Hyoid bone displacement as parameter for swallowing impairment in patients treated for advanced head and neck cancer

Abstract Reduced hyoid displacement is thought to contribute to aspiration and pharyngeal residues in head and neck cancer (HNC) patients with dysphagia. To further study hyoid elevation and anterior excursion in HNC patients, this study reports on temporal/kinematic measures of hyoid displacement,...
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Autor*in:	Kraaijenga, Sophie A. C. [verfasserIn] van der Molen, Lisette [verfasserIn] Heemsbergen, Wilma D. [verfasserIn] Remmerswaal, Gawein B. [verfasserIn] Hilgers, Frans J. M. [verfasserIn] van den Brekel, Michiel W. M. [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2016

Schlagwörter:	Head and neck neoplasms Dysphagia Hyoid bone Kinematics Elevation Displacement Aspiration Chemoradiotherapy

Übergeordnetes Werk:	Enthalten in: European archives of oto-rhino-laryngology and head & neck - Berlin : Springer, 1864, 274(2016), 2 vom: 16. Apr., Seite 597-606
Übergeordnetes Werk:	volume:274 ; year:2016 ; number:2 ; day:16 ; month:04 ; pages:597-606

Links:	Volltext

DOI / URN:	10.1007/s00405-016-4029-y

Katalog-ID:	SPR005207010

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520			\|a Abstract Reduced hyoid displacement is thought to contribute to aspiration and pharyngeal residues in head and neck cancer (HNC) patients with dysphagia. To further study hyoid elevation and anterior excursion in HNC patients, this study reports on temporal/kinematic measures of hyoid displacement, with the additional goal to investigate correlations with clinical swallowing impairment. A single-blind analysis of data collected as part of a larger prospective study was performed at three time points before and after chemoradiotherapy. Twenty-five patients had undergone clinical swallowing assessments at baseline, 10-weeks, and 1-year post-treatment. Analysis of videofluoroscopic studies was done on different swallowing consistencies of varying amounts. The studies were independently reviewed frame-by-frame by two clinicians to assess temporal (onset and duration) and kinematic (anterior/superior movement) measures of hyoid displacement (ImageJ), laryngeal penetration/aspiration, and presence of vallecula/pyriform sinus residues. Patient-reported oral intake and swallowing function were also evaluated. Mean maximum hyoid displacement ranged from 9.4 mm (23 % of C2–4 distance) to 12.6 mm (27 %) anteriorly, and from 18.9 mm (41 %) to 24.9 mm (54 %) superiorly, depending on bolus volume and consistency. Patients with reduced superior hyoid displacement perceived significantly more swallowing impairment. No correlation between delayed or reduced hyoid excursion and aspiration or residue scores could be demonstrated. Hyoid displacement is subject to variability from a number of sources. Based on the results, this parameter seems not very valuable for clinical use in HNC patients with dysphagia.
650		4	\|a Head and neck neoplasms \|7 (dpeaa)DE-He213
650		4	\|a Dysphagia \|7 (dpeaa)DE-He213
650		4	\|a Hyoid bone \|7 (dpeaa)DE-He213
650		4	\|a Kinematics \|7 (dpeaa)DE-He213
650		4	\|a Elevation \|7 (dpeaa)DE-He213
650		4	\|a Displacement \|7 (dpeaa)DE-He213
650		4	\|a Aspiration \|7 (dpeaa)DE-He213
650		4	\|a Chemoradiotherapy \|7 (dpeaa)DE-He213
700	1		\|a van der Molen, Lisette \|e verfasserin \|4 aut
700	1		\|a Heemsbergen, Wilma D. \|e verfasserin \|4 aut
700	1		\|a Remmerswaal, Gawein B. \|e verfasserin \|4 aut
700	1		\|a Hilgers, Frans J. M. \|e verfasserin \|4 aut
700	1		\|a van den Brekel, Michiel W. M. \|e verfasserin \|4 aut
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912			\|a GBV_ILN_2037
912			\|a GBV_ILN_2038
912			\|a GBV_ILN_2039
912			\|a GBV_ILN_2044
912			\|a GBV_ILN_2048
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912			\|a GBV_ILN_2050
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952			\|d 274 \|j 2016 \|e 2 \|b 16 \|c 04 \|h 597-606

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bklnumber	44.94
publishDate	2016
allfields	10.1007/s00405-016-4029-y doi (DE-627)SPR005207010 (SPR)s00405-016-4029-y-e DE-627 ger DE-627 rakwb eng 610 ASE 44.94 bkl Kraaijenga, Sophie A. C. verfasserin aut Hyoid bone displacement as parameter for swallowing impairment in patients treated for advanced head and neck cancer 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Reduced hyoid displacement is thought to contribute to aspiration and pharyngeal residues in head and neck cancer (HNC) patients with dysphagia. To further study hyoid elevation and anterior excursion in HNC patients, this study reports on temporal/kinematic measures of hyoid displacement, with the additional goal to investigate correlations with clinical swallowing impairment. A single-blind analysis of data collected as part of a larger prospective study was performed at three time points before and after chemoradiotherapy. Twenty-five patients had undergone clinical swallowing assessments at baseline, 10-weeks, and 1-year post-treatment. Analysis of videofluoroscopic studies was done on different swallowing consistencies of varying amounts. The studies were independently reviewed frame-by-frame by two clinicians to assess temporal (onset and duration) and kinematic (anterior/superior movement) measures of hyoid displacement (ImageJ), laryngeal penetration/aspiration, and presence of vallecula/pyriform sinus residues. Patient-reported oral intake and swallowing function were also evaluated. Mean maximum hyoid displacement ranged from 9.4 mm (23 % of C2–4 distance) to 12.6 mm (27 %) anteriorly, and from 18.9 mm (41 %) to 24.9 mm (54 %) superiorly, depending on bolus volume and consistency. Patients with reduced superior hyoid displacement perceived significantly more swallowing impairment. No correlation between delayed or reduced hyoid excursion and aspiration or residue scores could be demonstrated. Hyoid displacement is subject to variability from a number of sources. Based on the results, this parameter seems not very valuable for clinical use in HNC patients with dysphagia. Head and neck neoplasms (dpeaa)DE-He213 Dysphagia (dpeaa)DE-He213 Hyoid bone (dpeaa)DE-He213 Kinematics (dpeaa)DE-He213 Elevation (dpeaa)DE-He213 Displacement (dpeaa)DE-He213 Aspiration (dpeaa)DE-He213 Chemoradiotherapy (dpeaa)DE-He213 van der Molen, Lisette verfasserin aut Heemsbergen, Wilma D. verfasserin aut Remmerswaal, Gawein B. verfasserin aut Hilgers, Frans J. M. verfasserin aut van den Brekel, Michiel W. M. verfasserin aut Enthalten in European archives of oto-rhino-laryngology and head & neck Berlin : Springer, 1864 274(2016), 2 vom: 16. Apr., Seite 597-606 (DE-627)253722667 (DE-600)1459042-6 1434-4726 nnns volume:274 year:2016 number:2 day:16 month:04 pages:597-606 https://dx.doi.org/10.1007/s00405-016-4029-y lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.94 ASE AR 274 2016 2 16 04 597-606
spelling	10.1007/s00405-016-4029-y doi (DE-627)SPR005207010 (SPR)s00405-016-4029-y-e DE-627 ger DE-627 rakwb eng 610 ASE 44.94 bkl Kraaijenga, Sophie A. C. verfasserin aut Hyoid bone displacement as parameter for swallowing impairment in patients treated for advanced head and neck cancer 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Reduced hyoid displacement is thought to contribute to aspiration and pharyngeal residues in head and neck cancer (HNC) patients with dysphagia. To further study hyoid elevation and anterior excursion in HNC patients, this study reports on temporal/kinematic measures of hyoid displacement, with the additional goal to investigate correlations with clinical swallowing impairment. A single-blind analysis of data collected as part of a larger prospective study was performed at three time points before and after chemoradiotherapy. Twenty-five patients had undergone clinical swallowing assessments at baseline, 10-weeks, and 1-year post-treatment. Analysis of videofluoroscopic studies was done on different swallowing consistencies of varying amounts. The studies were independently reviewed frame-by-frame by two clinicians to assess temporal (onset and duration) and kinematic (anterior/superior movement) measures of hyoid displacement (ImageJ), laryngeal penetration/aspiration, and presence of vallecula/pyriform sinus residues. Patient-reported oral intake and swallowing function were also evaluated. Mean maximum hyoid displacement ranged from 9.4 mm (23 % of C2–4 distance) to 12.6 mm (27 %) anteriorly, and from 18.9 mm (41 %) to 24.9 mm (54 %) superiorly, depending on bolus volume and consistency. Patients with reduced superior hyoid displacement perceived significantly more swallowing impairment. No correlation between delayed or reduced hyoid excursion and aspiration or residue scores could be demonstrated. Hyoid displacement is subject to variability from a number of sources. Based on the results, this parameter seems not very valuable for clinical use in HNC patients with dysphagia. Head and neck neoplasms (dpeaa)DE-He213 Dysphagia (dpeaa)DE-He213 Hyoid bone (dpeaa)DE-He213 Kinematics (dpeaa)DE-He213 Elevation (dpeaa)DE-He213 Displacement (dpeaa)DE-He213 Aspiration (dpeaa)DE-He213 Chemoradiotherapy (dpeaa)DE-He213 van der Molen, Lisette verfasserin aut Heemsbergen, Wilma D. verfasserin aut Remmerswaal, Gawein B. verfasserin aut Hilgers, Frans J. M. verfasserin aut van den Brekel, Michiel W. M. verfasserin aut Enthalten in European archives of oto-rhino-laryngology and head & neck Berlin : Springer, 1864 274(2016), 2 vom: 16. Apr., Seite 597-606 (DE-627)253722667 (DE-600)1459042-6 1434-4726 nnns volume:274 year:2016 number:2 day:16 month:04 pages:597-606 https://dx.doi.org/10.1007/s00405-016-4029-y lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.94 ASE AR 274 2016 2 16 04 597-606
allfields_unstemmed	10.1007/s00405-016-4029-y doi (DE-627)SPR005207010 (SPR)s00405-016-4029-y-e DE-627 ger DE-627 rakwb eng 610 ASE 44.94 bkl Kraaijenga, Sophie A. C. verfasserin aut Hyoid bone displacement as parameter for swallowing impairment in patients treated for advanced head and neck cancer 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Reduced hyoid displacement is thought to contribute to aspiration and pharyngeal residues in head and neck cancer (HNC) patients with dysphagia. To further study hyoid elevation and anterior excursion in HNC patients, this study reports on temporal/kinematic measures of hyoid displacement, with the additional goal to investigate correlations with clinical swallowing impairment. A single-blind analysis of data collected as part of a larger prospective study was performed at three time points before and after chemoradiotherapy. Twenty-five patients had undergone clinical swallowing assessments at baseline, 10-weeks, and 1-year post-treatment. Analysis of videofluoroscopic studies was done on different swallowing consistencies of varying amounts. The studies were independently reviewed frame-by-frame by two clinicians to assess temporal (onset and duration) and kinematic (anterior/superior movement) measures of hyoid displacement (ImageJ), laryngeal penetration/aspiration, and presence of vallecula/pyriform sinus residues. Patient-reported oral intake and swallowing function were also evaluated. Mean maximum hyoid displacement ranged from 9.4 mm (23 % of C2–4 distance) to 12.6 mm (27 %) anteriorly, and from 18.9 mm (41 %) to 24.9 mm (54 %) superiorly, depending on bolus volume and consistency. Patients with reduced superior hyoid displacement perceived significantly more swallowing impairment. No correlation between delayed or reduced hyoid excursion and aspiration or residue scores could be demonstrated. Hyoid displacement is subject to variability from a number of sources. Based on the results, this parameter seems not very valuable for clinical use in HNC patients with dysphagia. Head and neck neoplasms (dpeaa)DE-He213 Dysphagia (dpeaa)DE-He213 Hyoid bone (dpeaa)DE-He213 Kinematics (dpeaa)DE-He213 Elevation (dpeaa)DE-He213 Displacement (dpeaa)DE-He213 Aspiration (dpeaa)DE-He213 Chemoradiotherapy (dpeaa)DE-He213 van der Molen, Lisette verfasserin aut Heemsbergen, Wilma D. verfasserin aut Remmerswaal, Gawein B. verfasserin aut Hilgers, Frans J. M. verfasserin aut van den Brekel, Michiel W. M. verfasserin aut Enthalten in European archives of oto-rhino-laryngology and head & neck Berlin : Springer, 1864 274(2016), 2 vom: 16. Apr., Seite 597-606 (DE-627)253722667 (DE-600)1459042-6 1434-4726 nnns volume:274 year:2016 number:2 day:16 month:04 pages:597-606 https://dx.doi.org/10.1007/s00405-016-4029-y lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.94 ASE AR 274 2016 2 16 04 597-606
allfieldsGer	10.1007/s00405-016-4029-y doi (DE-627)SPR005207010 (SPR)s00405-016-4029-y-e DE-627 ger DE-627 rakwb eng 610 ASE 44.94 bkl Kraaijenga, Sophie A. C. verfasserin aut Hyoid bone displacement as parameter for swallowing impairment in patients treated for advanced head and neck cancer 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Reduced hyoid displacement is thought to contribute to aspiration and pharyngeal residues in head and neck cancer (HNC) patients with dysphagia. To further study hyoid elevation and anterior excursion in HNC patients, this study reports on temporal/kinematic measures of hyoid displacement, with the additional goal to investigate correlations with clinical swallowing impairment. A single-blind analysis of data collected as part of a larger prospective study was performed at three time points before and after chemoradiotherapy. Twenty-five patients had undergone clinical swallowing assessments at baseline, 10-weeks, and 1-year post-treatment. Analysis of videofluoroscopic studies was done on different swallowing consistencies of varying amounts. The studies were independently reviewed frame-by-frame by two clinicians to assess temporal (onset and duration) and kinematic (anterior/superior movement) measures of hyoid displacement (ImageJ), laryngeal penetration/aspiration, and presence of vallecula/pyriform sinus residues. Patient-reported oral intake and swallowing function were also evaluated. Mean maximum hyoid displacement ranged from 9.4 mm (23 % of C2–4 distance) to 12.6 mm (27 %) anteriorly, and from 18.9 mm (41 %) to 24.9 mm (54 %) superiorly, depending on bolus volume and consistency. Patients with reduced superior hyoid displacement perceived significantly more swallowing impairment. No correlation between delayed or reduced hyoid excursion and aspiration or residue scores could be demonstrated. Hyoid displacement is subject to variability from a number of sources. Based on the results, this parameter seems not very valuable for clinical use in HNC patients with dysphagia. Head and neck neoplasms (dpeaa)DE-He213 Dysphagia (dpeaa)DE-He213 Hyoid bone (dpeaa)DE-He213 Kinematics (dpeaa)DE-He213 Elevation (dpeaa)DE-He213 Displacement (dpeaa)DE-He213 Aspiration (dpeaa)DE-He213 Chemoradiotherapy (dpeaa)DE-He213 van der Molen, Lisette verfasserin aut Heemsbergen, Wilma D. verfasserin aut Remmerswaal, Gawein B. verfasserin aut Hilgers, Frans J. M. verfasserin aut van den Brekel, Michiel W. M. verfasserin aut Enthalten in European archives of oto-rhino-laryngology and head & neck Berlin : Springer, 1864 274(2016), 2 vom: 16. Apr., Seite 597-606 (DE-627)253722667 (DE-600)1459042-6 1434-4726 nnns volume:274 year:2016 number:2 day:16 month:04 pages:597-606 https://dx.doi.org/10.1007/s00405-016-4029-y lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.94 ASE AR 274 2016 2 16 04 597-606
allfieldsSound	10.1007/s00405-016-4029-y doi (DE-627)SPR005207010 (SPR)s00405-016-4029-y-e DE-627 ger DE-627 rakwb eng 610 ASE 44.94 bkl Kraaijenga, Sophie A. C. verfasserin aut Hyoid bone displacement as parameter for swallowing impairment in patients treated for advanced head and neck cancer 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Reduced hyoid displacement is thought to contribute to aspiration and pharyngeal residues in head and neck cancer (HNC) patients with dysphagia. To further study hyoid elevation and anterior excursion in HNC patients, this study reports on temporal/kinematic measures of hyoid displacement, with the additional goal to investigate correlations with clinical swallowing impairment. A single-blind analysis of data collected as part of a larger prospective study was performed at three time points before and after chemoradiotherapy. Twenty-five patients had undergone clinical swallowing assessments at baseline, 10-weeks, and 1-year post-treatment. Analysis of videofluoroscopic studies was done on different swallowing consistencies of varying amounts. The studies were independently reviewed frame-by-frame by two clinicians to assess temporal (onset and duration) and kinematic (anterior/superior movement) measures of hyoid displacement (ImageJ), laryngeal penetration/aspiration, and presence of vallecula/pyriform sinus residues. Patient-reported oral intake and swallowing function were also evaluated. Mean maximum hyoid displacement ranged from 9.4 mm (23 % of C2–4 distance) to 12.6 mm (27 %) anteriorly, and from 18.9 mm (41 %) to 24.9 mm (54 %) superiorly, depending on bolus volume and consistency. Patients with reduced superior hyoid displacement perceived significantly more swallowing impairment. No correlation between delayed or reduced hyoid excursion and aspiration or residue scores could be demonstrated. Hyoid displacement is subject to variability from a number of sources. Based on the results, this parameter seems not very valuable for clinical use in HNC patients with dysphagia. Head and neck neoplasms (dpeaa)DE-He213 Dysphagia (dpeaa)DE-He213 Hyoid bone (dpeaa)DE-He213 Kinematics (dpeaa)DE-He213 Elevation (dpeaa)DE-He213 Displacement (dpeaa)DE-He213 Aspiration (dpeaa)DE-He213 Chemoradiotherapy (dpeaa)DE-He213 van der Molen, Lisette verfasserin aut Heemsbergen, Wilma D. verfasserin aut Remmerswaal, Gawein B. verfasserin aut Hilgers, Frans J. M. verfasserin aut van den Brekel, Michiel W. M. verfasserin aut Enthalten in European archives of oto-rhino-laryngology and head & neck Berlin : Springer, 1864 274(2016), 2 vom: 16. Apr., Seite 597-606 (DE-627)253722667 (DE-600)1459042-6 1434-4726 nnns volume:274 year:2016 number:2 day:16 month:04 pages:597-606 https://dx.doi.org/10.1007/s00405-016-4029-y lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.94 ASE AR 274 2016 2 16 04 597-606
language	English
source	Enthalten in European archives of oto-rhino-laryngology and head & neck 274(2016), 2 vom: 16. Apr., Seite 597-606 volume:274 year:2016 number:2 day:16 month:04 pages:597-606
sourceStr	Enthalten in European archives of oto-rhino-laryngology and head & neck 274(2016), 2 vom: 16. Apr., Seite 597-606 volume:274 year:2016 number:2 day:16 month:04 pages:597-606
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Head and neck neoplasms Dysphagia Hyoid bone Kinematics Elevation Displacement Aspiration Chemoradiotherapy
dewey-raw	610
isfreeaccess_bool	false
container_title	European archives of oto-rhino-laryngology and head & neck
authorswithroles_txt_mv	Kraaijenga, Sophie A. C. @@aut@@ van der Molen, Lisette @@aut@@ Heemsbergen, Wilma D. @@aut@@ Remmerswaal, Gawein B. @@aut@@ Hilgers, Frans J. M. @@aut@@ van den Brekel, Michiel W. M. @@aut@@
publishDateDaySort_date	2016-04-16T00:00:00Z
hierarchy_top_id	253722667
dewey-sort	3610
id	SPR005207010
language_de	englisch
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author	Kraaijenga, Sophie A. C.
spellingShingle	Kraaijenga, Sophie A. C. ddc 610 bkl 44.94 misc Head and neck neoplasms misc Dysphagia misc Hyoid bone misc Kinematics misc Elevation misc Displacement misc Aspiration misc Chemoradiotherapy Hyoid bone displacement as parameter for swallowing impairment in patients treated for advanced head and neck cancer
authorStr	Kraaijenga, Sophie A. C.
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topic_title	610 ASE 44.94 bkl Hyoid bone displacement as parameter for swallowing impairment in patients treated for advanced head and neck cancer Head and neck neoplasms (dpeaa)DE-He213 Dysphagia (dpeaa)DE-He213 Hyoid bone (dpeaa)DE-He213 Kinematics (dpeaa)DE-He213 Elevation (dpeaa)DE-He213 Displacement (dpeaa)DE-He213 Aspiration (dpeaa)DE-He213 Chemoradiotherapy (dpeaa)DE-He213
topic	ddc 610 bkl 44.94 misc Head and neck neoplasms misc Dysphagia misc Hyoid bone misc Kinematics misc Elevation misc Displacement misc Aspiration misc Chemoradiotherapy
topic_unstemmed	ddc 610 bkl 44.94 misc Head and neck neoplasms misc Dysphagia misc Hyoid bone misc Kinematics misc Elevation misc Displacement misc Aspiration misc Chemoradiotherapy
topic_browse	ddc 610 bkl 44.94 misc Head and neck neoplasms misc Dysphagia misc Hyoid bone misc Kinematics misc Elevation misc Displacement misc Aspiration misc Chemoradiotherapy
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title	Hyoid bone displacement as parameter for swallowing impairment in patients treated for advanced head and neck cancer
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title_full	Hyoid bone displacement as parameter for swallowing impairment in patients treated for advanced head and neck cancer
author_sort	Kraaijenga, Sophie A. C.
journal	European archives of oto-rhino-laryngology and head & neck
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author_browse	Kraaijenga, Sophie A. C. van der Molen, Lisette Heemsbergen, Wilma D. Remmerswaal, Gawein B. Hilgers, Frans J. M. van den Brekel, Michiel W. M.
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author-letter	Kraaijenga, Sophie A. C.
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title_sort	hyoid bone displacement as parameter for swallowing impairment in patients treated for advanced head and neck cancer
title_auth	Hyoid bone displacement as parameter for swallowing impairment in patients treated for advanced head and neck cancer
abstract	Abstract Reduced hyoid displacement is thought to contribute to aspiration and pharyngeal residues in head and neck cancer (HNC) patients with dysphagia. To further study hyoid elevation and anterior excursion in HNC patients, this study reports on temporal/kinematic measures of hyoid displacement, with the additional goal to investigate correlations with clinical swallowing impairment. A single-blind analysis of data collected as part of a larger prospective study was performed at three time points before and after chemoradiotherapy. Twenty-five patients had undergone clinical swallowing assessments at baseline, 10-weeks, and 1-year post-treatment. Analysis of videofluoroscopic studies was done on different swallowing consistencies of varying amounts. The studies were independently reviewed frame-by-frame by two clinicians to assess temporal (onset and duration) and kinematic (anterior/superior movement) measures of hyoid displacement (ImageJ), laryngeal penetration/aspiration, and presence of vallecula/pyriform sinus residues. Patient-reported oral intake and swallowing function were also evaluated. Mean maximum hyoid displacement ranged from 9.4 mm (23 % of C2–4 distance) to 12.6 mm (27 %) anteriorly, and from 18.9 mm (41 %) to 24.9 mm (54 %) superiorly, depending on bolus volume and consistency. Patients with reduced superior hyoid displacement perceived significantly more swallowing impairment. No correlation between delayed or reduced hyoid excursion and aspiration or residue scores could be demonstrated. Hyoid displacement is subject to variability from a number of sources. Based on the results, this parameter seems not very valuable for clinical use in HNC patients with dysphagia.
abstractGer	Abstract Reduced hyoid displacement is thought to contribute to aspiration and pharyngeal residues in head and neck cancer (HNC) patients with dysphagia. To further study hyoid elevation and anterior excursion in HNC patients, this study reports on temporal/kinematic measures of hyoid displacement, with the additional goal to investigate correlations with clinical swallowing impairment. A single-blind analysis of data collected as part of a larger prospective study was performed at three time points before and after chemoradiotherapy. Twenty-five patients had undergone clinical swallowing assessments at baseline, 10-weeks, and 1-year post-treatment. Analysis of videofluoroscopic studies was done on different swallowing consistencies of varying amounts. The studies were independently reviewed frame-by-frame by two clinicians to assess temporal (onset and duration) and kinematic (anterior/superior movement) measures of hyoid displacement (ImageJ), laryngeal penetration/aspiration, and presence of vallecula/pyriform sinus residues. Patient-reported oral intake and swallowing function were also evaluated. Mean maximum hyoid displacement ranged from 9.4 mm (23 % of C2–4 distance) to 12.6 mm (27 %) anteriorly, and from 18.9 mm (41 %) to 24.9 mm (54 %) superiorly, depending on bolus volume and consistency. Patients with reduced superior hyoid displacement perceived significantly more swallowing impairment. No correlation between delayed or reduced hyoid excursion and aspiration or residue scores could be demonstrated. Hyoid displacement is subject to variability from a number of sources. Based on the results, this parameter seems not very valuable for clinical use in HNC patients with dysphagia.
abstract_unstemmed	Abstract Reduced hyoid displacement is thought to contribute to aspiration and pharyngeal residues in head and neck cancer (HNC) patients with dysphagia. To further study hyoid elevation and anterior excursion in HNC patients, this study reports on temporal/kinematic measures of hyoid displacement, with the additional goal to investigate correlations with clinical swallowing impairment. A single-blind analysis of data collected as part of a larger prospective study was performed at three time points before and after chemoradiotherapy. Twenty-five patients had undergone clinical swallowing assessments at baseline, 10-weeks, and 1-year post-treatment. Analysis of videofluoroscopic studies was done on different swallowing consistencies of varying amounts. The studies were independently reviewed frame-by-frame by two clinicians to assess temporal (onset and duration) and kinematic (anterior/superior movement) measures of hyoid displacement (ImageJ), laryngeal penetration/aspiration, and presence of vallecula/pyriform sinus residues. Patient-reported oral intake and swallowing function were also evaluated. Mean maximum hyoid displacement ranged from 9.4 mm (23 % of C2–4 distance) to 12.6 mm (27 %) anteriorly, and from 18.9 mm (41 %) to 24.9 mm (54 %) superiorly, depending on bolus volume and consistency. Patients with reduced superior hyoid displacement perceived significantly more swallowing impairment. No correlation between delayed or reduced hyoid excursion and aspiration or residue scores could be demonstrated. Hyoid displacement is subject to variability from a number of sources. Based on the results, this parameter seems not very valuable for clinical use in HNC patients with dysphagia.
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title_short	Hyoid bone displacement as parameter for swallowing impairment in patients treated for advanced head and neck cancer
url	https://dx.doi.org/10.1007/s00405-016-4029-y
remote_bool	true
author2	van der Molen, Lisette Heemsbergen, Wilma D. Remmerswaal, Gawein B. Hilgers, Frans J. M. van den Brekel, Michiel W. M.
author2Str	van der Molen, Lisette Heemsbergen, Wilma D. Remmerswaal, Gawein B. Hilgers, Frans J. M. van den Brekel, Michiel W. M.
ppnlink	253722667
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hochschulschrift_bool	false
doi_str	10.1007/s00405-016-4029-y
up_date	2024-07-03T14:44:00.802Z
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Hyoid bone displacement as parameter for swallowing impairment in patients treated for advanced head and neck cancer

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