Tracheal Tube and Swallowing After Head and Neck Surgery
THE IMPACT OF TRACHEAL TUBE ON SWALLOWING IN POST-OPERATIVE HEAD AND NECK CANCER PATIENTS: SCINTIGRAPHIC ANALYSIS
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
30 participants
Dec 6, 2021
OBSERVATIONAL
Conditions
Summary
The present study was designed as a cross-sectional observational study providing the enrollment of tracheostomized patients undergoing major oncological surgery for head-neck cancer. Aims: * to provide objective data on the bolus transit during swallowing in tracheostomized patients with tracheal tube and without tracheal tube closing directly the tracheal stoma with a plaster, in order to sustain the choice to preserve the TT in dysphagic patients after oncologic surgery for more security during swallowing rehabilitation or adjuvant treatment. * to evaluate the features of swallowing, specifically bolus transit, in patients affected by head and neck cancer who underwent major oncological surgery.
Eligibility
Inclusion Criteria4
- Age \>18 years
- Tracheal tube diameter of 5.0 mm and outside diameter of 9.4 mm
- Tolerance of the tracheal tube capping for almost 48 hours without pathologic desaturation during continue monitoring of SpO2
- Ability to swallow in accordance to the inpatient training program
Exclusion Criteria5
- Previous head and neck radiotherapy
- Patients with nasal tube feeding
- Patients with poor cognition or poor general condition or affected by neurological o other nontumor-related dysphagia
- Patients total laryngectomized
- Patients unable to maintain the orthostatic position
Interventions
Questionnaire, FEES, OPES
Locations(1)
View Full Details on ClinicalTrials.gov
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NCT05738421