Volume 35, Issue 8 pp. 1124-1131
Original Article

Effects of enhanced bolus flavors on oropharyngeal swallow in patients treated for head and neck cancer

Barbara Roa Pauloski PhD

Corresponding Author

Barbara Roa Pauloski PhD

Communication Sciences and Disorders, Northwestern University, Evanston, IL

Northwestern University, 2240 Campus Drive, Evanston, IL 60208-3540Search for more papers by this author
Jerilyn A. Logemann PhD

Jerilyn A. Logemann PhD

Communication Sciences and Disorders, Northwestern University, Evanston, IL

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Alfred W. Rademaker PhD

Alfred W. Rademaker PhD

Preventive Medicine, Robert H. Lurie Comprehensive Cancer Center, Northwestern University Medical School, Chicago, IL

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Donna Lundy PhD

Donna Lundy PhD

Department of Otolaryngology, University of Miami Miller School of Medicine, Miami, FL

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Paula A. Sullivan MS

Paula A. Sullivan MS

Department of Otolaryngology, University of Miami Miller School of Medicine, Miami, FL

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Lisa A. Newman ScD

Lisa A. Newman ScD

University of Tennessee College of Medicine, Memphis, TN

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Cathy Lazarus PhD

Cathy Lazarus PhD

Communication Sciences and Disorders, Northwestern University, Evanston, IL

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Mary Bacon MA

Mary Bacon MA

Edward Hines, Jr. VA Hospital, Hines, IL

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First published: 21 August 2012
Citations: 37

Abstract

Background

Treatment for head and neck cancer can reduce peripheral sensory input and impair oropharyngeal swallow. This study examined the effect of enhanced bolus flavor on liquid swallows in these patients.

Methods

Fifty-one patients treated for head and neck cancer with chemoradiation or surgery and 64 healthy adult control subjects served as subjects. All were randomized to receive sour, sweet, or salty bolus flavor. Patients were evaluated at 7–10 days, 1 month, and 3 months after completion of tumor treatment. Control subjects received 1 assessment.

Results

All bolus flavors affected oropharyngeal swallow; sour flavor significantly shortened pharyngeal transit time across all evaluations.

Conclusions

Sour flavor influenced the swallow of patients treated for head and neck cancer, as well as that of control subjects in a manner similar to those with neurologic impairment observed in an earlier study. Sour flavor may improve the speed of pharyngeal transit regardless of whether a patient has suffered peripheral or central sensory damage. © 2012 Wiley Periodicals, Inc. Head Neck, 2013

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