Application of swallowing training in enhanced recovery after surgery of oral cancer

doi:10.19438/j.cjoms.2018.06.004

Abstract

Abstract: PURPOSE: The purpose of this study was to evaluate the influence of swallowing training on early swallowing function in patients with oral cancer after radical mastectomy and related factors that influence the effect of swallowing training, and to enhance recovery of patients. METHODS: Thirty-one patients with oral cancer participated in the experimental study. All patients underwent surgery and dysphagia assessment and training. Water swallow test rating, MASA score and tongue muscle rating were recorded before and after swallowing training. After swallowing training, swallowing angiography was used to confirm swallowing function and guide removal of nasogastric tube. The data were analyzed with SPSS 12.0 software package. RESULTS: Swallowing function after swallowing training was significantly improved in 31 patients with oral cancer after radical mastectomy. The ratings of water swallow test, MASA score, and tongue muscle score were all significantly different before and after training. We found tumor T stage was the only factor that significantly affected the patient's swallowing prognosis (P=0.029). In addition, the average time for removal of nasogastric tube after surgery was 7.6 days after surgery. The standards for nasogastric feeding tube removal after radical oral cancer treatment were initially proposed. CONCLUSIONS: Patients with oral cancer after radical mastectomy were significantly improved after receiving early swallowing training, which helped patients return to normal life as soon as possible and accelerate recovery. Early diagnosis and intervention of dysphagia in patients with oral cancer after radical mastectomy have a positive impact on final prognosis, which provide reliable guidance for patients to remove nasogastric tube and safe oral intake. Early swallowing training after radical oral cancer surgery is worthy of clinical promotion.

Key words: Swallowing training, Enhanced recovery after surgery, Oral cancer, Nasogastric tube removal

CLC Number:

R739.8

JIANG Tong-hui, WANG Yan, ZHUANG Hai, ZHANG Ji-sheng, BU Shou-shan. Application of swallowing training in enhanced recovery after surgery of oral cancer[J]. China Journal of Oral and Maxillofacial Surgery, 2018, 16(6): 498-504.

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