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Oral diet management for carcinoma at the base of tongue with radiotherapy and chemotherapy associated dysphagia: a case report

INTRODUCTION: Tongue cancer is one of the common malignancy of the head and neck, and directly impacts chewing, swallowing, and other eating activities. Based on the evidence-based guidelines and clinical management, this paper presents nutrition management experience of a patient with tongue cancer...

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Autores principales: Ding, Zhen, Zhou, Lingmei, Jin, Kemei, Wu, Runjinxing, Gui, Yihua
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10585161/
https://www.ncbi.nlm.nih.gov/pubmed/37867490
http://dx.doi.org/10.3389/fnut.2023.1239911
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author Ding, Zhen
Zhou, Lingmei
Jin, Kemei
Wu, Runjinxing
Gui, Yihua
author_facet Ding, Zhen
Zhou, Lingmei
Jin, Kemei
Wu, Runjinxing
Gui, Yihua
author_sort Ding, Zhen
collection PubMed
description INTRODUCTION: Tongue cancer is one of the common malignancy of the head and neck, and directly impacts chewing, swallowing, and other eating activities. Based on the evidence-based guidelines and clinical management, this paper presents nutrition management experience of a patient with tongue cancer who had a dysphagia and feeding reflux while undergoing radiotherapy and chemotherapy. METHODS: Nutritional risk screening and comprehensive nutritional assessment were performed based on the patient’s medical history, and personalized nutritional programs were developed under the guidance of the clinical pharmaceutical consensus of parenteral nutrition and nutritional treatment guidelines for patients with tumors during radiotherapy. For the management of oral feeding, the patient’s swallowing function was evaluated to manage oral feeding. Thickening powders were used to improve the consistency of the patient’s food, which successfully achieved oral feeding of the patient. RESULTS: The patient finally ate five meals a day by mouth, and energy requirements were met using industrialized nutritional supplements, and homogenized food was added in between the meals. The energy provided by enteral nutrition can reached approximately 60–75%. The patient’s weight and albumin levels had increased significantly at the time of discharge. DISCUSSION: The nutritional management of patients with dysphagia should be jointly managed by clinicians, nurses, nutritionists, and family members to effectively improve the quality of life (QOL) and nutritional status of patients. To ensure adequate nutritional supply, appropriate swallowing training may delay the deterioration of the chewing function and improve the eating experience of such patients.
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spelling pubmed-105851612023-10-20 Oral diet management for carcinoma at the base of tongue with radiotherapy and chemotherapy associated dysphagia: a case report Ding, Zhen Zhou, Lingmei Jin, Kemei Wu, Runjinxing Gui, Yihua Front Nutr Nutrition INTRODUCTION: Tongue cancer is one of the common malignancy of the head and neck, and directly impacts chewing, swallowing, and other eating activities. Based on the evidence-based guidelines and clinical management, this paper presents nutrition management experience of a patient with tongue cancer who had a dysphagia and feeding reflux while undergoing radiotherapy and chemotherapy. METHODS: Nutritional risk screening and comprehensive nutritional assessment were performed based on the patient’s medical history, and personalized nutritional programs were developed under the guidance of the clinical pharmaceutical consensus of parenteral nutrition and nutritional treatment guidelines for patients with tumors during radiotherapy. For the management of oral feeding, the patient’s swallowing function was evaluated to manage oral feeding. Thickening powders were used to improve the consistency of the patient’s food, which successfully achieved oral feeding of the patient. RESULTS: The patient finally ate five meals a day by mouth, and energy requirements were met using industrialized nutritional supplements, and homogenized food was added in between the meals. The energy provided by enteral nutrition can reached approximately 60–75%. The patient’s weight and albumin levels had increased significantly at the time of discharge. DISCUSSION: The nutritional management of patients with dysphagia should be jointly managed by clinicians, nurses, nutritionists, and family members to effectively improve the quality of life (QOL) and nutritional status of patients. To ensure adequate nutritional supply, appropriate swallowing training may delay the deterioration of the chewing function and improve the eating experience of such patients. Frontiers Media S.A. 2023-10-05 /pmc/articles/PMC10585161/ /pubmed/37867490 http://dx.doi.org/10.3389/fnut.2023.1239911 Text en Copyright © 2023 Ding, Zhou, Jin, Wu and Gui. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Nutrition
Ding, Zhen
Zhou, Lingmei
Jin, Kemei
Wu, Runjinxing
Gui, Yihua
Oral diet management for carcinoma at the base of tongue with radiotherapy and chemotherapy associated dysphagia: a case report
title Oral diet management for carcinoma at the base of tongue with radiotherapy and chemotherapy associated dysphagia: a case report
title_full Oral diet management for carcinoma at the base of tongue with radiotherapy and chemotherapy associated dysphagia: a case report
title_fullStr Oral diet management for carcinoma at the base of tongue with radiotherapy and chemotherapy associated dysphagia: a case report
title_full_unstemmed Oral diet management for carcinoma at the base of tongue with radiotherapy and chemotherapy associated dysphagia: a case report
title_short Oral diet management for carcinoma at the base of tongue with radiotherapy and chemotherapy associated dysphagia: a case report
title_sort oral diet management for carcinoma at the base of tongue with radiotherapy and chemotherapy associated dysphagia: a case report
topic Nutrition
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10585161/
https://www.ncbi.nlm.nih.gov/pubmed/37867490
http://dx.doi.org/10.3389/fnut.2023.1239911
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