Publication in refereed journal
香港中文大学研究人员 ( 现职)
| 尹怀信教授 (耳鼻咽喉-头颈外科学系) |
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| 没有全文档案提供 |
引用次数
Scopushttp://aims.cuhk.edu.hk/converis/portal/Publication/4Scopus source URL
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摘要Dysphagia is a common problem in patients with head and neck cancer but its importance as a complication of treatment for nasopharyngeal carcinoma is not well documented. Swallowing abnormalities are common in unselected patients following irradiation for nasopharyngeal carcinoma as detected by videofluoroscopy and symptom questionnaire. Patients with a history of nasopharyngeal carcinoma who were referred to a dysphagia clinic were reviewed. Thirty-two patients were seen in a 16 month period. All patients underwent a comprehensive swallowing assessment including fibreoptic endoscopic evaluation of swallowing (FEES), videofluoroscopy (VFSS) being performed in selected cases. Multiple abnormalities were common in the oral and pharyngeal phases of swallowing and affecting all food consistencies tested. Aspiration occurred in 52% of patients assessed by FEES and in 71% of patients undergoing videofluoroscopy. Of those patients aspirating during the VFSS examination, 58% did so without triggering a cough reflex (silent aspiration). The aetiology of dysphagia in postirradiation nasopharyngeal carcinoma is complex and patients often have severe swallowing abnormalities. Silent aspiration is common, and patients may be at risk of developing long-term pulmonary complications.
着者Marshall J.N., Ku P.K., Kew J., Cheung D., Van Hasselt C.A.
期刊名称Asian Journal of Surgery
出版年份1998
月份1
日期1
卷号21
期次http://aims.cuhk.edu.hk/converis/portal/Publication/4
出版社Elsevier Taiwan
出版地Taiwan
页次282 - 287
国际标準期刊号1015-958http://aims.cuhk.edu.hk/converis/portal/Publication/4
电子国际标準期刊号0219-3108
语言英式英语
