Evaluation of swallowing by Sydney swallow questionnaire (SSQ) in oral and oropharyngeal cancer patients treated with primary surgery

  • Raghav C. Dwivedi
  • , Suzanne St.rose
  • , Edward J. Chisholm
  • , Christos Georgalas
  • , Brian Bisase
  • , Furrat Amen
  • , Cyrus J. Kerawala
  • , Peter M. Clarke
  • , Christopher M. Nutting
  • , Peter H. Rhys-Evans
  • , Kevin J. Harrington
  • , Rehan Kazi

Research output: Contribution to journalArticlepeer-review

Abstract

This work aimed at evaluating patients' swallowing functions by a newly validated swallow-specific questionnaire, the Sydney Swallow Questionnaire (SSQ), in a cohort of oral and oropharyngeal cancer patients. Mean/median SSQ scores were calculated and compared with study variables using the Mann-Whitney U test and Kruskal-Wallis test. The mean composite SSQ scores (SD) for the base of tongue, oral tongue, and tonsillar cancer patients were 663.8 (382.8), 456.2 (407.6), and 283.0 (243.1), respectively (p = 0.005); for advanced vs. early T stage disease they were 918.1 (319.5) vs. 344.8 (292.1) (p ≤ 0.001); for patients <60 years vs. ≥60 years they were 549.3 (415.1) vs. 314.0 (247.3) (p = 0.02); and for patients with reconstruction vs. without reconstruction they were 676.5 (410.5) vs. 331.9 (286.5) (p = 0.002). SSQ is a useful tool for evaluation of swallowing in head and neck cancer patients. Site of cancer, T stage, patient's age, and reconstruction directly affect post-treatment swallow outcome.

Original languageEnglish
Pages (from-to)491-497
Number of pages7
JournalDysphagia
Volume27
Issue number4
DOIs
Publication statusPublished - Dec 2012
Externally publishedYes

Keywords

  • Deglutition
  • Deglutition disorders
  • Head and neck cancer
  • Oral cancer
  • Oropharyngeal cancer
  • SSQ
  • Swallowing
  • Sydney Swallow Questionnaire

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