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Evaluation of Role of Prophylactic Swallowing Rehabilitation in Chemoradiotherapy for Advanced Head and Neck Cancer Using Novel Software Analysis of Videofluorography Images

古家 裕巳 広島大学

2020.02.27

概要

Concurrent chemoradiotherapy (CRT) has become the
standard therapy for advanced head and neck squamous
cell carcinoma. However, CRT has adverse effects on
many functions of the upper respiratory and digestive
systems. Dysphagia is a common and potentially serious
complication that results in life-threatening adverse
effects, such as aspiration pneumonia. Swallowing dysfunction is closely related to poor quality-of-life (QOL),
even if the structures of the pharynx and larynx are preserved1,3,19). Previously, post-treatment rehabilitation for
swallowing dysfunction was conducted, however, with
limited success, and has not proven to be satisfactory for
promoting swallowing function15,20). Since it is generally
agreed that prolonged disuse of the pharynx and larynx
causes detrimental effects on swallowing function in
patients with head and neck cancer (HNC)12), the potential benefits of prophylactic swallowing interventions
have recently garnered interest7,9,18). ...

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参考文献

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[Epub ahead of print]

...

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