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Simple Endoscopic Method of Scoring Swallowing Function After Treatment in Advanced Head and Neck Cancer Patients

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Abstract

The aim of this prospective, observational study was to evaluate the effectiveness of a simple endoscopic method for scoring swallowing function after treatment of advanced head and neck cancer patients. A prospective, observational study was conducted involving 60 patients who had undergone surgery or chemoradiation for advanced head and neck cancer. Endoscopic score of swallowing function, penetration aspiration scale (PAS) score measured by videofluorography, and functional oral intake scale (FOIS) score were recorded, and their correlations were examined. There was a positive correlation between endoscopic and PAS scores. Patients with endoscopic scores of 4 points or more had significantly higher PAS scores and lower FOIS scores than those with scores of 3 points or less. These positive correlations were found only in patients who underwent surgery, and not those who received chemoradiation. This study showed the effectiveness of the simple endoscopic method for scoring swallowing function in patients after surgery for advanced head and neck cancers.

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Data Availability

The datasets analyzed during the current study are available from the corresponding author on reasonable request.

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Funding

This work was supported in part by Grants-in-Aid for Scientific Research from JSPS Grant No. 19K18720.

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Authors and Affiliations

  1. Department of Otorhinolaryngology, Head and Neck Surgery, Tohoku University Graduate School of Medicine, 1-1 Seiryo-cho, Aoba-ku, Sendai, 980-8575, Japan

    Akira Ohkoshi, Kengo Kato, Ayako Nakanome, Ryo Ishii, Takuya Yoshida, Yuki Nakayama & Yukio Katori

  2. Department of Otolaryngology, Gifu University Graduate School of Medicine, 1-1 Yanagido, Gifu City, 501-1193, Japan

    Takenori Ogawa

Authors
  1. Akira Ohkoshi
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  2. Takenori Ogawa
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  3. Kengo Kato
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  4. Ayako Nakanome
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  5. Ryo Ishii
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  6. Takuya Yoshida
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  7. Yuki Nakayama
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  8. Yukio Katori
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Corresponding author

Correspondence to Akira Ohkoshi.

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The authors declare that they have no conflict of interests.

Human or Animal Rights

All procedures performed in studies involving human participants were in accordance with the ethical standards of the Tohoku University School of Medicine research committee (Number 2014-1-274) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Ohkoshi, A., Ogawa, T., Kato, K. et al. Simple Endoscopic Method of Scoring Swallowing Function After Treatment in Advanced Head and Neck Cancer Patients. Indian J Otolaryngol Head Neck Surg 74, 265–271 (2022). https://doi.org/10.1007/s12070-020-02307-9

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  • DOI: https://doi.org/10.1007/s12070-020-02307-9

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