Change in Nutritional Status and Dysphagia after Resection of Head and Neck Cancer
Nutritional status is well-known to influence patient recovery after resection of head and neck cancer (HNC). The influence of preoperative nutritional status on dysphagia was assessed in patients who underwent surgical resection of HNC along with the assessment of nutritional status during the acut...
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doaj-bb3086bf18404784b317bdb7529200ae2021-07-23T13:59:07ZengMDPI AGNutrients2072-66432021-07-01132438243810.3390/nu13072438Change in Nutritional Status and Dysphagia after Resection of Head and Neck CancerAyumi Sadakane-Sakuramoto0Yoko Hasegawa1Kazuma Sugahara2Nobuhide Horii3Syota Saito4Yuta Nakao5Tomoki Nanto6Takahiro Ono7Kazuhisa Domen8Hiromitsu Kishimoto9Department of Dentistry and Oral Surgery, Hyogo College of Medicine, 1-1 Mukogawa-cho, Nishinomiya 663-8501, Hyogo, JapanDepartment of Dentistry and Oral Surgery, Hyogo College of Medicine, 1-1 Mukogawa-cho, Nishinomiya 663-8501, Hyogo, JapanDepartment of Dentistry and Oral Surgery, Hyogo College of Medicine, 1-1 Mukogawa-cho, Nishinomiya 663-8501, Hyogo, JapanDepartment of Dentistry and Oral Surgery, Hyogo College of Medicine, 1-1 Mukogawa-cho, Nishinomiya 663-8501, Hyogo, JapanDepartment of Physical Medicine and Rehabilitation, Hyogo College of Medicine College Hospital, Nishinomiya 663-8501, Hyogo, JapanDepartment of Physical Medicine and Rehabilitation, Hyogo College of Medicine College Hospital, Nishinomiya 663-8501, Hyogo, JapanDepartment of Physical Medicine and Rehabilitation, Hyogo College of Medicine College Hospital, Nishinomiya 663-8501, Hyogo, JapanDivision of Comprehensive Prosthodontics, Faculty of Dentistry and Graduate School of Medical and Dental Sciences, Niigata University, Niigata 951-8514, JapanDepartment of Rehabilitation Medicine, Hyogo College of Medicine, Nishinomiya 663-8501, Hyogo, JapanDepartment of Dentistry and Oral Surgery, Hyogo College of Medicine, 1-1 Mukogawa-cho, Nishinomiya 663-8501, Hyogo, JapanNutritional status is well-known to influence patient recovery after resection of head and neck cancer (HNC). The influence of preoperative nutritional status on dysphagia was assessed in patients who underwent surgical resection of HNC along with the assessment of nutritional status during the acute and subacute phases. Eighty-six patients underwent surgical resection and dysphagia assessments (repetitive saliva-swallowing test, water-swallowing test, and functional oral intake scale) and had their tongue pressure assessed five times (before surgery, after 1–2 weeks, and 1, 2, and 3 months after surgery). The nutritional status was assessed according to the body mass index, total protein, and albumin. The prognostic nutritional index was calculated from preoperative data, and the subjects were classified into three groups: Low-risk, Attention and High-risk groups. After surgery, the nutritional status index values were low, and the High-risk group showed significantly lower values in comparison to the other two groups. The water-swallowing test and functional oral intake scale findings were worse than they had been preoperatively until 2 months after surgery, and a significant correlation was noted between the postoperative nutritional status and the presence of dysphagia. The results indicated that the preoperative nutritional status of HNC patients influenced their ability to ingest/swallow, which in turn influenced their nutritional status after HNC resection.https://www.mdpi.com/2072-6643/13/7/2438nutritional statushead and neck cancerprognostic nutritional indexdysphagia |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ayumi Sadakane-Sakuramoto Yoko Hasegawa Kazuma Sugahara Nobuhide Horii Syota Saito Yuta Nakao Tomoki Nanto Takahiro Ono Kazuhisa Domen Hiromitsu Kishimoto |
spellingShingle |
Ayumi Sadakane-Sakuramoto Yoko Hasegawa Kazuma Sugahara Nobuhide Horii Syota Saito Yuta Nakao Tomoki Nanto Takahiro Ono Kazuhisa Domen Hiromitsu Kishimoto Change in Nutritional Status and Dysphagia after Resection of Head and Neck Cancer Nutrients nutritional status head and neck cancer prognostic nutritional index dysphagia |
author_facet |
Ayumi Sadakane-Sakuramoto Yoko Hasegawa Kazuma Sugahara Nobuhide Horii Syota Saito Yuta Nakao Tomoki Nanto Takahiro Ono Kazuhisa Domen Hiromitsu Kishimoto |
author_sort |
Ayumi Sadakane-Sakuramoto |
title |
Change in Nutritional Status and Dysphagia after Resection of Head and Neck Cancer |
title_short |
Change in Nutritional Status and Dysphagia after Resection of Head and Neck Cancer |
title_full |
Change in Nutritional Status and Dysphagia after Resection of Head and Neck Cancer |
title_fullStr |
Change in Nutritional Status and Dysphagia after Resection of Head and Neck Cancer |
title_full_unstemmed |
Change in Nutritional Status and Dysphagia after Resection of Head and Neck Cancer |
title_sort |
change in nutritional status and dysphagia after resection of head and neck cancer |
publisher |
MDPI AG |
series |
Nutrients |
issn |
2072-6643 |
publishDate |
2021-07-01 |
description |
Nutritional status is well-known to influence patient recovery after resection of head and neck cancer (HNC). The influence of preoperative nutritional status on dysphagia was assessed in patients who underwent surgical resection of HNC along with the assessment of nutritional status during the acute and subacute phases. Eighty-six patients underwent surgical resection and dysphagia assessments (repetitive saliva-swallowing test, water-swallowing test, and functional oral intake scale) and had their tongue pressure assessed five times (before surgery, after 1–2 weeks, and 1, 2, and 3 months after surgery). The nutritional status was assessed according to the body mass index, total protein, and albumin. The prognostic nutritional index was calculated from preoperative data, and the subjects were classified into three groups: Low-risk, Attention and High-risk groups. After surgery, the nutritional status index values were low, and the High-risk group showed significantly lower values in comparison to the other two groups. The water-swallowing test and functional oral intake scale findings were worse than they had been preoperatively until 2 months after surgery, and a significant correlation was noted between the postoperative nutritional status and the presence of dysphagia. The results indicated that the preoperative nutritional status of HNC patients influenced their ability to ingest/swallow, which in turn influenced their nutritional status after HNC resection. |
topic |
nutritional status head and neck cancer prognostic nutritional index dysphagia |
url |
https://www.mdpi.com/2072-6643/13/7/2438 |
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