J Korean Soc Laryngol Phoniatr Logoped.
2018 Jun;29(1):5-8. 10.0000/jkslpl.2018.29.1.5.
Multidimensional Rehabilitation in Patients with Aspiration Following Head and Neck Cancer Treatment
- Affiliations
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- 1Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea. entist@naver.com, younghns@snubh.org
- 2Department of Otorhinolaryngology-Head and Neck Surgery, Wonkwang University Hospital, Wonkwang University College of Medicine, Iksan, Korea.
- KMID: 2416733
- DOI: http://doi.org/10.0000/jkslpl.2018.29.1.5
Abstract
- Patients who have the head and neck cancer are usually treated by surgery, radiation therapy, chemotherapy, or combinations of them. These treatments can induce variable degree of aspiration with dysphagia. The type and severity of aspiration depends on the size and location of the original tumor, the structures involved, and the treatment modality used for treatment. The management of aspiration after the head and neck cancer's treatment begins with an accurate evaluation for the cause and mechanism of aspiration through modified barium swallow (MBS) and fiberoptic endoscopic examination of swallowing (FEES). Then, the clinician can use postures, maneuvers, and exercises to treat the swallow disorder and to help the patient achieve optimal function. To achieve optimal swallowing without aspiration, multidimensional rehabilitation by various medical personnel is definitely necessary.
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