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Within-Bolus Variability of the Penetration-Aspiration Scale Across Two Subsequent Swallows in Patients with Head and Neck Cancer

AbstractTo compare two consecutive swallowing attempts to study if there is a difference in Rosenbek ’s penetration-aspiration scale (PAS) scores between the first and second swallowing attempt of the same bolus type in videofluoroscopic examination of swallowing (VFS). Additional aims include reflecting on which bolus sizes and consistencies are the most relevant to include in further studies fo r head and neck cancer (HNC) patients. The VFS for 38 patients curatively treated for HNC was studied. All included patients showed swallowing difficulties (PAS ≥ 2). The examination protocol included two swallows each of six different boluses: 3, 5, 10, 20 ml thin, 5 ml mildly thick, and 3 m l of extremely thick liquid. All boluses were compared between the first and second swallowing attempt with regard to PAS scores. No statistically significant differences in PAS were found between the first and second swallow for any of the boluses in this study on group level. For 20 ml thin and 3  ml extremely thick liquid, there were low Intra-Class Correlations, indicating a low within-bolus agreement. The greatest within-bolus differences were found for 20 ml thin, 5 ml mildly thick and 3 ml extremely thick liquid, which demonstrated high intra-individual coefficient of variation (0.4 58–0.759). The data of this study show a high within-bolus variability of the PAS score between two subsequent swallows for all different consis...
Source: Dysphagia - Category: Speech-Language Pathology Source Type: research

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The incidence of mouth and throat cancers caused by the human papilloma virus in men has now surpassed the incidence of HPV-related cervical cancers in women.
Source: NYT Health - Category: Consumer Health News Authors: Tags: Head and Neck Cancer Human Papillomavirus (HPV) Sexually Transmitted Diseases Throat Smoking and Tobacco Men and Boys Vaccination and Immunization Infections Source Type: news
To determine the 3D intrafractional motion of head and neck squamous cell carcinoma (HNSCC).
Source: International Journal of Radiation Oncology * Biology * Physics - Category: Radiology Authors: Tags: Physics Contribution Source Type: research
Today, most head and neck cancer subsites, such as the larynx, hypopharynx, nasopharynx, and oropharynx, are treated with radiation therapy with or without chemotherapy as a primary treatment modality. Surgery is reserved for the salvage of recurrent tumors that occur within the head and neck in the absence of distant (ie, lung, liver) metastasis. However, unlike all other head and neck subsites, oral cancer should ideally be managed with primary surgery with the possibility of adjuvant radiation therapy with or without chemotherapy depending on the presence of certain high-risk pathologic features.
Source: Dental Clinics of North America - Category: Dentistry Authors: Source Type: research
The most important prognostic factor in predicting the outcome of oral and oropharyngeal cancer (OPC) is the stage at which it is diagnosed. Only 30% of patients are diagnosed with early-stage disease. The oral health care provider performs an important role in early diagnosis of oral cancer. The conventional oral examination consists of a visual and tactile assessment of accessible oral, and head and neck structures. Any suspicious or equivocal lesion should be reevaluated within 4  weeks. Evidence supporting the use of adjunctive devices to improve the ability to screen for and identify OPCs and oral premalignant lesions remains low.
Source: Dental Clinics of North America - Category: Dentistry Authors: Source Type: research
Diffusion-weighted imaging (DWI) of the head and neck represents a distinct method of MR imaging with far-ranging applications. Research continues to hone the capabilities of DWI in characterization, prediction, monitoring, assessing response to treatment, and detecting posttreatment changes and recurrent tumors. Pretreatment apparent diffusion coefficient (ADC) values can suggest the likelihood of response to treatment. DWI-obtained ADC values are able to look beyond the anatomy in posttreatment tumor beds and metastatic lymph nodes to evaluate for tumor recurrence. Further research should include large-scale, multiinstit...
Source: Magnetic Resonance Imaging Clinics of North America - Category: Radiology Authors: Source Type: research
AbstractHuman papillomavirus (HPV) vaccination holds great promise for drastically reducing the incidence of HPV-associated cancers of the genital tract, and possibly also certain head and neck cancers. Unfortunately, rates of HPV vaccine utilization among adolescents are low in many countries. Many research studies have identified the fact that HPV is a sexually transmitted infection as a barrier to higher vaccination rates. This is related to providers ’ and parents’ reluctance to discuss or consider the burgeoning sexuality of their child. An approach suggested to overcome this barrier is to “desexuali...
Source: Israel Journal of Health Policy Research - Category: International Medicine & Public Health Source Type: research
The objective of this programme was to indoctrinate the most vulnerable and the least tended upon; the basics of head and neck cancers via the medium of their own kins. Voluntary village health workers were educated and trained to pick up the early signs of head and neck cancers. Oral self examination was taught to them and they went to peripheral villages to screen the population. They would refer suspicious cases to tertiary healthcare centre. The population was enlightened upon the basics of preventable measures, treatment options and rehabilitation facilities for head and neck cancer patients. Knowledge, attitude and p...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - Category: ENT & OMF Source Type: research
ObjectivesTo explore the incidence and treatment pattern of head and neck cancer in different age groups. DesignCohort study. SettingNetherlands Cancer Registry. ParticipantsAll new primary head and neck cancer cases diagnosed between 2010 and 2014 were included and categorised into different age groups. Main outcome measuresTumour site, stage, treatment modality, location of diagnosis and treatment. ResultsThe study population was composed of 11 558 tumours. Oral cancer was the most common primary site (31%), followed by laryngeal (25%) and oropharyngeal cancer (22%). Ninety‐six per cent of the entire study populat...
Source: Clinical Otolaryngology - Category: ENT & OMF Authors: Tags: ORIGINAL ARTICLE Source Type: research
Fear of cancer recurrence (FCR) is common among individuals treated for cancer. Explorations of how this fear is expressed within an oncology setting and responded to are currently lacking. The aim was to investigate how head and neck cancer survivors in follow‐up consultations express FCR, investigate how a healthcare professional addresses recurrence fears, and examine how survivors experience this interaction. We recorded the follow‐up consultations of those participants who have reported FCR as a concern on the Patient Concerns Inventory. We also conducted a follow‐up phone interview with the participants. We ana...
Source: European Journal of Cancer Care - Category: Cancer & Oncology Authors: Tags: ORIGINAL ARTICLE Source Type: research
This article summarizes the current evidence that guides use of chemotherapy both in combination with radiation and as monotherapy for patients with advanced disease. It also addresses the expanding role of immunotherapy, particularly use of programmed cell death-ligand 1 inhibitors, in the treatment of advanced disease.
Source: Dental Clinics of North America - Category: Dentistry Authors: Source Type: research
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