Guidelines for Complications of Cancer Treatment Vol VIII Part B

As high as 52% patients are detected to have stricturesone to three months after CTRT if intensive monitoringis performed with MBS and videofluroscopy.EtiologyAfter surgery laryngectomy with partial pharyngectomy post operative pharyngocutaneous fistulae damage to pharyngeal plexus stricturesAfter CTRTCombination ofsalivary gland dysfunction,mucositis,post RT fibrosis andstricturesMethods of assessment1) Modified Barium Swallow with esophageal phaseThe MBS study is a dynamic assessment of swallowingperformed by a speech pathologist undervideofluoroscopic guidance. This study delineates thevarious stages of swallowing with its attendantabnormalities.The MBS will outline the possible cause of dysphagiaand can help monitor treatment of these patients.2) Fibreoptic Endoscopic Evaluation of Swallowing(FEES) - is now gaining acceptance as a complementarymodality to diagnose swallowing dysfunction along withthe MBS.219