Issue N# 1 - 2016
Management of respiratory and nutritional decompensation after head and neck cancer
Authors : Cugy E. (Bordeaux)
Ref. : Rev Laryngol Otol Rhinol. 2016;137,1:17-21.
Article published in french
Downloadable PDF document french
The incidence and mortality of ENT cancers decreased since 1990 by about 3-6% per year, but the frequency remains high with an estimated incidence of 14,500 new cases/year. These cancers are still predominantly male (75% of new cases) and thrive in the age group 45-64 years. Despite progress, morbidity and mortality remain high and long-term complications are underestimated in survivors. In patients surviving after 3 years, the main causes of death are, in the first 10 years, a new squamous cell head and neck, a second primary cancer, cardiovascular disease (including coronary heart disease and stroke), generalized cancer others (including lung diseases, infectious or accidental death). To early detection recurrences and complications of treatment, the French Society of ENT offers recommendations for clinical practice since 2009 including a monitoring schedule and clinical elements to be addressed at every visit. Despite these recommendations, monitoring the effects on swallowing remains difficult. The objective of this development is to recall the elements suspect to be a complication of swallowing disorder.
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