title: Relationship between swallow motility disorders on videofluorography and oral intake in patients treated for head and neck cancer with radiotherapy with or without chemotherapy.
abstract: BACKGROUND
  Current research demonstrates that swallow function is impaired after treatment with organ-sparing chemoradiotherapy. Few studies, however, have related observed swallowing disorders with the patient's oral intake and diet in a large cohort of patients.
  
  
  METHODS
  Swallowing function was examined using the modified barium swallow (MBS) procedure in 170 patients treated with radiotherapy with or without chemotherapy for cancer of the head and neck at 5 evaluation points: pretreatment and at 1, 3, 6, and 12 months posttreatment. Fisher's exact test was used to examine the relationship between swallow motility disorders and oral intake or diet consistencies.
  
  
  RESULTS
  Limitations in oral intake and diet during the first year after cancer treatment were significantly related to reduced laryngeal elevation, reduced cricopharyngeal opening, and rating of nonfunctional swallow on at least 1 swallow of any bolus type.
  
  
  CONCLUSIONS
  Swallow motility disorders had a significant impact on the eating ability of patients after treatment for head and neck cancer with radiotherapy with or without chemotherapy.
authors.affiliation: Communication Sciences and Disorders, Northwestern University, 2240 Campus Drive, Evanston, IL 60208-3540, USA. pauloski@northwestern.edu
authors.forename: Barbara Roa
authors.initials: BR
authors.lastname: Pauloski
authors.forename: Alfred W
authors.initials: AW
authors.lastname: Rademaker
authors.forename: Jerilyn A
authors.initials: JA
authors.lastname: Logemann
authors.forename: Lisa
authors.initials: L
authors.lastname: Newman
authors.forename: Ellen
authors.initials: E
authors.lastname: MacCracken
authors.forename: Joy
authors.initials: J
authors.lastname: Gaziano
authors.forename: Linda
authors.initials: L
authors.lastname: Stachowiak
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000970:Antineoplastic Agents / Q000009:adverse effects; D003131:Combined Modality Therapy; D003680:Deglutition Disorders / Q000209:etiology* / Q000503:physiopathology; D004032:Diet; D004435:Eating / Q000187:drug effects / Q000502:physiology / Q000528:radiation effects*; D005260:Female; D005471:Fluoroscopy; D005500:Follow-Up Studies; D006258:Head and Neck Neoplasms / Q000188:drug therapy* / Q000503:physiopathology / Q000532:radiotherapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011878:Radiotherapy / Q000009:adverse effects; D014741:Video Recording
chemical_list: D000970:Antineoplastic Agents