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Swallowing outcomes after transoral robotic surgery and adjuvant treatment in unknown primary.
- Source :
-
Oral diseases [Oral Dis] 2024 Jul 10. Date of Electronic Publication: 2024 Jul 10. - Publication Year :
- 2024
- Publisher :
- Ahead of Print
-
Abstract
- Objectives: Robotic transoral mucosectomy of the base of tongue was introduced as a diagnostic procedure in patients treated for head and neck cancer with unknown primary (CUP), increasing the identification rate of the primary tumour. For the treatment of CUP, a considerable percentage of patients require adjuvant (chemo)radiation. The aim of this study was to investigate swallowing outcomes among CUP patients after TORS and adjuvant treatment.<br />Subjects and Methods: A systematic review was carried out on studies investigating the impact of TORS and adjuvant treatment on swallowing-related outcomes among CUP patients In addition, a cross-sectional study was carried out on swallowing problems (measured using the SWAL-QOL questionnaire) among CUP patients in routine care who visited the outpatient clinic 1-5 years after TORS and adjuvant treatment.<br />Results: The systematic review (6 studies; n = 98) showed that most patients returned to a full oral diet. The cross-sectional study (n = 12) showed that all patients were able to return to a full oral diet, nevertheless, 50% reported swallowing problems in daily life (SWAL-QOL total score ≥14).<br />Conclusion: Although after TORS and adjuvant treatment for CUP a full oral diet can be resumed, patients still experience problems with eating and drinking in daily life.<br /> (© 2024 The Author(s). Oral Diseases published by Wiley Periodicals LLC.)
Details
- Language :
- English
- ISSN :
- 1601-0825
- Database :
- MEDLINE
- Journal :
- Oral diseases
- Publication Type :
- Academic Journal
- Accession number :
- 38988121
- Full Text :
- https://doi.org/10.1111/odi.15063