A study from UCLA’s Jonsson Comprehensive Cancer Center (JCCC) has found that head and neck cancer patients receiving radiation as part of their treatment were less likely to suffer unwanted side effects such as worsening of diet, need for a feeding tube, or narrowing of the throat passage if they complied with a set of prescribed swallowing exercises called a swallow preservation protocol (SPP) during therapy.
Weight loss both before and during radiotherapy are important prognostic indicators for 5-year DSS in HNC patients. Randomised studies into the prognostic effect of nutritional intervention are needed.
At the era of IMRT, a high rate of endocrine deficiency was still seen. Hypothalamic–pituitary–thyroid dysfunction is more common in NPC patients. Regular monitoring is needed.
The incidence of ORN continues to increase steadily up to 10 years from the time of diagnosis. Patients with oral cavity primaries are at highest risk in this population. Future research should be directed toward identifying factors that can reduce the incidence of ORN.
Endovascular embolization was successful in seven radiation carotid blowout syndromes with cessation of hemorrhage. One patient underwent external carotid artery ligation and one patient recovered without treatment. The clinical follow-up was 3 months. Therapeutic endovascular embolization of intractable epistaxis is both efficient and safe. It should be considered as the primary treatment modality in intractable epistaxis of nasopharyngeal carcinoma.
Survivors of cancers of the head and neck, including those of the tongue and thyroid, often suffer from depression but rarely seek treatment, according to a new study.
The nomogram presented is a useful tool for clinicians in assessing patient risks when deciding on follow-up strategies (e.g., hyperbaric oxygen treatment) after RT or surgery for HNC.
Conclusions: This study demonstrates that patients undergoing non-surgical treatment for OPSCC are at risk for post-treatment dysphagia. This suggests a need for dysphagia evaluation/management and refinement of interventions to minimize dysphagia. Head Neck, 2013