[Swallowing after non-surgical treatment (radiation therapy / radiochemotherapy protocol) of XXXX ].

@entity1 @entity5 @entity3179 @entity1282
Radiation therapy and radiochemotherapy protocols can cause swallowing difficulties. AIM: To evaluate swallowing in @entity1 undergoing radiation therapy and radiochemotherapy protocol only for the treatment of @entity5 . METHODS: A prospective study of 20 @entity1 , with a mean age of 62 years, at the end of oncological therapy. Six @entity1 (30%) underwent radiation therapy, and 14 @entity1 (70%) underwent combined therapy. The mean time between treatment and an evaluation of swallowing was 8.5 months. Videofluoroscopy was done to assess the preparatory, oral and pharyngeal phases of swallowing. RESULTS: All @entity1 had only an oral diet. Normal swallowing was present in only 25% of @entity1 . The swallowing videofluoroscopic examination identified the following changes: bolus formation (85%), bolus ejection (60%), oral @entity3179 (55%), changes in the onset of the pharyngeal phase (100%), decreased laryngeal elevation (65%), and hypopharyngeal stasis (80%). Laryngeal penetration was observed in 25% of the cases; 40% presented tracheal aspiration. The grade of penetration/aspiration was mild in 60% of cases. Aspiration was silent in 35% of @entity1 . Although 75% of @entity1 had @entity1282 , only 25% complained of swallowing difficulties. CONCLUSION: @entity1 with @entity5 that underwent radiation therapy/combined treatment can present changes in all swallowing phases, or may be asymptomatic.
