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Pilot Study: Pneumatic Compression Garment Therapy for Postradiotherapy Laryngopharyngeal Edema.
- Source :
-
Ear, nose, & throat journal [Ear Nose Throat J] 2022 Jan; Vol. 101 (1), pp. 54-58. Date of Electronic Publication: 2020 Jul 20. - Publication Year :
- 2022
-
Abstract
- Objectives: Pneumatic compression garment therapy (PCGT) has been established as treatment for postradiotherapy lymphedema, and its use in head and neck patients is becoming more common. Although effects on interstitial edema of the cervical soft tissues have been studied, effects on internal laryngopharyngeal edema, as well as associated symptoms of dysphagia and dysphonia, have yet to be published.<br />Methods: We surveyed 7 patients treated with radiation for head and neck cancer (HNC) who had also been prescribed PCGT for cervical lymphedema. Patients were asked about subjective experience with the device, and also administered the Eating Assessment Tool-10 (EAT-10) and Voice Handicap Index-10 (VHI-10) surveys regarding their symptoms after using PCGT. Laryngoscopy videos from these same periods were also reviewed and scored using a validated tool for assessing laryngopharyngeal edema.<br />Results: 85% of patients reported at least some improvement in dysphagia and dysphonia following PCGT. Average EAT-10 score after PCGT was 11.4 and average VHI-10 score after PCGT was 8.7. These compare more favorably to historical scores for the same questionnaires in similar patient populations. Laryngeal edema scores on endoscopic examination were not significantly different after at least 3 months of therapy (pre: 20.15, post: 20.21, P = .975); however, the utility of this result is limited by a low inter-rater reliability (Krippendorff α = .513).<br />Conclusions: While we are unable to show any difference in objective assessment of laryngopharyngeal edema on endoscopic examination in this small pilot study, patients report substantial subjective improvement in postradiotherapy dysphagia and dysphonia following cervical PCGT that warrants more formal investigation.
- Subjects :
- Deglutition Disorders etiology
Deglutition Disorders therapy
Dysphonia etiology
Dysphonia therapy
Head and Neck Neoplasms radiotherapy
Humans
Hypopharynx
Laryngeal Edema etiology
Patient Reported Outcome Measures
Pharyngeal Diseases etiology
Pilot Projects
Gravity Suits
Laryngeal Edema therapy
Pharyngeal Diseases therapy
Radiotherapy adverse effects
Subjects
Details
- Language :
- English
- ISSN :
- 1942-7522
- Volume :
- 101
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Ear, nose, & throat journal
- Publication Type :
- Academic Journal
- Accession number :
- 32687411
- Full Text :
- https://doi.org/10.1177/0145561320942362