Table 7.
Percent of oropharyngeal swallowing disorders observed in the 10 patients with laryngeal cancer treated with radiation only at pretreatment (baseline) and 3 and 12 mo posttreatment.
Baseline, % | Posttreatment | Overall p value by Cochran's Q | Pairwise p value | ||||
---|---|---|---|---|---|---|---|
3 mo, % | 12 mo, % | Baseline vs 3 mo | Baseline vs 12 mo | 3 vs 12 mo | |||
Description of disorder | |||||||
Reduced tongue base retraction | 80 | 80 | 86 | .99 | .99 | .99 | .99 |
Reduced tongue strength | 70 | 60 | 60 | .61 | .65 | .16 | .65 |
Delayed pharyngeal swallow | 40 | 60 | 20 | .09 | .32 | .16 | .05 |
Slowed/delayed vestibule closure | 30 | 50 | 40 | .47 | .16 | .56 | .56 |
Reduced tongue control | 50 | 60 | 40 | No test | .32 | .56 | .16 |
Reduced A-P tongue movement | 10 | 50 | 40 | .16 | .05 | .18 | .65 |
Reduced laryngeal elevation | 10 | 20 | 10 | .78 | .56 | .99 | .56 |
Reduced tongue stabilization | 20 | 20 | 30 | No test | No test | .65 | .65 |
Bilateral pharyngeal weakness | 20 | 0 | 0 | No test | No test | No test | No test |
Reduced cricopharyngeal opening | 20 | 0 | 0 | No test | No test | No test | No test |
Visible cricopharyngeal bar | 20 | 30 | 40 | .22 | .32 | .16 | .32 |
Incomplete laryngeal vestibule closure | 10 | 0 | 10 | .61 | No test | .99 | No test |
Other measures of swallowing | |||||||
Functional swallow | 100 | 100 | 100 | No test | No test | No test | No test |
% Oral intake <50% | 0 | 0 | 0 | No test | No test | No test | No test |
% Normal diet | 90 | 80 | 90 | No test | .32 | .99 | .32 |
Mean saliva weight (in grams) | 7.15 | 7.29 | 5.30 | .48 | .96 | .40 | .33 |
SEM | 1.96 | 1.80 | 0.79 |
Abbreviations: SEM, standard error of the mean; A-P, anterior-posterior.
Note: Bolded values indicate p < .05 for overall test or p < .017 for pairwise test. (“No test” means frequencies were too low to perform statistical tests).