Effects of postural technique on postsurgical dysphagia in patients with head and neck cancer-Comparision of upright posture with head tilting posture on the stronger side by videofluorographic analysis-

• FUKASAWA Miki

  Department of Oral and Maxillofacial Surgery, School of Dentistry, Showa University

• TAKAHASHI Koji

  Department of Oral Rehabilitation, School of Dentistry, Showa University

• UYAMA Risa

  Department of Oral Rehabilitation, School of Dentistry, Showa University

• HIRANO Kaoru

  Department of Oral Rehabilitation, School of Dentistry, Showa University

• NEMOTO Toshiyuki

  Department of Oral and Maxillofacial Surgery, School of Dentistry, Showa University

• YAMAMOTO Reiko

  Department of Oral and Maxillofacial Surgery, School of Dentistry, Showa University

• SAITO Hiroto

  Department of Oral and Maxillofacial Surgery, School of Dentistry, Showa University

• TAKAHASHI Yuka

  Department of Oral and Maxillofacial Surgery, School of Dentistry, Showa University

• AMAGAI Minoru

  Department of Oral and Maxillofacial Surgery, School of Dentistry, Showa University

• SHIMA Harunobu

  Department of Oral and Maxillofacial Surgery, School of Dentistry, Showa University

Bibliographic Information

Other Title

• 頭頚部癌術後えん下障害患者に対する姿勢調節法の効果―えん下造影画像解析による直立姿勢と健側傾斜姿勢との比較検討―
• Comparision of upright posture with head tilting posture on the stronger side by videofluorographic analysis
• 嚥下造影画像解析による直立姿勢と健側傾斜姿勢との比較検討

Abstract

Postsurgical dysphagia in patients with head and neck cancer is often improved by postural techniques, one procedure for compensatory treatment.<BR>This study was done to analyze videofluorographic (VF) images of postsurgical patients with head and neck cancer by comparing upright posture with head tilting posture on the stronger side. Twelve postsurgical patients with head and neck cancer whose aspiration was improved by head tilting posture on the stronger side were studied.<BR>The tilting magnitude, vallecular angle, and epiglottic angle were measuredon VF prints. Retained amounts of swallowed barium were evaluated in the oral region, vallecular region, and pyriform sinus on VF images.<BR>Pharyngeal delay time, pharyngeal passage time, and pharyngo-esophageal (PE) segment opening time were measured on VF images. The results were as follows:<BR>1) There was no correlation between any two of the following three variables: tilting magnitude, vallecular angle, and epiglottic angle.<BR>2) The retained amount of swallowed barium swallow in tilting posture on the stronger side was less than that in upright posture in 10 of 12 subjects.<BR>3) As compared with upright position, pharyngeal delay time and pharyngeal passage time were shorter in tilting posture on the stronger side.

Journal

• Japanese Journal of Oral and Maxillofacial Surgery

  Japanese Journal of Oral and Maxillofacial Surgery 50 (8), 461-465, 2004

  Japanese Society of Oral and Maxillofacial Surgeons

Keywords

• dysphagia
• patients with head and neck cancer
• posture technique
• head tilting posture on stronger side

Details

• CRID: 1390282681509710080
• NII Article ID: 10018619370
• NII Book ID: AN00189163
• DOI: 10.5794/jjoms.50.461
• ISSN: 21861579
• ISSN: 00215163
• Web Site: https://search.jamas.or.jp/link/ui/2005017006
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed