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Hyoid bone displacement as parameter for swallowing impairment in patients treated for advanced head and neck cancer
Reduced hyoid displacement is thought to contribute to aspiration and pharyngeal residues in head and neck cancer (HNC) patients with dysphagia. To further study hyoid elevation and anterior excursion in HNC patients, this study reports on temporal/kinematic measures of hyoid displacement, with the...
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| Published in: | European archives of oto-rhino-laryngology 2017-02, Vol.274 (2), p.597-606 |
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| creator | Kraaijenga, Sophie A. C. van der Molen, Lisette Heemsbergen, Wilma D. Remmerswaal, Gawein B. Hilgers, Frans J. M. van den Brekel, Michiel W. M. |
| description | Reduced hyoid displacement is thought to contribute to aspiration and pharyngeal residues in head and neck cancer (HNC) patients with dysphagia. To further study hyoid elevation and anterior excursion in HNC patients, this study reports on temporal/kinematic measures of hyoid displacement, with the additional goal to investigate correlations with clinical swallowing impairment. A single-blind analysis of data collected as part of a larger prospective study was performed at three time points before and after chemoradiotherapy. Twenty-five patients had undergone clinical swallowing assessments at baseline, 10-weeks, and 1-year post-treatment. Analysis of videofluoroscopic studies was done on different swallowing consistencies of varying amounts. The studies were independently reviewed frame-by-frame by two clinicians to assess temporal (onset and duration) and kinematic (anterior/superior movement) measures of hyoid displacement (ImageJ), laryngeal penetration/aspiration, and presence of vallecula/pyriform sinus residues. Patient-reported oral intake and swallowing function were also evaluated. Mean maximum hyoid displacement ranged from 9.4 mm (23 % of C2–4 distance) to 12.6 mm (27 %) anteriorly, and from 18.9 mm (41 %) to 24.9 mm (54 %) superiorly, depending on bolus volume and consistency. Patients with reduced superior hyoid displacement perceived significantly more swallowing impairment. No correlation between delayed or reduced hyoid excursion and aspiration or residue scores could be demonstrated. Hyoid displacement is subject to variability from a number of sources. Based on the results, this parameter seems not very valuable for clinical use in HNC patients with dysphagia. |
| doi_str_mv | 10.1007/s00405-016-4029-y |
| format | article |
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C. ; van der Molen, Lisette ; Heemsbergen, Wilma D. ; Remmerswaal, Gawein B. ; Hilgers, Frans J. M. ; van den Brekel, Michiel W. M.</creator><creatorcontrib>Kraaijenga, Sophie A. C. ; van der Molen, Lisette ; Heemsbergen, Wilma D. ; Remmerswaal, Gawein B. ; Hilgers, Frans J. M. ; van den Brekel, Michiel W. M.</creatorcontrib><description>Reduced hyoid displacement is thought to contribute to aspiration and pharyngeal residues in head and neck cancer (HNC) patients with dysphagia. To further study hyoid elevation and anterior excursion in HNC patients, this study reports on temporal/kinematic measures of hyoid displacement, with the additional goal to investigate correlations with clinical swallowing impairment. A single-blind analysis of data collected as part of a larger prospective study was performed at three time points before and after chemoradiotherapy. Twenty-five patients had undergone clinical swallowing assessments at baseline, 10-weeks, and 1-year post-treatment. Analysis of videofluoroscopic studies was done on different swallowing consistencies of varying amounts. The studies were independently reviewed frame-by-frame by two clinicians to assess temporal (onset and duration) and kinematic (anterior/superior movement) measures of hyoid displacement (ImageJ), laryngeal penetration/aspiration, and presence of vallecula/pyriform sinus residues. Patient-reported oral intake and swallowing function were also evaluated. Mean maximum hyoid displacement ranged from 9.4 mm (23 % of C2–4 distance) to 12.6 mm (27 %) anteriorly, and from 18.9 mm (41 %) to 24.9 mm (54 %) superiorly, depending on bolus volume and consistency. Patients with reduced superior hyoid displacement perceived significantly more swallowing impairment. No correlation between delayed or reduced hyoid excursion and aspiration or residue scores could be demonstrated. Hyoid displacement is subject to variability from a number of sources. Based on the results, this parameter seems not very valuable for clinical use in HNC patients with dysphagia.</description><identifier>ISSN: 0937-4477</identifier><identifier>EISSN: 1434-4726</identifier><identifier>DOI: 10.1007/s00405-016-4029-y</identifier><identifier>PMID: 27086361</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Aged ; Biomechanical Phenomena ; Carcinoma, Squamous Cell - complications ; Carcinoma, Squamous Cell - therapy ; Chemoradiotherapy ; Deglutition - physiology ; Deglutition Disorders - diagnosis ; Deglutition Disorders - etiology ; Deglutition Disorders - physiopathology ; Female ; Fluoroscopy ; Follow-Up Studies ; Head and Neck Neoplasms - complications ; Head and Neck Neoplasms - therapy ; Head and Neck Surgery ; Humans ; Hyoid Bone - physiology ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Neurosurgery ; Otorhinolaryngology ; Prospective Studies ; Review Article ; Single-Blind Method ; Squamous Cell Carcinoma of Head and Neck</subject><ispartof>European archives of oto-rhino-laryngology, 2017-02, Vol.274 (2), p.597-606</ispartof><rights>Springer-Verlag Berlin Heidelberg 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c453t-68e96b46b1720f6fa55fdff9d637745ef2c9a3e5758a781b6887c7a06b5d957a3</citedby><cites>FETCH-LOGICAL-c453t-68e96b46b1720f6fa55fdff9d637745ef2c9a3e5758a781b6887c7a06b5d957a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,786,790,27957,27958</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27086361$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kraaijenga, Sophie A. C.</creatorcontrib><creatorcontrib>van der Molen, Lisette</creatorcontrib><creatorcontrib>Heemsbergen, Wilma D.</creatorcontrib><creatorcontrib>Remmerswaal, Gawein B.</creatorcontrib><creatorcontrib>Hilgers, Frans J. M.</creatorcontrib><creatorcontrib>van den Brekel, Michiel W. M.</creatorcontrib><title>Hyoid bone displacement as parameter for swallowing impairment in patients treated for advanced head and neck cancer</title><title>European archives of oto-rhino-laryngology</title><addtitle>Eur Arch Otorhinolaryngol</addtitle><addtitle>Eur Arch Otorhinolaryngol</addtitle><description>Reduced hyoid displacement is thought to contribute to aspiration and pharyngeal residues in head and neck cancer (HNC) patients with dysphagia. To further study hyoid elevation and anterior excursion in HNC patients, this study reports on temporal/kinematic measures of hyoid displacement, with the additional goal to investigate correlations with clinical swallowing impairment. A single-blind analysis of data collected as part of a larger prospective study was performed at three time points before and after chemoradiotherapy. Twenty-five patients had undergone clinical swallowing assessments at baseline, 10-weeks, and 1-year post-treatment. Analysis of videofluoroscopic studies was done on different swallowing consistencies of varying amounts. The studies were independently reviewed frame-by-frame by two clinicians to assess temporal (onset and duration) and kinematic (anterior/superior movement) measures of hyoid displacement (ImageJ), laryngeal penetration/aspiration, and presence of vallecula/pyriform sinus residues. Patient-reported oral intake and swallowing function were also evaluated. Mean maximum hyoid displacement ranged from 9.4 mm (23 % of C2–4 distance) to 12.6 mm (27 %) anteriorly, and from 18.9 mm (41 %) to 24.9 mm (54 %) superiorly, depending on bolus volume and consistency. Patients with reduced superior hyoid displacement perceived significantly more swallowing impairment. No correlation between delayed or reduced hyoid excursion and aspiration or residue scores could be demonstrated. Hyoid displacement is subject to variability from a number of sources. Based on the results, this parameter seems not very valuable for clinical use in HNC patients with dysphagia.</description><subject>Aged</subject><subject>Biomechanical Phenomena</subject><subject>Carcinoma, Squamous Cell - complications</subject><subject>Carcinoma, Squamous Cell - therapy</subject><subject>Chemoradiotherapy</subject><subject>Deglutition - physiology</subject><subject>Deglutition Disorders - diagnosis</subject><subject>Deglutition Disorders - etiology</subject><subject>Deglutition Disorders - physiopathology</subject><subject>Female</subject><subject>Fluoroscopy</subject><subject>Follow-Up Studies</subject><subject>Head and Neck Neoplasms - complications</subject><subject>Head and Neck Neoplasms - therapy</subject><subject>Head and Neck Surgery</subject><subject>Humans</subject><subject>Hyoid Bone - physiology</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Neurosurgery</subject><subject>Otorhinolaryngology</subject><subject>Prospective Studies</subject><subject>Review Article</subject><subject>Single-Blind Method</subject><subject>Squamous Cell Carcinoma of Head and Neck</subject><issn>0937-4477</issn><issn>1434-4726</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNp9kM1O3DAURq2qVRloH4AN8rKbgO34J1ki1BYkJDawtm7sa2qaOMHOFM3b18PQLlnZvvd8n-RDyCln55wxc1EYk0w1jOtGMtE3uw9kw2UrG2mE_kg2rG9NI6UxR-S4lCfGmJJ9-5kcCcM63Wq-Iev1bo6eDnNC6mNZRnA4YVopFLpAhglXzDTMmZYXGMf5JaZHGqcFYn7FYqrYGuu10DUjrOhfafB_ILn6-IXgKSRPE7rf1O2H-Qv5FGAs-PXtPCEPP77fX103t3c_b64ubxsnVbs2usNeD1IP3AgWdAClgg-h97o1RioMwvXQojKqA9PxQXedcQaYHpTvlYH2hHw79C55ft5iWe0Ui8NxhITztljeCa2N6LSoKD-gLs-lZAx2yXGCvLOc2b1se5Btq2y7l213NXP2Vr8dJvT_E__sVkAcgFJX6RGzfZq3OdUvv9P6F7gojDs</recordid><startdate>20170201</startdate><enddate>20170201</enddate><creator>Kraaijenga, Sophie A. C.</creator><creator>van der Molen, Lisette</creator><creator>Heemsbergen, Wilma D.</creator><creator>Remmerswaal, Gawein B.</creator><creator>Hilgers, Frans J. M.</creator><creator>van den Brekel, Michiel W. M.</creator><general>Springer Berlin Heidelberg</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20170201</creationdate><title>Hyoid bone displacement as parameter for swallowing impairment in patients treated for advanced head and neck cancer</title><author>Kraaijenga, Sophie A. C. ; van der Molen, Lisette ; Heemsbergen, Wilma D. ; Remmerswaal, Gawein B. ; Hilgers, Frans J. M. ; van den Brekel, Michiel W. M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c453t-68e96b46b1720f6fa55fdff9d637745ef2c9a3e5758a781b6887c7a06b5d957a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Aged</topic><topic>Biomechanical Phenomena</topic><topic>Carcinoma, Squamous Cell - complications</topic><topic>Carcinoma, Squamous Cell - therapy</topic><topic>Chemoradiotherapy</topic><topic>Deglutition - physiology</topic><topic>Deglutition Disorders - diagnosis</topic><topic>Deglutition Disorders - etiology</topic><topic>Deglutition Disorders - physiopathology</topic><topic>Female</topic><topic>Fluoroscopy</topic><topic>Follow-Up Studies</topic><topic>Head and Neck Neoplasms - complications</topic><topic>Head and Neck Neoplasms - therapy</topic><topic>Head and Neck Surgery</topic><topic>Humans</topic><topic>Hyoid Bone - physiology</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Neurosurgery</topic><topic>Otorhinolaryngology</topic><topic>Prospective Studies</topic><topic>Review Article</topic><topic>Single-Blind Method</topic><topic>Squamous Cell Carcinoma of Head and Neck</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kraaijenga, Sophie A. C.</creatorcontrib><creatorcontrib>van der Molen, Lisette</creatorcontrib><creatorcontrib>Heemsbergen, Wilma D.</creatorcontrib><creatorcontrib>Remmerswaal, Gawein B.</creatorcontrib><creatorcontrib>Hilgers, Frans J. M.</creatorcontrib><creatorcontrib>van den Brekel, Michiel W. M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European archives of oto-rhino-laryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kraaijenga, Sophie A. C.</au><au>van der Molen, Lisette</au><au>Heemsbergen, Wilma D.</au><au>Remmerswaal, Gawein B.</au><au>Hilgers, Frans J. M.</au><au>van den Brekel, Michiel W. M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hyoid bone displacement as parameter for swallowing impairment in patients treated for advanced head and neck cancer</atitle><jtitle>European archives of oto-rhino-laryngology</jtitle><stitle>Eur Arch Otorhinolaryngol</stitle><addtitle>Eur Arch Otorhinolaryngol</addtitle><date>2017-02-01</date><risdate>2017</risdate><volume>274</volume><issue>2</issue><spage>597</spage><epage>606</epage><pages>597-606</pages><issn>0937-4477</issn><eissn>1434-4726</eissn><notes>ObjectType-Article-2</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-1</notes><notes>content type line 23</notes><abstract>Reduced hyoid displacement is thought to contribute to aspiration and pharyngeal residues in head and neck cancer (HNC) patients with dysphagia. To further study hyoid elevation and anterior excursion in HNC patients, this study reports on temporal/kinematic measures of hyoid displacement, with the additional goal to investigate correlations with clinical swallowing impairment. A single-blind analysis of data collected as part of a larger prospective study was performed at three time points before and after chemoradiotherapy. Twenty-five patients had undergone clinical swallowing assessments at baseline, 10-weeks, and 1-year post-treatment. Analysis of videofluoroscopic studies was done on different swallowing consistencies of varying amounts. The studies were independently reviewed frame-by-frame by two clinicians to assess temporal (onset and duration) and kinematic (anterior/superior movement) measures of hyoid displacement (ImageJ), laryngeal penetration/aspiration, and presence of vallecula/pyriform sinus residues. Patient-reported oral intake and swallowing function were also evaluated. Mean maximum hyoid displacement ranged from 9.4 mm (23 % of C2–4 distance) to 12.6 mm (27 %) anteriorly, and from 18.9 mm (41 %) to 24.9 mm (54 %) superiorly, depending on bolus volume and consistency. Patients with reduced superior hyoid displacement perceived significantly more swallowing impairment. No correlation between delayed or reduced hyoid excursion and aspiration or residue scores could be demonstrated. Hyoid displacement is subject to variability from a number of sources. Based on the results, this parameter seems not very valuable for clinical use in HNC patients with dysphagia.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>27086361</pmid><doi>10.1007/s00405-016-4029-y</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Biomechanical Phenomena Carcinoma, Squamous Cell - complications Carcinoma, Squamous Cell - therapy Chemoradiotherapy Deglutition - physiology Deglutition Disorders - diagnosis Deglutition Disorders - etiology Deglutition Disorders - physiopathology Female Fluoroscopy Follow-Up Studies Head and Neck Neoplasms - complications Head and Neck Neoplasms - therapy Head and Neck Surgery Humans Hyoid Bone - physiology Male Medicine Medicine & Public Health Middle Aged Neurosurgery Otorhinolaryngology Prospective Studies Review Article Single-Blind Method Squamous Cell Carcinoma of Head and Neck |
| title | Hyoid bone displacement as parameter for swallowing impairment in patients treated for advanced head and neck cancer |
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