Oct 5, 2011 - Aspiration was detected in 111 (50.2%) of 221 patients. Oral phase dysphagia and pharyngeal phase dysphagia were detected in 40 (18.1%) ...
Original Article Ann Rehabil Med 2011; 35: 781-790 pISSN: 2234-0645 • eISSN: 2234-0653 http://dx.doi.org/10.5535/arm.2011.35.6.781
Annals of Rehabilitation Medicine
Rick Factors Associated with Aspiration in Patients with Head and Neck Cancer Soo Jin Jung, M.D., Deog Young Kim, M.D., Ph.D., So Young Joo, M.D. Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul 120-752, Korea
Objective To determine the major risk factors and abnormal videofluoroscopic swallowing study (VFSS) findings associated with aspiration in patients with head and neck cancer (HNC). Method Risk factors associated with aspiration were investigated retrospectively in 241 patients with HNC using medical records and pre-recorded VFSS. Age, gender, lesion location and stage, treatment factors, and swallowing stage abnormalities were included. Results Aspiration occurred in 50.2% of patients. A univariate analysis revealed that advanced age, increased duration from disease onset to VFSS, higher tumor stage, increased lymph node stage, increased American Joint Committee on Cancer (AJCC) stage, operation history, chemotherapy history, and radiotherapy history were significantly associated with aspiration (p
