Scholarlink

<p>Few studies have reported the effects of dysphagia management after esophagectomy in esophageal cancer. We aimed to investigate the impact of liquid modification and chin-tuck posture (head flexion) on reducing airway invasion and pharyngeal residue after esophagectomy. We included patients who underwent esophagectomy between June 2017 and January 2020. A videofluoroscopic swallowing study (VFSS) was conducted on 5&#xa0;ml liquid boluses with four viscosities: thin, mildly thickened, moderately thickened, and extremely thickened, all administered in a neutral head position. Trials with thin and moderately thickened liquid were repeated with head flexion. The penetration-aspiration scale (PAS) scores and residue grades were compared across viscosities and head positions. Thirty-three patients met the inclusion criteria (mean age 65.3 ± 9.0 years). Moderately and extremely thickened liquids resulted in less frequent penetration or aspiration compared to thin liquids, while mildly thickened liquids showed no significant difference in airway protection. Residue grades did not differ significantly across the viscosities tested. Head flexion did not affect the occurrence of aspiration or residue grades compared with the neutral head position for thin and moderately thickened liquids. Penetration on thin liquid was less frequent in head flexion than in the neutral position. Liquid modification improved swallowing safety by reducing penetration and aspiration without affecting pharyngeal clearance. While the chin-tuck posture did not significantly reduce aspiration, its potential to lessen penetration suggests a role in airway protection that warrants further study. These findings warrant validation in larger studies.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

The Effect of Compensatory Strategies in Reducing to Postoperative Airway Invasion, and Pharyngeal Residue in Patients Undergoing Esophagectomy for Esophageal Cancer

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年10月14日

查看全文
  • Asako Kaneoka,
  • Haruhi Inokuchi,
  • Rumi Ueha,
  • Taku Sato,
  • Takao Goto,
  • Koichi Yagi,
  • Yasuyuki Seto,
  • Nobuhiko Haga

摘要

Few studies have reported the effects of dysphagia management after esophagectomy in esophageal cancer. We aimed to investigate the impact of liquid modification and chin-tuck posture (head flexion) on reducing airway invasion and pharyngeal residue after esophagectomy. We included patients who underwent esophagectomy between June 2017 and January 2020. A videofluoroscopic swallowing study (VFSS) was conducted on 5 ml liquid boluses with four viscosities: thin, mildly thickened, moderately thickened, and extremely thickened, all administered in a neutral head position. Trials with thin and moderately thickened liquid were repeated with head flexion. The penetration-aspiration scale (PAS) scores and residue grades were compared across viscosities and head positions. Thirty-three patients met the inclusion criteria (mean age 65.3 ± 9.0 years). Moderately and extremely thickened liquids resulted in less frequent penetration or aspiration compared to thin liquids, while mildly thickened liquids showed no significant difference in airway protection. Residue grades did not differ significantly across the viscosities tested. Head flexion did not affect the occurrence of aspiration or residue grades compared with the neutral head position for thin and moderately thickened liquids. Penetration on thin liquid was less frequent in head flexion than in the neutral position. Liquid modification improved swallowing safety by reducing penetration and aspiration without affecting pharyngeal clearance. While the chin-tuck posture did not significantly reduce aspiration, its potential to lessen penetration suggests a role in airway protection that warrants further study. These findings warrant validation in larger studies.