Akihiro Iijima, Hiroaki Goto, Fumiyuki Yamauchi, Mayu Maki, Daisuke Teramura, Takanobu Wasano, Koichiro Okami, Kenji |
| description | It is controversial whether transoral resection for early pharyngolaryngeal cancer preserves swallowing function and quality of life. We investigated swallowing function and quality of life before and after transoral videolaryngoscopic surgery (TOVS).
Seventy-three patients with pharyngolaryngeal cancer who underwent TOVS between July 2012 and July 2022 were enrolled in this prospective analysis. The Hyodo score and European Organization for Research and Treatment of Cancer Quality of Life Questionnaires were recorded preoperatively and at three, six, and 12 months postoperatively, in addition to the postoperative functional outcome swallowing scale (FOSS) at six months postoperatively.
Although most patients could consume food orally without restrictions with a preferable FOSS score, 23 patients showed impaired Hyodo scores. Age ≥65 years significantly predicted impaired swallowing. Sub-scores of the impaired patient group showed worsening for the glottal closure reflex when the endoscope touched the epiglottis or arytenoid, as well as a reduction in the extent of pharyngeal clearance following the ingestion of blue-dyed water.
After TOVS, swallowing function is generally well preserved. Elderly patients, especially those with laryngeal hypoesthesia and poor clearance, are at risk of swallowing dysfunction. |
| doi_str_mv | 10.7759/cureus.57143 |
| format | Article |
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Seventy-three patients with pharyngolaryngeal cancer who underwent TOVS between July 2012 and July 2022 were enrolled in this prospective analysis. The Hyodo score and European Organization for Research and Treatment of Cancer Quality of Life Questionnaires were recorded preoperatively and at three, six, and 12 months postoperatively, in addition to the postoperative functional outcome swallowing scale (FOSS) at six months postoperatively.
Although most patients could consume food orally without restrictions with a preferable FOSS score, 23 patients showed impaired Hyodo scores. Age ≥65 years significantly predicted impaired swallowing. Sub-scores of the impaired patient group showed worsening for the glottal closure reflex when the endoscope touched the epiglottis or arytenoid, as well as a reduction in the extent of pharyngeal clearance following the ingestion of blue-dyed water.
After TOVS, swallowing function is generally well preserved. Elderly patients, especially those with laryngeal hypoesthesia and poor clearance, are at risk of swallowing dysfunction.</description><identifier>ISSN: 2168-8184</identifier><identifier>EISSN: 2168-8184</identifier><identifier>DOI: 10.7759/cureus.57143</identifier><identifier>PMID: 38686230</identifier><language>eng</language><publisher>United States: Cureus Inc</publisher><subject>Cancer therapies ; Cartilage ; Consent ; Dysphagia ; Endoscopy ; Epiglottis ; Esophageal cancer ; Head & neck cancer ; Larynx ; Lymphatic system ; Metastasis ; Ostomy ; Otolaryngology ; Quality of life ; Radiation therapy ; Review boards ; Robotic surgery ; Sinuses ; Surgeons ; Swallowing ; Throat cancer</subject><ispartof>Curēus (Palo Alto, CA), 2024-03, Vol.16 (3), p.e57143-e57143</ispartof><rights>Copyright © 2024, Ebisumoto et al.</rights><rights>Copyright © 2024, Ebisumoto et al. This work is published under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright © 2024, Ebisumoto et al. 2024 Ebisumoto et al.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c300t-e55c4b5a2e9947ca1e6db949df7b6a915e68db421556c2f61a2c2cc74408e9f13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11057633/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11057633/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38686230$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ebisumoto, Koji</creatorcontrib><creatorcontrib>Sakai, Akihiro</creatorcontrib><creatorcontrib>Iijima, Hiroaki</creatorcontrib><creatorcontrib>Goto, Fumiyuki</creatorcontrib><creatorcontrib>Yamauchi, Mayu</creatorcontrib><creatorcontrib>Maki, Daisuke</creatorcontrib><creatorcontrib>Teramura, Takanobu</creatorcontrib><creatorcontrib>Wasano, Koichiro</creatorcontrib><creatorcontrib>Okami, Kenji</creatorcontrib><title>Swallowing Function and Quality of Life in Patients Treated With Transoral Videolaryngoscopic Surgery for Pharyngolaryngeal Cancer</title><title>Curēus (Palo Alto, CA)</title><addtitle>Cureus</addtitle><description>It is controversial whether transoral resection for early pharyngolaryngeal cancer preserves swallowing function and quality of life. We investigated swallowing function and quality of life before and after transoral videolaryngoscopic surgery (TOVS).
Seventy-three patients with pharyngolaryngeal cancer who underwent TOVS between July 2012 and July 2022 were enrolled in this prospective analysis. The Hyodo score and European Organization for Research and Treatment of Cancer Quality of Life Questionnaires were recorded preoperatively and at three, six, and 12 months postoperatively, in addition to the postoperative functional outcome swallowing scale (FOSS) at six months postoperatively.
Although most patients could consume food orally without restrictions with a preferable FOSS score, 23 patients showed impaired Hyodo scores. Age ≥65 years significantly predicted impaired swallowing. Sub-scores of the impaired patient group showed worsening for the glottal closure reflex when the endoscope touched the epiglottis or arytenoid, as well as a reduction in the extent of pharyngeal clearance following the ingestion of blue-dyed water.
After TOVS, swallowing function is generally well preserved. Elderly patients, especially those with laryngeal hypoesthesia and poor clearance, are at risk of swallowing dysfunction.</description><subject>Cancer therapies</subject><subject>Cartilage</subject><subject>Consent</subject><subject>Dysphagia</subject><subject>Endoscopy</subject><subject>Epiglottis</subject><subject>Esophageal cancer</subject><subject>Head & neck cancer</subject><subject>Larynx</subject><subject>Lymphatic system</subject><subject>Metastasis</subject><subject>Ostomy</subject><subject>Otolaryngology</subject><subject>Quality of life</subject><subject>Radiation therapy</subject><subject>Review boards</subject><subject>Robotic surgery</subject><subject>Sinuses</subject><subject>Surgeons</subject><subject>Swallowing</subject><subject>Throat cancer</subject><issn>2168-8184</issn><issn>2168-8184</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNpdkc9rFDEUx4MottTePEvAiwe3Jpn8mpPIYrWw0JZWPYZM5s1uymyyJhPLXv3LjZ1aak954X3el--XL0KvKTlRSrQfXElQ8olQlDfP0CGjUi801fz5o_kAHed8QwihRDGiyEt00GipJWvIIfp9dWvHMd76sManJbjJx4Bt6PFlsaOf9jgOeOUHwD7gCzt5CFPG1wnsBD3-4adN_diQY7Ij_u57iKNN-7CO2cWdd_iqpDWkPR5iwhebeTUTUA-WNjhIr9CLwY4Zju_fI_Tt9PP18utidf7lbPlptXANIdMChHC8E5ZB23LlLAXZdy1v-0F10rZUgNR9xxkVQjo2SGqZY84pzomGdqDNEfo46-5Kt4Xe1SjVtdklv62OTLTe_L8JfmPW8ZehlAglm6YqvLtXSPFngTyZrc8OxtEGiCWbhvBWMUa0rOjbJ-hNLCnUfHeUppxSXan3M-VSzDnB8OCGEvO3YDMXbO4Krvibxwke4H91Nn8A_ealgA</recordid><startdate>20240328</startdate><enddate>20240328</enddate><creator>Ebisumoto, Koji</creator><creator>Sakai, Akihiro</creator><creator>Iijima, Hiroaki</creator><creator>Goto, Fumiyuki</creator><creator>Yamauchi, Mayu</creator><creator>Maki, Daisuke</creator><creator>Teramura, Takanobu</creator><creator>Wasano, Koichiro</creator><creator>Okami, Kenji</creator><general>Cureus Inc</general><general>Cureus</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20240328</creationdate><title>Swallowing Function and Quality of Life in Patients Treated With Transoral Videolaryngoscopic Surgery for Pharyngolaryngeal Cancer</title><author>Ebisumoto, Koji ; Sakai, Akihiro ; Iijima, Hiroaki ; Goto, Fumiyuki ; Yamauchi, Mayu ; Maki, Daisuke ; Teramura, Takanobu ; Wasano, Koichiro ; Okami, Kenji</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c300t-e55c4b5a2e9947ca1e6db949df7b6a915e68db421556c2f61a2c2cc74408e9f13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Cancer therapies</topic><topic>Cartilage</topic><topic>Consent</topic><topic>Dysphagia</topic><topic>Endoscopy</topic><topic>Epiglottis</topic><topic>Esophageal cancer</topic><topic>Head & neck cancer</topic><topic>Larynx</topic><topic>Lymphatic system</topic><topic>Metastasis</topic><topic>Ostomy</topic><topic>Otolaryngology</topic><topic>Quality of life</topic><topic>Radiation therapy</topic><topic>Review boards</topic><topic>Robotic surgery</topic><topic>Sinuses</topic><topic>Surgeons</topic><topic>Swallowing</topic><topic>Throat cancer</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ebisumoto, Koji</creatorcontrib><creatorcontrib>Sakai, Akihiro</creatorcontrib><creatorcontrib>Iijima, Hiroaki</creatorcontrib><creatorcontrib>Goto, Fumiyuki</creatorcontrib><creatorcontrib>Yamauchi, Mayu</creatorcontrib><creatorcontrib>Maki, Daisuke</creatorcontrib><creatorcontrib>Teramura, Takanobu</creatorcontrib><creatorcontrib>Wasano, Koichiro</creatorcontrib><creatorcontrib>Okami, Kenji</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Curēus (Palo Alto, CA)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ebisumoto, Koji</au><au>Sakai, Akihiro</au><au>Iijima, Hiroaki</au><au>Goto, Fumiyuki</au><au>Yamauchi, Mayu</au><au>Maki, Daisuke</au><au>Teramura, Takanobu</au><au>Wasano, Koichiro</au><au>Okami, Kenji</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Swallowing Function and Quality of Life in Patients Treated With Transoral Videolaryngoscopic Surgery for Pharyngolaryngeal Cancer</atitle><jtitle>Curēus (Palo Alto, CA)</jtitle><addtitle>Cureus</addtitle><date>2024-03-28</date><risdate>2024</risdate><volume>16</volume><issue>3</issue><spage>e57143</spage><epage>e57143</epage><pages>e57143-e57143</pages><issn>2168-8184</issn><eissn>2168-8184</eissn><abstract>It is controversial whether transoral resection for early pharyngolaryngeal cancer preserves swallowing function and quality of life. We investigated swallowing function and quality of life before and after transoral videolaryngoscopic surgery (TOVS).
Seventy-three patients with pharyngolaryngeal cancer who underwent TOVS between July 2012 and July 2022 were enrolled in this prospective analysis. The Hyodo score and European Organization for Research and Treatment of Cancer Quality of Life Questionnaires were recorded preoperatively and at three, six, and 12 months postoperatively, in addition to the postoperative functional outcome swallowing scale (FOSS) at six months postoperatively.
Although most patients could consume food orally without restrictions with a preferable FOSS score, 23 patients showed impaired Hyodo scores. Age ≥65 years significantly predicted impaired swallowing. Sub-scores of the impaired patient group showed worsening for the glottal closure reflex when the endoscope touched the epiglottis or arytenoid, as well as a reduction in the extent of pharyngeal clearance following the ingestion of blue-dyed water.
After TOVS, swallowing function is generally well preserved. Elderly patients, especially those with laryngeal hypoesthesia and poor clearance, are at risk of swallowing dysfunction.</abstract><cop>United States</cop><pub>Cureus Inc</pub><pmid>38686230</pmid><doi>10.7759/cureus.57143</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Cancer therapies Cartilage Consent Dysphagia Endoscopy Epiglottis Esophageal cancer Head & neck cancer Larynx Lymphatic system Metastasis Ostomy Otolaryngology Quality of life Radiation therapy Review boards Robotic surgery Sinuses Surgeons Swallowing Throat cancer |
| title | Swallowing Function and Quality of Life in Patients Treated With Transoral Videolaryngoscopic Surgery for Pharyngolaryngeal Cancer |
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