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The Impact of Nasogastric Feeding Tube on Physiologic Swallow in Head and Neck Cancer Patients: A Multidisciplinary Clinical Trial
Nasogastric feeding tubes (NGT) are ubiquitous within the head and neck (H&N) cancer patient population. NGT are often placed in post-surgical H&N cancer patients to allow for healing of suture lines in oral cavity and oropharyngeal free flap patients and are also used in transoral robotic surgery (TORS) patients. Despite their widespread use, the impact of NGT on the physiologic swallow of H&N cancer patients remains unknown. In the neurology literature, there is data demonstrating alterations in the functional swallow of elderly post-stroke patients with NGTs.
Source: International Journal of Radiation Oncology * Biology * Physics - March 11, 2022 Category: Radiology Authors: M.N. Stevens, E. Hosokawa, A. Hereford, M. West, R. Fleming, K. Sharif, R. Sinard, S.L. Rohde, K. Mannion, A. Langerman, J. Netterville, E.L. Rosenthal, M.C. Topf Tags: 215 Source Type: research

In Regard to Arthurs et  al
To the Editor: Arthurs et  al (1) present another large database analysis, this one focusing on the risk of stroke for head and neck cancer patients receiving radiation therapy. These analyses allow the use of relatively large numbers to obtain “significant” P values. Their finding of a 46% to 70% higher cause-specific hazard of stroke with radiation therapy compared with the “control” of surgery alone seems very compelling.
Source: International Journal of Radiation Oncology * Biology * Physics - January 4, 2017 Category: Radiology Authors: Pierre Blanchard, Adam S. Garden Tags: Comment Source Type: research

Stroke after Radiotherapy for Head and Neck Cancer – What is the Risk?
Treating head and neck squamous cell carcinomas with radiotherapy has been shown to cause damage to the cerebrovasculature. This retrospective cohort study found that any exposure to radiation was associated with a 46% higher hazard of stroke, and with radiotherapy as the sole treatment modality, 70% increased risk of stroke compared to surgery alone. Implications of this research speak to the need for adequate follow-up and survivorship care among patients that were treated with RT.
Source: International Journal of Radiation Oncology * Biology * Physics - July 15, 2016 Category: Radiology Authors: Erin Arthurs, Timothy P. Hanna, Khaled Zaza, Yingwei Peng, Stephen F. Hall Source Type: research

Stroke After Radiation Therapy for Head and Neck Cancer: What Is the Risk?
A retrospective population-based cohort study was conducted to determine the risk of ischemic stroke with respect to time, associated with curative radiation therapy in head and neck squamous cell carcinomas (HNSCC).
Source: International Journal of Radiation Oncology * Biology * Physics - July 15, 2016 Category: Radiology Authors: Erin Arthurs, Timothy P. Hanna, Khaled Zaza, Yingwei Peng, Stephen F. Hall Tags: Clinical Investigation Source Type: research

Risk of Cerebrovascular Events in Elderly Patients After Radiation Therapy Versus Surgery for Early-Stage Glottic Cancer
Purpose: Comprehensive neck radiation therapy (RT) has been shown to increase cerebrovascular disease (CVD) risk in advanced-stage head-and-neck cancer. We assessed whether more limited neck RT used for early-stage (T1-T2 N0) glottic cancer is associated with increased CVD risk, using the Surveillance, Epidemiology, and End Results (SEER)-Medicare linked database.Methods and Materials: We identified patients ≥66 years of age with early-stage glottic laryngeal cancer from SEER diagnosed from 1992 to 2007. Patients treated with combined surgery and RT were excluded. Medicare CPT codes for carotid interventions, Medicare IC...
Source: International Journal of Radiation Oncology * Biology * Physics - July 30, 2013 Category: Radiology Authors: Julian C. Hong, Tim J. Kruser, Vinai Gondi, Pranshu Mohindra, Donald M. Cannon, Paul M. Harari, Søren M. Bentzen Tags: Head and Neck Cancers Source Type: research