Swallowing dysfunction - Preventative and rehabilitation strategies in patients with head-and-neck cancers treated with surgery, radiotherapy, and chemotherapy: A critical review

International Journal of Radiation Oncology Biology Physics

Volumn 57, Issue 5, 2003, Pages 1219-1230

  Mittal, Bharat B ^a   Pauloski, Barbara R ^a   Haraf, Daniel J ^b   Pelzer, Harold J ^a   Argiris, Athanassios ^a   Vokes, Everett E ^b   Rademaker, Alfred ^a   Logemann, Jerilyn A ^a  

^a NORTHWESTERN UNIVERSITY   (United States)

^b UNIVERSITY OF CHICAGO   (United States)

Author keywords

Chemotherapy; Radiation; Surgery; Swallowing dysfunction

Indexed keywords

AMIFOSTINE; ANTIINFECTIVE AGENT; CISPLATIN; FLUOROURACIL; HYDROXYUREA; PACLITAXEL;

BIOMECHANICS; CANCER PREVENTION; CLINICAL FEATURE; DISEASE COURSE; DYSPHAGIA; FLUOROSCOPY; HEAD AND NECK CARCINOMA; HUMAN; LARYNX CARCINOMA; MEDICAL ASSESSMENT; MEDICAL RESEARCH; PHARYNX CANCER; PRIORITY JOURNAL; REDUCTION; REHABILITATION; REVIEW;

EID: 0345257872     PISSN: 03603016     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0360-3016(03)01454-8     Document Type: Article

References (125)

1. Induction chemotherapy plus radiation compared with surgery plus radiation in patients with advanced laryngeal cancer. N Engl J Med. 324:1991;1685-1690.
2. Lefebvre J.L., Chavalier D., Lubonski B. Larynx preservation in pyriform sinus cancer Preliminary results of a European Organization for Research and Treatment of Cancer phase III trial . J Natl Cancer Inst. 88:1996;890-899.
3. Kies M.S., Haraf D.J., Athanasiadis I., et al. Induction chemotherapy followed by concurrent chemoradiation for advanced head and neck cancer Improved disease control and survival . J Clin Oncol. 16:1998;2715-2721.
4. Lefebvre J.L. Organ preservation Where do we stand? Acta Otorhinol Belg. 53:1999;223-225.
5. Haraf D.J., Kies M., Rademaker A.W., et al. Radiation therapy with concomitant hydroxyurea and fluorouracil in stage II and III head and neck cancer. J Clin Oncol. 17:1999;638-644.
6. Vokes E.E., Kies M.S., Haraf D.J., et al. Concomitant chemoradiotherapy as primary therapy for locoregionally advanced head and neck cancer. J Clin Oncol. 18:2000;1652-1661.
7. Fu K.K., Pajak T.F., Trotti A., et al. A Radiation Therapy Oncology Group (RTOG) phase III randomized study to compare hyperfractionation to standard fractionation radiotherapy for head-and-neck squamous cell carcinoma First report of RTOG 9003 . Int J Radiat Oncol Biol Phys. 48:2000;7-16.
8. Olmi P., Crispino S., Fallai C., et al. Locoregionally advanced carcinoma of the oropharynx Conventional radiotherapy vs accelerated hyperfractionated radiotherapy vs concomitant radiotherapy and chemotherapy: A multicenter randomized trial . Int J Radiat Oncol Biol Phys. 55:2003;78-92.
9. Ko J.Y., Hsieh T. Investigation of life quality in nasopharyngeal carcinoma patients with long-term survival after radiotherapy. J Otolaryngol Soc Roc. 23:1988;181-190.
10. Mittal B.B., Kepka A., Mahadevan A., et al. Tissue-dose compensation to reduce toxicity from combined radiation and chemotherapy for advanced head and neck cancers. Int J Cancer (Radiat Oncol Invest). 96:2001;61-70.
11. List M.A., Mumby P., Haraf D., et al. Performance and quality of life outcome in patients completing concomitant chemoradiotherapy for head and neck cancers. Qual Life Res. 6:1997;274-284.
12. List M.A., Siston A., Haraf D., et al. Quality of life and performance in advanced head and neck cancer patients on concomitant chemoradiotherapy A prospective examination . J Clin Oncol. 17:1999;1020-1028.
13. Eisbruch A., Lyden T., Bradford C.R., et al. Objective assessment of swallowing dysfunction and aspiration after radiation concurrent with chemotherapy for head and neck cancer. Int J Radiat Oncol Biol Phys. 53:2002;23-28.
14. Fisher H., Logemann J.A. The Fisher-Logemann test of articulation competence. 1971;Houghton Mifflin, Boston.
15. Logemann J.A., Bytell D.E. Swallowing disorders in three types of head and neck surgical patients. Cancer. 81:1979;469-478.
16. Kahrilas P.J., Logemann J.A., Lin S., et al. Pharyngeal clearance during swallow A combined manometric and videofluoroscopic study . Gastroenterology. 103:1992;128-136.
17. Logemann J.A., Pauloski B.R., Rademaker A.W., et al. Speech and swallowing function after tonsil/base-of-tongue resection with primary closure. J Speech Hearing Res. 36:1993;918-926.
18. Logemann J.A. Manual for the videofluorographic study of swallowing. 2nd ed: 1993;Pro-Ed, Austin.
19. Ergun G.A., Kahrilas P.J., Logemann J.A. Interpretation of pharyngeal manometric recording Limitations and variability . Dis Esophagus. 6:1993;11-16.
20. Pauloski B.R., Logemann J.A., Rademaker A.W., et al. Speech and swallowing functions after anterior tongue and floor-of-mouth resection with distal flap reconstruction. J Speech Hearing Res. 36:1993;267-276.
21. Welch M.V., Logemann J.A., Rademaker A.W., et al. Changes in pharyngeal dimensions effected by chin tuck. Arch Phys Med Rehabil. 74:1993;178-181.
22. Rademaker A.W., Pauloski B.R., Logemann J.A., et al. Oropharyngeal swallowing efficiency as a representative measure of swallowing function. J Speech Hearing Res. 37:1994;314-325.
23. Logemann J. Aspiration in head and neck surgical patients. Ann Otol Rhinol Laryngol. 94:1985;373-376.
24. McConnel F.M.S., Logemann J.A., Rademaker A.W., et al. Surgical variables affecting postoperative swallowing efficiency in oral cancer patients A pilot study . Laryngoscope. 104:1994;87-90.
25. Lazarus C.L., Logemann J.A., Kahrilas P.J., et al. Swallow recovery in an oral cancer patient following surgery, radiotherapy and hyperthermia. Head Neck. 16:1994;259-265.
26. Lazarus C.L., Logemann J.A., Pauloski B.R., et al. Swallowing disorders in head and neck cancer patients treated with radiotherapy and adjuvant chemotherapy. Laryngoscope. 106:1996;1157-1166.
27. Logemann J.A., Pauloski B.R., Rademaker A.W., et al. Super-supraglottic swallow in irradiated head and neck cancer patients. Head Neck. 19:1997;535-540.
28. McConnel F.M.S., Pauloski B.R., Logemann J.A., et al. The functional results of primary closure versus flaps in oropharyngeal reconstruction A prospective study of speech and swallowing . Arch Otolaryngol Head Neck Surg. 124:1998;625-630.
29. Pauloski B.R., Rademaker A.W., Logemann J.A., et al. Speech and swallowing in irradiated and nonirradiated postsurgical oral cancer patients. Otolaryngol Head Neck Surg. 118:1998;616-624.
30. Pauloski B.R., Logemann J.A. Impact of tongue-base and posterior pharyngeal wall biomechanics on pharyngeal clearance in irradiated postsurgical oral and oropharyngeal cancer patients. Head Neck. 22:2000;120-131.
31. Lazarus C., Logemann J.A., Shi G., et al. Does total laryngectomy improve swallowing after chemoradiotherapy. Arch Otolaryngol Head Neck Surg. 128:2002;54-57.
32. Trotti A. Toxicity in head and neck cancer A review of trends and issues . Int J Radiat Oncol Biol Phys. 47:2000;1-12.
33. Ang K.K., Thames H.D., Peters L.J. Altered fractionation schedules. Princ Pract Radiat Oncol. 3:1997;1341-1346.
34. Maciejewski B., Preuss-Bayer G., Trott K.R. The influence of the number of fractions and of overall treatment time on local control and late complication rate in squamous-cell carcinoma of the larynx. Int J Radiat Oncol Biol Phys. 9:1983;321-328.
35. Fu K.K., Pajak T.F., Marvial V.A., et al. Late effects of hyperfractionated radiotherapy for advanced head and neck cancer Long-term follow-up results of RTOG 83-13 . Int J Radiat Oncol Biol Phys. 32:1995;577-588.
36. Taylor J.M., Mendenhall W.M., Lavey R.S. Dose, time and fraction size issues for late effects in head and neck cancers. Int J Radiat Oncol Biol Phys. 22:1992;3-11.
37. Issa P.Y. Cancer of the supraglottic larynx treated by radiotherapy exclusively. Int J Radiat Oncol Biol Phys. 15:1988;843-850.
38. Karim A.B.M.F., Snow G.B., Siek H.T.H., et al. The quality of voice in patients irradiated for laryngeal carcinoma. Cancer. 51:1983;47-49.
39. Delaney G.P., Fisher R.J., Smee R.I., et al. Split-course accelerated therapy in head-and-neck cancer An analysis of toxicity . Int J Radiat Oncol Biol Phys. 32:1995;763-768.
40. Hariot J.C., Fur R., N'Guyen T., et al. Hyperfractionation vs conventional fractionation in oropharyngeal carcinoma Final analysis of a randomised trail of the EORTC co-operative group of radiotherapy . Radiother Oncol. 25:1992;231-241.
41. Nguyen T.D., Panis X., Froissart D., et al. Analysis of late complications after rapid hyperfractionated radiotherapy in advanced head and neck cancers. Int J Radiat Oncol Biol Phys. 14:1988;23-25.
42. Olmi P., Celai E., Chiavacci A., et al. Accelerated fractionation in advanced head and neck cancer Results and analysis of late sequelae . Radiother Oncol. 17:1990;199-207.
43. Marks J.E., Bedwinek J.M., Lee F.A. Dose response analysis for nasopharyngeal carcinoma. Cancer. 82:1982;1042-1050.
44. Cooper J.S., Fu K., Marks J., et al. Late effects of radiation therapy in head and neck region. Int J Radiat Oncol Biol Phys. 31:1995;1141-1164.
45. Denis F., Geraud P., Bardet E., et al. Late toxicity results of the GORTEC 94-01 randomized trial comparing radiotherapy with concomitant radiochemotherapy for advanced-stage oropharynx carcinoma Comparison of LENT/SOMA, RTOG/EORTC, and NCI-CTC scoring system . Int J Radiat Oncol Biol Phys. 55:2003;93-98.
46. Lazarus C.L. Effects of radiation therapy and voluntary maneuvers on swallow function in head-and-neck cancer patients. Clin Comm Disorders. 3:1993;11-20.
47. Wu C.H., Ko J.Y., Hsiao T.Y., et al. Dysphagia after radiotherapy Endoscopic examination of swallowing in patients with nasopharyngeal carcinoma . Ann Otol Rhinol Laryngol. 109:2000;320-325.
48. Alexander M.S.M., Edelman G.M., Mau K., et al. Dysphagia after fast-neutron therapy to the head and neck. Br J Radiol. 62:1989;724-728.
49. Wu C.H., Hsiao T.Y., Chen J.C., et al. Evaluation of swallowing safety with fiberoptic endoscope Comparison with videofluoroscopic technique . Laryngoscope. 107:1997;396-401.
50. Kendall K.A., McKenzie S.W., Leonard R.J., et al. Structural mobility in deglutition after single-modality treatment of head-and-neck carcinomas with radiation therapy. Head Neck. 20:1998;720-725.
51. Kendall A.K., Leonard R.J., McKenzie S.W., et al. Timing of swallowing events after single-modality treatment of head and neck carcinomas with radiotherapy. Ann Otol Rhinol Laryngol. 109:2000;767-775.
52. Litton W.B., Leonard R.J. Aspiration after partial laryngectomy Cinefluorographic studies . Laryngoscope. 79:1969;887-908.
53. Sessons D., Zill R., Schwartz S. Deglutition after conservation surgery for cancer of the larynx and pharynx. Otolaryngol Head Neck Surg. 87:1979;779-796.
54. Logemann J. Aspiration in head and neck surgical patients. Ann Otol Rhinol Laryngol. 94:1985;373-376.
55. Hamlet S., Jones L., Mathog R., et al. Bolus propulsive activity of the tongue in dysphagic cancer patients. Dysphagia. 3:1989;18-23.
56. Cerenko D., McConnel F., Jackson R. Quantitative assessment of pharyngeal bolus driving forces. Otolaryngol Head Neck. 100:1989;57-63.
57. Pauloski B.R., Logemann J.A., Rademaker A.W., et al. Speech and swallowing function after oral and oropharyngeal resections One-year follow-up . Head Neck. 16:1994;313-322.
58. Fujiu M., Logemann J.A., Pauloski B.R. Increased postoperative posterior pharyngeal wall movement in anterior oral cancer patients Preliminary findings and possible implications for therapy . Am J Speech Lang Pathol. 4:1995;24-30.
59. Pauloski B.R., Logemann J. Impact of tongue-base and posterior- pharyngeal wall biomechanics on pharyngeal clearance in irradiated post-surgical oral and oropharyngeal cancer patients. Head Neck. 22:2000;120-131.
60. Martini D.V., Har-El G., Lucente F.E., et al. Swallowing and pharyngeal function in postoperative pharyngeal cancer patients. Ear Nose Throat J. 76:1997;450-456.
61. Hirano M., Kuroiwa Y., Tanaka S., et al. Dysphagia following various degrees of surgical resection for oral cancer. Ann Otol Rhinol Laryngol. 101:1992;138-141.
62. Fujimoto Y., Hasegawa Y., Nakayama B., et al. Usefulness and limitation of cricopharyngeal myotomy and laryngeal suspension after wide resection of the tongue or oropharynx. Nippon Jibiinkoka Gakkai Kaiho. 101:1998;307-311.
63. Gagnebin J., Jaques B., Pasche P. Reconstruction of the anterior floor of mouth by surgical-flap microanastomosis Oncologic and functional results . Schweiz Med Wochenschr Supple. 116:2000;39S-42S.
64. Zuydam A.C., Rogers S.N., Brown J.S., et al. Swallowing rehabilitation after oropharyngeal resection for squamous-cell carcinoma. Br J Oral Maxillofac Surg. 38:2000;513-518.
65. Furia C.L., Carrara-de Angelis E., Martins N.M., et al. Videofluoroscopic evaluation after glossectomy. Arch Otolaryngol Head Neck Surg. 126:2000;378-383.
66. Jacobson M.C., Franssen E., Fliss D.M., et al. Free forearm flap in oral reconstruction. Arch Otolaryngol Head Neck Surg. 121:1995;959-964.
67. Marchetta F.C. Function and appearance following surgery for intraoral cancer. Clin Plastic Surg. 3:1976;471-479.
68. Christopoulos E., Carrau R., Segas J., et al. Transmandibular approaches to the oral cavity and oropharynx A functional assessment . Arch Otolaryngol Head Neck Surg. 118:1992;1164-1167.
69. Schliephake H., Ruffert K., Schneller T. Prospective study of the quality of life of cancer patients after intraoral tumor surgery. J Oral Maxillofac Surg. 54:1996;664-669.
70. Haribhakti V., Kavarana N.M., Tibrew ala A.N. Oral cavity reconstruction An objective assessment of function . Head Neck. 15:1993;119-124.
71. Urken M.L., Buchbinder D., Weinberg H., et al. Functional evaluation following microvascular-oromandibular reconstruction of the oral cancer patient A comparative study of reconstructed and nonreconstructed patients . Laryngoscope. 101:1991;935-950.
72. Curtis D.A., Plesh O., Miller A.J., et al. A comparison of masticatory function in patients with or without reconstruction of the mandible. Head Neck. 19:1997;287-296.
73. Logemann J.A., Gibbons P.J., Rademaker A.W., et al. Mechanisms of recovery of swallow after supraglottic laryngectomy. J Speech Hear Res. 37:1994;965-974.
74. Staple T., Ogura J. Cineradiography of the swallowing mechanism following supraglottic subtotal laryngectomy. Radiology. 87:1966;226-230.
75. Rademaker A.W., Logemann J.A., Pauloski B.R., et al. Recovery of postoperative swallowing in patients undergoing partial laryngectomy. Head Neck. 15:1993;325-334.
76. Duranceau A., Jamieson G., Hurwitz A.L., et al. Alteration in esophageal motility after laryngectomy. Am J Surg. 131:1976;30-35.
77. Hanks J.B., Fisher S.R., Meyers W.C., et al. Effect of total laryngectomy on esophageal motility. Ann Otolaryngol. 90:1981;331-334.
78. McConnel F.M.S., Mendelsohn M.S., Logemann J.A. Manofluorography of deglutition after supraglottic laryngectomy. Head Neck Surg. 9:1987;142-150.
79. McConnel F.M., Cerenko D., Mendelsohn M.S. Dysphagia after total laryngectomy. Otolaryngol Clin North Am. 21:1988;721-726.
80. Gates G. Upper esophageal sphincter Pre- and post-laryngectomy: A normative study . Laryngoscope. 90:1980;454-464.
81. Pauloski B.R., Blom E.D., Logemann J.A., et al. Functional outcome after surgery for prevention of pharyngospasms in tracheoesophageal speakers, part II Swallow characteristics . Laryngoscope. 105:1995;1104-1110.
82. Teichgraeber J., Bowman J., Goepfert H. New test series for the functional evaluation of oral cavity cancer. Head Neck Surg. 8:1985;9-20.
83. Hamlet S., Jones L., Patterson R., et al. Swallowing recovery following anterior tongue and floor-of-mouth surgery. Head Neck. 13:1991;334-339.
84. Civantos F.J., Burkey B., Lu F.L., et al. Lateral arm microvascular flap in head and neck reconstruction. Arch Otolaryngol Head Neck Surg. 123:1997;830-836.
85. Schliephake H., Neukam F.W., Schmelzeisen R., et al. Long-term quality of life after ablative intraoral tumor surgery. J Craniomaxillofac Surg. 23:1995;243-249.
86. Mah S.M., Durham J.S., Anderson D.W., et al. Functional results in oral cavity reconstruction using reinnervated versus nonreinnervated free fasciocutaneous grafts. J Otolaryngol. 25:1996;75-81.
87. Brizel D.M. Radiotherapy and concurrent chemotherapy for the treatment of locally advanced head and neck squamous-cell carcinoma. Semin Radiat Oncol. 8:1998;237-246.
88. Pignon J.P., Bourhis J., Domenge C., et al. Chemotherapy added to locoregional treatment for head-and-neck squamous-cell carcinoma Three meta-analyses of updated individual data - Meta-analysis of chemotherapy on head and neck cancer . Lancet. 355:2000;949-955.
89. Browman G.P., Hodson G.I., MacKenzie R.G., et al. Choosing a concomitant chemotherapy and radiotherapy regimen for squamous-cell head and neck cancer A systematic review of the published literature with subgroups analysis . Head Neck. 23:2001;579-589.
90. Henk J.M. Controlled trials of synchronous chemotherapy with radiotherapy in head and neck cancer Overview of radiation morbidity . Clin Oncol (R Coll Radiol). 9:1997;308-312.
91. Adelstein D.J., Saxton J.P., Lavertu P., et al. A phase III randomized trial comparing concurrent chemotherapy and radiotherapy with radiotherapy alone in resectable stage III and IV squamous cell head and neck cancer Preliminary results . Head Neck. 19:1997;567-575.
92. Lazarus C.L., Logemann J.A., Pauloski B.R., et al. Swallowing and tongue functions following treatment for oral and oropharyngeal cancer. J Speech Lang Hearing Res. 43:2000;1011-1023.
93. Newman L.A., Robbins K.T., Logemann J.A., et al. Swallowing and speech ability after treatment for head and neck cancer with targeted intraarterial versus intravenous chemoradiation. Head Neck. 24:2002;68-77.
94. Dejaeger E., Goethals P. Degulutition disorder as a late sequel of radiotherapy for a pharyngeal tumor. Am J Gastroenterol. 90:1994;493-495.
95. Kotz T., Abraham S., Beitler J., et al. Pharyngeal transport dysfunction consequent to an organ-sparing protocol. Arch Otolaryngol Head Neck Surg. 125:1999;410-413.
96. Eisbruch A., Ten Haken R.K., Kim H.M., et al. Dose, volume, and function relationships in parotid salivary glands following conformal and intensity-modulated irradiation of head and neck cancer. Int J Radiat Oncol Biol Phys. 45:1999;577-587.
97. Dawson L.A., Anzai Y., Marsh L., et al. Patterns of local-regional recurrence following parotid-sparing conformal and segmental intensity-modulated radiotherapy for head and neck cancer. Int J Radiat Oncol Biol Phys. 46:2000;1117-1126.
98. Chao K.S.C., Low D.A., Perez C.A., et al. Intensity-modulated radiation therapy for head and neck cancers The Mallinckrodt experience . Int J Cancer (Radiat Oncol Invest). 90:2000;92-103.
99. De Neve W., Duthoy W., Boterberg T., et al. Intensity-modulated radiation therapy Results in head-and-neck cancer and improvements ahead of us . Int J Radiat Oncol Biol Phys. 55:2003;460-461.
100. Brizel D.M., Wasserman T.H., Henke M., et al. Phase III randomized trial of amifostine as a radioprotector in head and neck cancer. J Clin Oncol. 18:2000;3339-3345.
101. Büntzel J., Küttner K., Fröhlich D., et al. Selective cytoprotection with amifostine in concurrent radiochemotherapy for head and neck cancer. Ann Oncol. 9:1998;505-509.
102. Büntzel J., Glatzel M., Küttner K., et al. Amifostine in simultaneous radiochemotherapy of advanced head and neck cancer. Semin Radiat Oncol. 12:2002;4-13.
103. Logemann J.A. Evaluation and treatment of swallowing disorders. 2nd ed: 1998;Pro-Ed, Austin, TX.
104. Veis S., Logemann J.A., Colangelo L. Effects of three techniques on maximum posterior movement of the tongue base. Dysphagia. 15:2000;142-145.
105. Robin D.A., Goel A., Somodi L.B., et al. Tongue strength and endurance Relation to highly skilled movements . J Speech Hearing Res. 35:1992;1239-1245.
106. Logemann J.A., Rademaker A.W., Pauloski B.R., et al. Effects of postural change on aspiration in head and neck surgical patients. Otolaryngol Head Neck Surg. 110:1994;222-227.
107. Rasley A., Logemann J.A., Kahrilas P.J., et al. Prevention of barium aspiration during videofluoroscopic swallowing studies Value of change in posture . Am J Roentgenol. 160:1993;1005-1009.
108. Lazarus C.L., Logemann J.A., Rademaker A.W., et al. Effects of bolus volume, viscosity and repeated swallows in nonstroke subjects and stroke patients. Arch Phys Med Rehabilitat. 74:1993;1066-1070.
109. Logemann J.A. Behavioral management for oropharyngeal dysphagia. Folia Phoniatr Logopaedic. 51:1999;199-212.
110. Davis J.W., Lazarus C., Logemann J., et al. Effect of a maxillary glossectomy prosthesis on articulation and swallowing. J Prosthet Dent. 57:1987;715-719.
111. Light J. A review of oral and oropharyngeal prostheses to facilitate speech and swallowing. Am J Speech Lang Pathol. 4:1995;15-21.
112. Weber R.S., Ohlms L., Bowman J., et al. Functional results after total or near total glossectomy with laryngeal preservation. Arch Otolaryngol Head Neck Surg. 117:1991;512-515.
113. DaBreo E.L., Chalian V.A., Lingeman R., et al. Prosthetic and surgical management of osteogenic sarcoma of the maxilla. J Prosthet Dent. 63:1990;316-320.
114. Yontchev E., Karlsson S., Lith A., et al. Orofacial functions in patients with congenital and acquired maxillary defects A fluoroscopic study . J Oral Rehab. 18:1991;483-489.
115. Pauloski B.R., Logemann J.A., Colangelo L.A., et al. Effect of intraoral prostheses on swallowing function in postsurgical oral and oropharyngeal cancer patients. Am J Speech-Lang Pathol. 5:1996;31-46.
116. Wheeler R.L., Logemann J.A., Rosen M.S. Maxillary reshaping prostheses Effectiveness in improving speech and swallowing of postsurgical oral cancer patients . J Prosthet Dent. 43:1980;313-319.
117. Bisch E.M., Logemann J.A., Rademaker A.W., et al. Pharyngeal effects of bolus volume, viscosity, and temperature in patients with dysphagia resulting from neurologic impairment and in normal subjects. J Speech Hearing Res. 37:1994;1041-1049.
118. Pauloski B.R., Logemann J.A., Fox J.C., et al. Biomechanical analysis of the pharyngeal swallow in post-surgical patients with anterior tongue and floor-of-mouth resection and distal flap reconstruction. J Speech Hearing Res. 38:1995;110-123.
119. Logemann J.A., Pauloski B.R., Rademaker A.W., et al. Speech and swallowing rehabilitation for head and neck cancer patients. Oncology. 11:1997;651-659.
120. Shaker R., Kern M., Bardan E., et al. Augmentation of deglutitive upper esophageal sphincter opening in the elderly by exercise. Am J Physiol (Gastrointest Liver Physiol). 272:1997;G1518-G1522.
121. Shaker R., Easterling C., Kern M., et al. Rehabilitation of swallowing by exercise in tube-fed patients with pharyngeal dysphagia secondary to abnormal UES opening. Gastroenterology. 122:2002;1314-1321.
122. Easterling C., Kern M., Nitschke T., et al. A novel rehabilitative exercise for dysphagic patients Effect on swallow function and biomechanics . Gastroenterology. 114:1998;A747.
123. Martin B.J.W., Logemann J.A., Shaker R., et al. Normal laryngeal valving patterns during three-breath hold maneuvers A pilot investigation . Dysphagia. 8:1993;11-20.
124. Kahrilas P.J., Logemann J.A., Krugler C., et al. Volitional augmentation of upper esophageal sphincter opening during swallowing. Am J Physiol. 260:1991;G450-G456.
125. Lazarus C., Logemann J.A., Gibbons P. Effects of maneuvers on swallow functioning in a dysphagic oral cancer patient. Head Neck. 15:1993;419-424.