Aspiration in patients with head and neck cancer and tracheostomy.
Tracheopulmonary aspiration is a common occurrence in patients with dysphagia associated with head and neck cancer. We performed quantitative scintigraphic analysis of tracheopulmonary aspiration in 125 patients with head and neck cancer; 58 of these patients had a tracheostomy. Tracheopulmonary aspiration occurred in 58% of patients with a tracheostomy and in 23% of patients without a tracheostomy. In six of seven patients with a tracheostomy, tracheopulmonary aspiration significantly increased when the obturator was removed and, in these patients, occlusion of the tracheostomy tube during feedings eliminated or reduced the complication. Our studies suggest that aspiration can be monitored accurately and conveniently by scintigraphy, and that this technique is useful in the evaluation and management of dysphagia in debilitated patients.
Department of Radiology, Harper Hospital, Wayne State University School of Medicine, Detroit, MI.
J
J
Muz
R H
RH
Mathog
R
R
Nelson
L A
LA
Jones
D000328:Adult; D000368:Aged; D003680:Deglutition Disorders / Q000209:etiology; D005260:Female; D006258:Head and Neck Neoplasms / Q000150:complications* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011015:Pneumonia, Aspiration / Q000000981:diagnostic imaging / Q000209:etiology* / Q000517:prevention & control; D011877:Radionuclide Imaging; D013671:Technetium Tc 99m Sulfur Colloid; D014139:Tracheostomy / Q000009:adverse effects* / Q000379:methods
D013671:Technetium Tc 99m Sulfur Colloid