Hi Gboothy
Dysphagia can be a real problem (as you already know) for a lot of head and neck patients.
I am going to copy something that was posted in a group that I belong to on facebook. It is a head and neck survivor group and the man that posted this is pretty knowledgeable.
Over the past 20 years, Head and Neck cancer (HNC) mortality rates in New South Wales, Australia have improved by 23% (from 9.5 to 7.2% deaths per 100,000 per annum). This has, however, occurred against an increase in morbidity. One such serious morbidity of treatment is dysphagia (swallowing dysfunction). Although well documented during the acute phase of HNC treatment, dysphagia has unfortunately been under- reported and managed as a late treatment effect. We know that changes to swallowing function are common in HNC patients and that it may have a negative effect on people ‘surviving well.’ In our recent review of patients from 2-8 years following multi- modal treatment for HNC, 64% of patients (n=80) reported dysphagia. Further, in a recent cohort study of laryngectomy patients in Australia, 72% of survivors (n=120) reported having a marked swallowing dysfunction (Maclean, Cotton & Perry, 2009) so this is clearly a common problem, regardless of which mode of HNC treatment is chosen. The long-term management of dysphagia in HNC patients is challenging for clinicians as it often presents after cancer surveillance has been completed. Additionally, treatment options for dysphagia due to fibrosis are limited.
It is just another thing with head and neck cancers that needs more attention and more information passed on.
... View more