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Early swallowing training after free flap surgery in oral cancer: A randomized controlled trial.
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- Author(s): Wu, Hong‐Yun; Shan, Xiao‐Feng; Cai, Zhi‐Gang; Zhang, Jing; Li, Pei‐Jun; Zhang, Lei; Yang, Yue
- Source:
Oral Diseases; May2024, Vol. 30 Issue 4, p1970-1980, 11p- Subject Terms:
ORAL surgery; WEIGHT loss; MOUTH tumors; THERAPEUTICS; RESEARCH funding; NASOENTERAL tubes; SENSORIMOTOR integration; STATISTICAL sampling; TREATMENT effectiveness; RANDOMIZED controlled trials; MEDICAL device removal; DESCRIPTIVE statistics; CANCER patients; SURGICAL flaps; SURGICAL complications; INTUBATION; QUALITY of life; NUTRITIONAL status; PLASTIC surgery; CRANIOFACIAL abnormalities; DEGLUTITION; COMPARATIVE studies; REHABILITATION - Source:
- Additional Information
- Abstract: Objective: To explore the effect of early swallowing training on postoperative outcomes of patients who had undergone oral cancer surgery plus free flap reconstruction. Subjects and Methods: In this prospective, randomized controlled trial, 121 patients who had undergone oral cancer surgery plus free flap reconstruction were randomly assigned to the control (n = 59) or intervention group (n = 62). The control group underwent routine nursing measures. The intervention group received swallowing training on the sixth postoperative day. On the 15th day and 1 month after surgery, the swallowing function (Mann Assessment of Swallowing Ability‐Oral Cancer [MASA‐OC] score), weight loss rate, time of nasogastric tube removal, and quality of life were evaluated. Results: Patients in the intervention group had higher MASA‐OC scores and better weight loss rates than those in the control group on the 15th day (MASA‐OC: p = 0.014, weight loss: p < 0.001) and 1 month (both p < 0.001) after surgery. The time of nasogastric tube removal and the quality of life was statistically significant between groups (p < 0.001). Conclusion: Early swallowing training improves the swallowing function, nutritional status, and quality of life and shortens the indwelling time of nasogastric tube of patients who have undergone oral cancer surgery plus free flap reconstruction. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Oral Diseases is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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