Table 3.
Swallowing outcomes by surgery type and radiotherapy
| Aspiration* | Final Nutritional Outcomes | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
|
||||||||||||||||||
| Yes | Silent | Swallowing Strategies** |
P.O Reg/Soft |
Partial Tube | NPO | Feeding Tube Removal (wks) |
||||||||||||
| Effective | Not effective | |||||||||||||||||
|
|
||||||||||||||||||
| # | # | % | p*** | # | % | # | % | p*** | # | % | # | % | # | % | p**** | Median | p† | |
| CHEP (n=20) | 14 | 5 | 35.7 | 14 | 100.0 | 0 | 0.0 | 17 | 85.0 | 3 | 15.0 | 0 | 0.0 | 5.13 | ||||
| CHP (n=5) | 3 | 1 | 33.3 | 1.000 | 1 | 33.3 | 2 | 66.7 | 0.022 | 3 | 60.0 | 1 | 20.0 | 1 | 20.0 | 29.06 | ||
| TCHP (n=2) | - | - | - | - | - | - | - | - | - | 2 | 100.0 | 0 | 0.0 | 0 | 0.0 | 0.385 | 18.52 | 0.130 |
|
| ||||||||||||||||||
| − XRT (n=10) | 6 | 1 | 16.7 | 5 | 83.3 | 1 | 16.7 | 8 | 80.0 | 2 | 20.0 | 0 | 0.0 | 5.41 | ||||
| + XRT (n=17) | 11 | 5 | 45.5 | 0.333 | 10 | 90.9 | 1 | 9.1 | 1.000 | 14 | 82.4 | 2 | 11.8 | 1 | 5.9 | 0.415 | 6.84 | 0.979 |
|
| ||||||||||||||||||
| − Aryt. resect. (n=i9) | 11 | 4 | 36.4 | 10 | 90.9 | 1 | 9.1 | 16 | 84.2 | 3 | 15.8 | 0 | 0.0 | 5.84 | ||||
| + Aryt. resect. (n=8) | 6 | 2 | 33.3 | 1.000 | 5 | 83.3 | 1 | 16.7 | 1.000 | 6 | 75.0 | 1 | 12.5 | 1 | 12.5 | 0.294 | 12.89 | 0.663 |
| Partial (n=4) | 3 | 2 | 66.7 | 2 | 66.7 | 1 | 33.3 | 2 | 50.0 | 1 | 25.0 | 1 | 25.0 | 22.8 | ||||
| Complete (n=4) | 3 | 0 | 0.0 | 0.400 | 3 | 100.0 | 0 | 0.0 | 0.400 | 4 | 100.0 | 0 | 0.0 | 0 | 0.0 | 0.214 | 4.7 | |
|
| ||||||||||||||||||
| All SCPL patients (N=27) | 17 | 6 | 15 | 2 | 22 | 81.5 | 4 | 14.8 | 1 | 3.7 | 9.38 | |||||||
*
Aspiration rates based on findings during the second post-operative MBS study (n=18)
**
Effective swallowing strategies reduced or eliminated the occurrence of aspiration
***
Two tailed Fisher Exact Test
****
Pearson chi-square test
†
Log-rank test