SWALLOWING ASSESSMENT IN CANCER LARYNX PATIENTS TREATED WITH RADIOTHERAPY OR CHEMORADIOTHERAPY

Abdou, Rania Mohamed; Fadel, Shady Hassan; Hammouda, Nesrine Hazem; Awad, Asmaa Mustafa Ahmed

doi:10.21608/alexpo.2025.375442.2136

	SWALLOWING ASSESSMENT IN CANCER LARYNX PATIENTS TREATED WITH RADIOTHERAPY OR CHEMORADIOTHERAPY
ALEXMED ePosters
Article 1, Volume 7, Issue 2, April 2025, Page 16-17
Document Type: Preliminary preprint short reports of original research
DOI: 10.21608/alexpo.2025.375442.2136
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Authors
Rania Mohamed Abdou¹; Shady Hassan Fadel²; Nesrine Hazem Hammouda³; Asmaa Mustafa Ahmed Awad ⁴
¹Department of Otorhinolaryngology, Phoniatrics Unit, Faculty of Medicine, Alexandria University
²Department of Medical oncology, Faculty of Medicine, Alexandria University.
³Department of Otorhinolaryngology Faculty of Medicine Alexandria University
⁴Department of Otorhinolaryngology, Unit of Phoniatrics, Faculty of Medicine, Alexandria University.
Abstract
Radiation-associated dysphagia (RAD) refers to difficulty in swallowing resulting from head and neck radiotherapy or chemo-radiotherapy. It leads to impaired swallowing efficiency and safety and affects over 50% of patients. It is a significant concern in managing cancer larynx patients. Radiotherapy causes acute effects such as mucositis, airway edema, and neuropathy leading to aspiration. It also causes late effects such as xerostomia, fibrosis, chondritis, soft tissue necrosis, and stenosis. Oropharyngeal dysphagia diagnosis is established through screening and comprehensive assessment, including both instrumental and non-instrumental procedures. There are few cancer-specific tools available to quantify the precise physiological alterations in swallowing during HNC diagnosis and treatment. MASA-C (Mann Assessment of Swallowing Ability - Cancer version) is a comprehensive non-instrumental tool used by the clinician to assess swallowing ability. FEES (fiber-optic endoscopic evaluation of swallowing) is considered a gold standard instrumental tool for assessment of swallowing safety and efficiency. Aim of the Work: To evaluate the accuracy of MASA-c; a non-instrumental swallowing assessment tool, in detecting aspiration compared to FEES; an instrumental swallowing assessment tool, in patients with laryngeal cancer after radiotherapy (RT) or chemoradiotherapy (CRT).
Keywords
Radiation-associated dysphagia (RAD); SWALLOWING ASSESSMENT; CANCER LARYNX PATIENTS
Supplementary Files 2136 Asmaa Mustafa Ahmed Awad.pdf

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