swallowing – Page 3 – Oral Cancer News

More patients presenting with HPV-associated oral cancers in Lubbock, TX

Source: lubbockonline.com Author: Ellysa Harris Detecting oral cancers in patients in their 50s and 60s has never been uncommon. But local dentists and doctors say finding it in younger patient populations has become a new norm. Oral cancers driven by Human Papillomavirus are now the fastest growing oral and oropharyngeal cancers, according to the Oral Cancer Foundation website. And local health officials say they’ve seen a few more cases than usual. Dr. Joehassin Cordero, FACS, professor, chairman and program director ofTexas Tech’s Health Sciences Center Department of Otolaryngology-Head & Neck Surgery, said less people are smoking and that has contributed to the decrease in the number of cases of oral cancers in the past two decades. “In that same period, we have seen an increase in the HPV oropharyngeal cancer,” he said. “And oropharyngeal cancer — what it means it’s affecting the base of your tongue and tonsils.” Dr. Brian Herring, a Lubbock dentist, chalks the increase up to increased awareness. “I’m assuming probably for years and years and years it has affected the mouth but we didn’t know that,” he said. “As we get better at cellular diagnostics and molecular diagnostics, things like that, we’re finding that there is a large portion of cancers that do have an HPV component.” What’s more alarming, said Dr. Ryan Higley, oral surgeon with West Texas Oral Facial Surgery, is it’s being diagnosed in younger people. Higley said oral cancers are generally diagnosed between the ages of 55 and 65, mostly in women. [...]

Oral Cancer Foundation News Team - A2017-05-28T11:56:52-07:00May, 2017|Oral Cancer News|

Swallowing exercises can improve quality of life for head and neck cancer patients

Source: www.targetedonc.com Author: Gina Columbus While patients with head and neck cancer are likely to experience difficulty swallowing after undergoing intesity-modulated radiation therapy (IMRT), Lynn Acton, MS, CCC (SLP) says the use of swallowing exercises can drastically improve muscle movement for these patients both during and after radiation therapy (RT). In a study conducted by researchers at Dana-Farber Cancer Institute and Brigham Women’s Hospital, patients with head and neck cancer who underwent RT in a 2-year period were evaluated for swallowing difficulty with a video swallow to score stricture and aspiration. Of the 96 patients evaluated who received IMRT once daily, 32% had some aspiration after therapy, while 37% had evidence of stricture following RT. Studies are currently ongoing to explore the utility of swallowing modalities for these patients. For example, an interventional, randomized, multicenter phase III trial is comparing early-active swallowing therapy versus nonspecific swallowing management (NCT02892487). Researchers are conducting the study to determine that early-active swallowing therapy can improve the quality of life of patients undergoing RT for head and neck cancer. Additionally, a behavioral questionnaire is evaluating adherence to preventative swallowing exercises and the reasons why patients choose not to follow them (NCT03010150). Patients will complete the questionnaire at baseline and again at 6 months following RT that will discuss adherence to swallowing exercises. Acton, a lecturer in surgery (otolaryngology) and speech pathologist at Yale School of Medicine, discussed the significance of swallowing modalities for patients with head and neck cancer during and after RT in an [...]

Oral Cancer Foundation News Team - A2017-05-05T12:37:40-07:00May, 2017|Oral Cancer News|

Silk and stem cells are being used to generate salivary glands

Source: biotechin.asia Author: Manish Muhuri Saliva is a watery substance secreted by the salivary glands located in the mouth. Saliva is essential for good health, as it assists in speaking, swallowing, food digestion, preventing oral infections in addition to many other tasks. Without normal salivary function the frequency of dental caries, gum disease (gingivitis), and other oral problems increases significantly. Location and types of salivary glands in humans. Image Courtesy : Wikimedia Commons Dysfunction or reduction in activity of salivary glands can be caused by many factors, including diabetes, radiation therapy for head and neck tumors, aging, medication side effects, and Sjögren’s syndrome. Sjogren’s is an autoimmune disease where the body attacks its own tear ducts and salivary glands. Patients suffering from this disease have severely dry mouth. No treatments are currently available for dry mouth. Salivary glands, unfortunately, have very little regenerative capacity. The title must have left you wondering about the correlation between silk and saliva – what do they have in common? They are both actually part of a unique experiment going on in San Antonio, a study that could change the lives of millions of people who suffer from dry mouth. Chih-Ko Yeh , BDS, Ph.D., and Xiao-Dong Chen, MD, MS, Ph.D., of the UT Health San Antonio School of Dentistry decided there had to be a better way to help people than try to develop drugs and figured that stem cells may help solve a common, painful problem. Yeh said the idea is [...]

Oral Cancer Foundation News Team - A2017-01-30T12:36:05-07:00January, 2017|Oral Cancer News|

Head and neck cancer art exhibition unveils hidden experience

Source: edmontonjournal.com Author: Madeleine Cummings Few words are as terrifying as these three: “You have cancer.” “When you’re told you have cancer, everything seems to fall apart,” said Ken Roth, who was diagnosed with squamous cell carcinoma on the base of his tongue four years ago. “Your head’s spinning, you don’t know what’s going on, you don’t know what the results are going to be,” he said. Brad Necyk, an artist and PhD student in psychiatry at the University of Alberta, tried to capture some of that disorientation in an installation that features a fragmented video of Roth’s face. His art is part of a new multimedia exhibition called “FLUX: Responding to Head and Neck Cancer,” which explores how head and neck cancer affects patients’ lives. (Ingrid Bachmann, Sean Caulfield, Jude Griebel, Jill Ho-You and Heather Huston also have works in the exhibit.) Roth had three-quarters of the base of his tongue removed and his illness led him to leave his job, but others have it a lot worse, he said. Patients with head and neck cancer often undergo lengthy (sometimes multiple) surgeries and they can have trouble speaking, swallowing and hearing. Some patients have to relearn how to speak, and then do it again after an additional surgery. These symptoms — many of which are visible — change how patients eat, communicate and behave in public. They can be devastating, and according to the Canadian Cancer Society, depression is common among the thousands of Canadians who have these kinds [...]

Oral Cancer Foundation News Team - A2017-01-05T11:21:40-07:00January, 2017|Oral Cancer News|

Heading back to the office following head and neck cancer

Source: blogs.biomedcentral.com Author: Daniel Caley In Cancers of the Head & Neck launching today publishes the first study looking at disability and employment outcomes in patients with head and neck cancer related to the human papillomavirus (HPV). Dr Shrujal Baxi, Section Editor for survivorship and patient related outcomes and author of this study, explains more about their work in this Q&A: The rates of patients diagnosed with HPV-related head and neck cancer is rising annually. By 2020, there will be more cases of HPV-related head and neck cancer than HPV-related cervical cancer in the United States. Numerous studies have shown that most patients with this diagnosis are likely to be cured of their disease, placing an increased emphasis on quality of life and non-cancer outcomes in this population of survivors. The majority of patients diagnosed with HPV-related head and neck cancer are working-age adults and employment is a serious issue both financially and psychologically. How can treatment for head and neck cancer impact employment? Treatment for head and neck cancer often involves a combination of chemotherapy and radiation given over a six to seven week period, often known as concurrent chemoradiation or combined modality chemoradiation. This process is considered toxic and can impact a patient’s ability to function normally including speaking, chewing, breathing and swallowing. Many patients require numerous supportive medications to get through treatment including narcotics for pain and anti-nausea medications. Patients can lose on average 10-15% of their weight within a few months and can suffer from severe [...]

Oral Cancer Foundation News Team - A2016-06-05T09:53:53-07:00June, 2016|Oral Cancer News|

No definite symptom index for recurrence in head and neck cancer, small study suggests

Source: Author: In patients treated for head and neck squamous cell carcinoma (HNSCC), there was no definite index of symptoms that indicated local recurrence or second primary malignancy in a small Taiwanese study published online ahead of print in Head & Neck.1 In head and neck squamous cell carcinoma, there was no definite index of symptoms to indicate recurrence or second malignancy. Pei-Hsuan Lin, MD, and fellow researchers from the National Taiwan University examined 136 patients with HNSCC who were diagnosed between January 2010 and June 2014, 32 of whom had local recurrence and 14 of whom had second primary malignancy. “The purposes of this study were to identify an index of symptoms and signs of swallowing disorders that indicate the occurrence of local recurrence or second primary malignancy,” the authors noted. They found that common swallowing disorders and objective transnasal esophagoscopy findings were similar between patients with and without local recurrence or second primary malignancy. “Routine transnasal esophagoscopy examination of patients treated for HNSCC with swallowing disorders is strongly recommended,” the authors concluded. Reference: Lin P-H, Wang C-P, Lou P-J, et al. Evaluation of swallowing disorders by use of transnasal esophagoscopy in patients treated for head and neck cancer. [published online ahead of print September 2, 2015]. Head Neck. doi: 10.1002/hed.24174.

Oral Cancer Foundation News Team - A2015-09-23T07:32:26-07:00September, 2015|Oral Cancer News|

A Disorder That’s Hard to Swallow

Source: www.usnews.comAuthor: Anna Medaris Miller Ed Steger’s last meal was a bowl of soup in Las Vegas. “I remember it all too clearly, as if it were yesterday,” he says. But it wasn’t yesterday – it was 2006. “Life is very different” now, says Steger, a 63-year-old former program manager in Houston. Steger was diagnosed with head and neck cancer in 2005. In addition to 36 rounds of radiation and eight regimens of chemotherapy, he underwent six surgeries, including one that replaced a portion of his pharynx and removed parts of his left jawbone, tongue, epiglottis and soft palate. “The part that makes it odd is that I’m alive after having four recurrences,” Steger says. The part that makes it distressing is that he can’t eat solid foods. “There are many case studies I’ve seen where patients have said [their] swallowing disorder is the worst part of their disease – and I believe this to be true,” says Steger, who’s president of the National Foundation of Swallowing Disorders. His daily diet consists of four 8-ounce cans of the nutritional drink Boost Plus, along with two to four bottled Starbucks Frappuccinos, which he buys at his local supermarket. “It’s a very boring diet that allows me to maintain my weight,” says Steger, who’s 5 feet 10 inches tall and 155 pounds. It’s unknown how many people have dysphagia, or difficulty swallowing, but the condition can be caused by any one of 30 diverse health events, Steger says. While his dysphagia is a result of surgery, other people [...]

Oral Cancer Foundation News Team - A2015-06-02T16:23:17-07:00June, 2015|Oral Cancer News|

Low-dose IMRT may be safe for patients with HPV-positive head and neck cancer

Source: www.oncologypractice.com Author: Laura Nikolaides Lower-dose radiation therapy may be safe for some patients with human papillomavirus (HPV)-positive oropharyngeal cancer, decreasing the risk of often long-term side effects, such as trouble swallowing, dry mouth, loss of taste, neck stiffness, and thyroid problems, investigators reported at the annual meeting of the American Society of Clinical Oncology. Two-year overall survival and progression-free survival were 93% and 80%, respectively, among 62 patients with operable stage III/IVA HPV-positive oropharyngeal squamous carcinoma who received lower-dose intensity-modulated radiation therapy (IMRT) after clinical complete response to induction chemotherapy, reported Dr. Anthony Cmelak, professor of radiation oncology at Vanderbilt University, Nashville, Tenn., and medical director of the Vanderbilt-Ingram Cancer Center at Franklin. Overall, the phase II study enrolled 90 patients, median age 57 years, who all received induction chemotherapy with paclitaxel, cisplatin, and cetuximab. The response to induction chemotherapy determined IMRT dose. The 62 patients who had a complete clinical response received a reduced dose (54 Gy) of IMRT, and the rest of the patients received standard dose IMRT (70 Gy). All patients received standard cetuximab along with radiation. Two-year overall survival and progression-free survival for the higher-risk patients who received the standard dose of IMRT were 87% and 65% respectively. Among those patients receiving low-dose IMRT, survival was slightly higher for those with less than 10 pack-years of smoking and earlier-stage disease; in those patients 2-year progression-free and overall survival were 92% and 97%, respectively. However, Dr. Cmelak does not yet recommend modifying regimens for patients with [...]

Oral Cancer Foundation News Team - A2014-06-03T05:55:31-07:00June, 2014|Oral Cancer News|

Cancer survivors not seeking help for depression

Source: www.dailyrx.com Author: staff Long-term treatment can affect how cancer survivors manage in the world. The fancy phrase for this is “psychosocial functioning.” A recent study looked at how head and neck cancer survivors get along after treatment. Depression is not uncommon among head and neck cancer survivors, researchers found in this new study. However, not many of the survivors in the study sought help for their depression with either antidepressants or therapy. Physicians could assist by screening for psychosocial problems because depression is very treatable, according to one expert. Allen M. Chen, MD, of the University of California, Davis, and now of the David Geffen School of Medicine at the University of California, Los Angeles, led this study. Dr. Chen and colleagues were looking at the rates of depression among head and neck cancer survivors who had received radiation therapy to treat the disease. “The treatment of head and neck cancer can lead to devastating impact on psychosocial functioning due to the many important structures located in the head and neck region," Tobenna Nwizu, MD, a solid tumor oncologist with the Taussig Cancer Institute at Cleveland Clinic, told dailyRx News. “Functions like speech, swallowing, taste and salivation can all be affected,” said Dr. Nwizu, who was not involved in this study. Treatment can also affect appearance, cause dry mouth and increase the risk of aspiration (sucking food into the airway), according to the authors. For this study, the researchers asked 211 head and neck cancer survivors to complete a [...]

Oral Cancer Foundation News Team - A2013-08-16T06:11:21-07:00August, 2013|Oral Cancer News|

Understanding the connection between “dry mouth” and cavities

Source: www.hivehealthmedia.com Author: Rob Gazzola Do you have an unusually dry mouth? Do you suffer from bad breath, cracked lips, split skin at your mouth’s corners or a frequent sore throat? If your answer is “yes,” your symptoms may be caused by xerostomia, a condition caused by a lack of saliva. More commonly known simply as “dry mouth,” xerostomia can also cause difficulties swallowing and speaking and an altered sense of taste. Even worse, the condition can lead to an increase of tooth decay and plaque. Saliva plays an important role in maintaining the health of your teeth and gums. It protects your teeth’s enamel by neutralizing potentially harmful acids, and it rinses food debris away from both the teeth and the gums. Without it, food particles, plaque and acid build up in your mouth, leading to tooth decay. Luckily, there are many ways to improve dry mouth symptoms: To stimulate the production of saliva, suck on hard candies or chew gum. Just make sure the varieties you choose are sugar-free. Caffeine can dry out your mouth even more, so limit your intake of tea, coffee, soda and other caffeinated products. Avoid foods and candies with high levels of acid or sugar. These foods can raise your risk of developing tooth decay. When eating fruit, try to avoid dried fruit as generally they are high in sugar and often leave particles that cling to your teeth, while fresh fruit, though also having sugar content, is less likely to cause issues [...]

Oral Cancer Foundation News Team - A2013-04-01T08:31:44-07:00April, 2013|Oral Cancer News|