Evidence map›Paper›PMID 41366758›Full record

ArticleBMC oral health2025

Analysis of preoperative swallowing function in head and neck cancer patients based on fiberoptic endoscopic evaluation of swallowing (FEES): a cross-sectional study.

Jie Zhang, Hong Jiang, Zhentao Lao, Le Yang, Yiming Hu, Wenbo Li, Yudong Xiao, Guiqing Liao, Wei Deng, Yujie Liang

Abstract read
In one paragraph

Article in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Jie Zhang *Department of Oral and Maxillofacial Surgery, Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-Sen University, Guangzhou, Guangdong, China.
Hong Jiang *Department of Oral and Maxillofacial Surgery, Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-Sen University, Guangzhou, Guangdong, China.
Zhentao LaoDepartment of Oral and Maxillofacial Surgery, Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-Sen University, Guangzhou, Guangdong, China.
Le YangDepartment of Oral and Maxillofacial Surgery, Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-Sen University, Guangzhou, Guangdong, China.
Yiming HuDepartment of Oral and Maxillofacial Surgery, Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-Sen University, Guangzhou, Guangdong, China.
Wenbo LiDepartment of Oral and Maxillofacial Surgery, Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-Sen University, Guangzhou, Guangdong, China.
Yudong XiaoDepartment of Oral and Maxillofacial Surgery, Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-Sen University, Guangzhou, Guangdong, China.
Guiqing LiaoDepartment of Oral and Maxillofacial Surgery, Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-Sen University, Guangzhou, Guangdong, China.
Wei Deng *Department of Oral and Maxillofacial Surgery, Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-Sen University, Guangzhou, Guangdong, China. dengw39@mail.sysu.edu.cn.
Yujie Liang *Department of Oral and Maxillofacial Surgery, Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-Sen University, Guangzhou, Guangdong, China. liangyj35@mail.sysu.edu.cn.

Funding

Basic and Applied Basic Research Foundation of Guangdong Province No.2022A1515010442National Natural Science Foundation of China No.82072995Regional Joint Fund-Youth Foundation Project of Guangdong Province No.2021A1515110255
6 · The paper itself

Abstract

backgroundWe aim to explore the preoperative swallowing function of head and neck cancer (HNC) patients, analyze the physiological functions of the oropharyngeal structures during swallowing. Moreover, we conducted a detailed analysis of risk factors that may contribute to impairment in preoperative swallowing function, providing evidence-based support for subsequent tumor treatment and swallowing rehabilitation.

methodsThis study recruited 107 preoperative patients with HNC from September 2022 to January 2024 in the Hospital of Stomatology, Sun Yat-Sen University. The gold standard fiberoptic endoscopic evaluation of swallowing (FEES) was used to assess swallowing function, primarily encompassing the examination of anatomical structures, pharyngeal secretions, the penetration-aspiration scale, and residue during feeding evaluation. Furthermore, clinical data were collected and we performed univariate and multivariable analyses to identify risk factors of preoperative swallowing function impairment.

resultsThe FEES examination revealed that the capability to retract the tongue root declined in preoperative patients with HNC. And the secretions in the vallecula and piriform sinus increased. During the feeding evaluation, residual boluses in the epiglottic vallecula and piriform sinus increased. The risk of leakage and aspiration has escalated, indicating a significant decline in swallowing function during the pharyngeal phase. In univariate and multivariable analyses, a history of radiotherapy, smoking, and alcoholism are risk factors for the decline in swallowing function.

conclusionsPreoperative patients with HNC experience a decline in swallowing function, as evidenced by compromised safety and effectiveness of swallowing.

Indexed as

DeglutitionDeglutition DisordersEndoscopyHead and Neck NeoplasmsAdultAgedCross-Sectional StudiesFemaleFiber Optic TechnologyHumansMaleMiddle AgedPreoperative PeriodRisk FactorsAspirationFiberoptic endoscopic evaluation of swallowingHead and neck cancerRisk factor analysisSwallowing function

Identifiers

PMID41366758
PMCPMC12801947

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.