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Dysphagia

, Volume 23, Issue 2, pp 183–192 | Cite as

Quality of Life Related to Swallowing After Tongue Cancer Treatment

  • Anna Karinne Costa Bandeira
  • Elma H. M. Azevedo
  • José Guilherme Vartanian
  • Inês N. Nishimoto
  • Luiz Paulo Kowalski
  • Elisabete Carrara-de AngelisEmail author
Original Article

Abstract

The surgical treatment of tongue cancer, with or without reconstruction and/or radiotherapy, leads to different levels of voice, speech, and deglutition disorders. Evaluating the quality of life related to these swallowing alterations is important to further our knowledge about the impact of such alterations from the patient’s point of view. Our objective was to describe the quality of life related to swallowing in patients treated for tongue cancer, using specific questionnaires. Twenty-nine patients participated in the study for a minimum of one year after oncologic treatment. Patients with advanced disease who underwent radiotherapy had significantly worse scores in most domains. The aspects related to how to deal with deglutition problems, time taken for meal consumption, pleasure in eating, chewing problems, food sticking in throat and mouth, choking, and the knowledge of feeding restrictions, which were evaluated by different domains of SWAL-QOL, were factors that contributed to a negative impact for patients with advanced-stage tumors who underwent radiotherapy.

Keywords

Tongue cancer Dysphagia Swallowing alterations Quality of life Deglutition Deglutition disorders 

References

  1. 1.
    Costa Neto SB, Araújo TCCF, Curado MP. Avaliação da qualidade de vida de pessoas portadoras de câncer de cabeça e pescoço. Acta Oncol Bras 2000;20:96–104.Google Scholar
  2. 2.
    List MA, Stracks J, Colangelo L, Butler P, Ganzenko N, Lundy D, Sullivan P, Haraf D, Kies M. Goodwin W, Vokes EE, How do head and neck cancer patients prioritize treatment outcomes before initiating treatment? J Clin Oncol 2000;18:877–884.PubMedGoogle Scholar
  3. 3.
    Rogers SN, Lowe D, Fisher SE, Brown JS, Vaughan ED. Health-related quality of life and clinical function after primary surgery for oral cancer. Br J Oral Maxillofac Surg 2002;40:11–18.PubMedCrossRefGoogle Scholar
  4. 4.
    Gliklich RE, Goldsmith TA, Funk GF. Are head and neck specific quality of life measures necessary? Head Neck 1997;19:474–480.PubMedCrossRefGoogle Scholar
  5. 5.
    McHorney CA, Bricker DE, Kramer AE, Rosenbek JC, Robbins J, Chignell KA, Logemann JA, Clarke C. The SWAL-QOL outcomes tool for oropharyngeal dysphagia in adults: I. conceptual foundation and item development. Dysphagia 2000;15:115–121.PubMedGoogle Scholar
  6. 6.
    Schliephake H, Jamil MU. Prospective evaluation of quality of life after oncologic surgery for oral cancer. Int J Oral Maxillofac Surg 2002;31:427–433.PubMedCrossRefGoogle Scholar
  7. 7.
    Fisher J, Scott C, Scarantino CW, Leveque FG, White RL, Rotman M, Hodson DI, Meredith RF, Foote R, Bachman DG, Lee N. Phase III quality of life study results: impact on patients’ quality of life to reducing xerostomia after radiotherapy for head-and-neck cancer - RTOG 97-09. Int J Radiat Oncol Biol Phys 2003;56:832–836.PubMedGoogle Scholar
  8. 8.
    McHorney CA, Bricker DE, Robbins J, Kramer AE, Rosenbek JC, Chignell K. The SWAL-QOL outcomes tool for oropharyngeal dysphagia in adults: II. Item reduction and preliminary scaling. Dysphagia 2000;15:122–133.PubMedGoogle Scholar
  9. 9.
    McHorney CA, Robbins J, Lomax K, Rosenbek JC, Chignell K, Kramer AE, Bricker DE. The SWAL-QOL and SWAL-CARE outcomes tool for oropharyngeal dysphagia in adults: III. Documentation of reliability and validity. Dysphagia 2002;17:97–114.PubMedCrossRefGoogle Scholar
  10. 10.
    Chen AY, Frankowski R, Bishop-Leone J, Hebert T, Leyk S, Lewin J, Goepfert H. The development and validation of a dysphagia-specific quality-of-life questionnaire for patients with head and neck cancer: the M. D. Anderson dysphagia inventory. Arch Otolaryngol Head Neck Surg 2001;127:870–876.PubMedGoogle Scholar
  11. 11.
    Hammerlid E, Taft C. Health-related quality of life in long-term head and neck cancer survivors: a comparison with general population norms. Br J Cancer 2001;84:149–156.PubMedCrossRefGoogle Scholar
  12. 12.
    Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine 2000;25:3186–3191.PubMedCrossRefGoogle Scholar
  13. 13.
    Gillespie MB, Brodsky MB, Day TA, Lee FS, Martin-Harris B. Swallowing-related quality of life after head and neck cancer treatment. Laryngoscope 2004;114:1362–1367.PubMedCrossRefGoogle Scholar
  14. 14.
    Kowalski LP, Carvalho AL, Pellizzon AC. Carcinoma da boca. In: Kowalski LP, Anelli A, Salvajoli JV, Lopes LF editors, Manual de condutas diagnósticas e terapêuticas em oncologia. São Paulo: Âmbito Editores; 2002, p. 411–416.Google Scholar
  15. 15.
    Parkin DM, Whelan SL, Ferlay J, Raymond L, Young J. Cancer incidence in five continents, vol. VII. Lyon: IARC, 1997, IARC Scientific Publ. No. 143.Google Scholar
  16. 16.
    Hammerlid E, Bjordial K. A prospective longitudinal quality of life study of patients with head and neck cancer. Otolaryngol Head Neck Surg 1997;116:666–673.PubMedCrossRefGoogle Scholar
  17. 17.
    Hammerlid E, Persson LO. Quality of life of psychosocial intervention in head and neck cancer patients. Otolaryngol Head Neck Surg 1999;120:507–516.PubMedCrossRefGoogle Scholar
  18. 18.
    Teixeira MS, Hirata CHW. Propedêutica no câncer de boca e orofaringe. In: Carrara-de Angelis E, Furia CLB, Mourão LF, Kowalski LP editors. A atuação da fonoaudiologia no câncer de cabeça e pescoço. São Paulo: Lovise. 2000. p. 47–52.Google Scholar
  19. 19.
    Faria JCM. Reconstruções em cabeça e pescoço. In: Kowalski LP, Anelli A, Salvajoli JV, Lopes LF editors. Manual de condutas diagnósticas e terapêuticas em oncologia. São Paulo: Âmbito Editores; 2002. p. 450–451.Google Scholar
  20. 20.
    Furia CL, Carrara-de Angelis E, Martins NM, Barros AP, Carneiro B, Kowalski LP. Video fluoroscopic evaluation after glossectomy. Arch Otolaryngol Head Neck Surg 2000;126:378–383.PubMedGoogle Scholar
  21. 21.
    Marchesan IQ. Deglutição-normalidade. In: Furkim AM, Santini CS editors. Disfagias orofaringeas. Carapicuiba: Pró-Fono; 1999. p. 3–18.Google Scholar
  22. 22.
    Rogers SN, Laher SH, Overend L, Lowe D. Importance-rating using the University of Washington quality of life questionnaire in patients treated by primary surgery for oral and oro-pharyngeal cancer. J Craniomaxillofac Surg 2002;30:125–132.PubMedGoogle Scholar
  23. 23.
    Salibian AH, Allison GR, Rappaport I, Krugman ME, McMicken BL, Etchepare TL. Total and subtotal glossectomy: function after microvascular reconstruction. Plast Reconstr Surg 1990;85:513–516.PubMedCrossRefGoogle Scholar
  24. 24.
    Kiyokawa K, Tai Y, Inoue Y, Yanaga H, Mori K, Nakashima T. Functional reconstruction of swallowing and articulation after total glossectomy without laryngectomy: money pouch-like reconstruction method using rectus abdominis myocutaneous flap. Plast Reconstr Surg 1999;104:2015–2020.PubMedCrossRefGoogle Scholar
  25. 25.
    Kimata Y, Sakuraba M, Hishinuma S, Ebihara S, Hayashi R, Asakage T, Nakatsuka T, Harii K. Analysis of the relations between the shape of the reconstructed tongue and postoperative functions after subtotal or total glossectomy. Laryngoscope 2003;113:905–909.PubMedCrossRefGoogle Scholar
  26. 26.
    Gaziano JE. Evaluation and management of oropharyngeal dysphagia in head and neck cancer. Cancer Control 2002;9:400–409.PubMedGoogle Scholar
  27. 27.
    Terrell JE, Ronis DL, Fowler KE, Bradford CR, Chepeha DB, Prince ME, Teknos TN, Wolf GT, Duffy SA. Clinical predictors of quality of life in patients with head and neck cancer. Arch Otolaryngol Head Neck Surg 2004;130:401–408.PubMedCrossRefGoogle Scholar
  28. 28.
    Rampling T, King H, Mais KL, Humphris GM, Swindell R, Sykes A, Slevin N. Quality of life measurement in the head and neck cancer radiotherapy clinic: is it feasible and worthwhile? Clin Oncol (R Coll Radiol) 2003;15:205–110.Google Scholar
  29. 29.
    Hobart JC, Williams LS, Moran K, Thompson AJ. Quality of life measurement after stroke - uses and abuses of the SF-36. Stroke 2002;33:1348–1356.PubMedCrossRefGoogle Scholar
  30. 30.
    Graeff A, Leeuw JRJ, Ros WJG, Hordijk GJ, Blijham GH, Winnubst JA. Pretreatment factors predicting quality of life after treatment for head and neck cancer. Head Neck 2000;22:398–407.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Anna Karinne Costa Bandeira
    • 1
  • Elma H. M. Azevedo
    • 1
  • José Guilherme Vartanian
    • 2
  • Inês N. Nishimoto
    • 2
  • Luiz Paulo Kowalski
    • 2
  • Elisabete Carrara-de Angelis
    • 1
    • 3
    Email author
  1. 1.Voice, Speech and Swallowing Rehabilitation DepartmentHospital do Câncer A. C. CamargoSão PauloBrazil
  2. 2.Head and Neck Surgery and Otorhinolaryngology DepartmentHospital do Câncer A. C. CamargoSão PauloBrazil
  3. 3.Voice, Speech and Swallowing Rehabilitation DepartmentHospital do Câncer A. C. CamargoSão PauloBrazil

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