Rehabilitation Protocol for Postoperative Dysphagia in Head and Neck Cancer Patients / 대한이비인후과학회지
Korean Journal of Otolaryngology - Head and Neck Surgery
; : 94-98, 2010.
Article
en Ko
| WPRIM
| ID: wpr-653303
Biblioteca responsable:
WPRO
ABSTRACT
BACKGROUND AND OBJECTIVES: Treatment of head and neck cancer patients with surgical removal may result in some degree of dysphagia. Swallowing disorders depend on the site, the extent of surgical resection, and the nature of the surgical reconstruction. As a result, rehabilitation needs to be managed by head and neck surgeons with specific anatomical knowledge. However, in Korea, only occupational therapists can get approval for dysphagia rehabilitation from the national health insurance cooperation. Therefore, we designed a Advanced Rehabilitation Protocol (ARP) rehabilitation and carried out a comparative study against the current rehabilitation protocol. SUBJECTS AND METHOD: Data were collected by reviewing medical records of 40 patients who received operation on oral cavity, larynx and hypopharynx from November 2007 to January 2009. Of these, 20 patients were treated with ARP under the management of head and neck surgeons but the other 20 patients were not. RESULTS: Although the results had no statistical significance, the study showed that ARP had the effect of shortening the rehabilitation and enabled them to start adjuvant therapies early. CONCLUSION: Rehabilitation needs to be managed cooperatively by a multidisciplinary team that includes an otolaryngologist who has specific anatomical knowledge of the concerned area and reconstruction according to specific swallowing problems.
Palabras clave
Texto completo:
1
Índice:
WPRIM
Asunto principal:
Trastornos de Deglución
/
Registros Médicos
/
Deglución
/
Cabeza
/
Neoplasias de Cabeza y Cuello
/
Hipofaringe
/
Corea (Geográfico)
/
Laringe
/
Boca
/
Programas Nacionales de Salud
Tipo de estudio:
Guideline
Límite:
Humans
País/Región como asunto:
Asia
Idioma:
Ko
Revista:
Korean Journal of Otolaryngology - Head and Neck Surgery
Año:
2010
Tipo del documento:
Article