Akademik Veri Yönetim Sistemi
Journal of Ear Nose Throat and Head Neck Surgery, cilt.31, sa.4, ss.223-230, 2023 (Scopus)
In this study, the effect of dysphagia management in a partial glossectomy case was investigated. The patient is given the flex- ible endoscopic evaluation of swallowing and videofluoroscopic swallowing study/Modified Barium Swallow Study from the instrumental swallowing assessment. Penetration Aspiration Scala (PAS) and The Yale Pharyngeal Residue Severity Rating Scale (YPRSRS) were used. Functional Oral Intake Scale (FOIS) score was determined. Oral hygiene, expiratory muscle training, tongue-strengthening exercises, phonation studies, secretion swallowing with supraglottic swallowing technique, “chin tuck”, Effortful swallow, Mendelsohn maneuver, “slurp-swallow-sweeping” swallowing, maintaining mouth opening (Temporomandibular joint) were studied. Eating assesment tool (EAT- 10) and European Organization for the Research and Treatment of Can- cer, Quality of Life Assessments in Head and Neck Cancer (EORTC QLQ-H&N35) were used. While the PAS before the therapy was PAS: 7, it was PAS: 2 after the therapy. While the FOIS score before the therapy is 1, it was 7 after the therapy (EAT-10 score: 33 to 3). While the YPRSRS score was 3.8 before the therapy, it was 0.8 after the therapy. EORTC QLQ-H&N35 score decreased after the therapy. In partial glossectomy cases, swallowing therapy has a positive effect on achieving optimal swallowing physiology.