Oropharyngeal Cancer Clinical Trial
Official title:
A Pilot Study Assessing Swallowing Function After Transoral Robotic Surgery (TORS) for Head and Neck Cancer
This pilot clinical trial studies the modified barium swallow in measuring swallowing function after surgery in patients with oropharyngeal cancer who have undergone surgery. New diagnostic procedures, such as the modified barium swallow, may be effective in studying the side effects of cancer therapy in patients who received treatment for oropharyngeal cancer
PRIMARY OBJECTIVES:
I. To compare aspiration in oropharyngeal carcinoma patients that underwent transoral robotic
surgery (TORS) vs. chemoradiotherapy (CRT) via an objective instrument, the modified barium
swallow (MBS).
SECONDARY OBJECTIVES:
I. To compare patient-perceived swallowing function of oropharyngeal carcinoma patients that
underwent TORS vs. CRT via a subjective instrument, the M.D. Anderson Dysphagia Inventory
(MDADI) using the total MDADI score.
II. To compare patient-perceived swallowing function of oropharyngeal carcinoma patients that
underwent TORS vs. CRT via a second subjective instrument, the Eating Assessment Tool
(EAT-10) using the total EAT-10 score.
III. To estimate the correlation between the maximum Penetration Aspiration Scale (PAS) score
and MDADI total score in TORS or CRT oropharyngeal carcinoma patients regardless of treatment
modality.
IV. To estimate the correlation between the maximum PAS score and EAT-10 total score in TORS
or CRT oropharyngeal carcinoma patients regardless of treatment modality.
V. To estimate the correlation between MDADI total score and EAT-10 total score in TORS or
CRT oropharyngeal carcinoma patients regardless of treatment modality.
VI. To estimate cervical esophageal stricture diameters after TORS vs. CRT via an objective
instrument, the MBS.
OUTLINE:
Patients undergo the modified barium swallow, comprising swallowing boluses of thin liquid
barium, barium honey, barium pudding, and barium crackers while undergoing fluoroscopic
imaging.
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