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Letters to the Editor |

The Need for Further Evaluation of Objective Parameters of Swallowing Function After Transoral Robotic Surgery

Brian P. Sanders, BS; Paurush Babbar, BS
Arch Otolaryngol Head Neck Surg. 2012;138(4):432-433. doi:10.1001/archoto.2012.113.
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We highly commend the efforts of Sinclair et al1 in bringing an important yet frequently overlooked facet of transoral robotic surgery (TORS)—patient perceptions and functional outcomes relating to quality-of-life measures—into the spotlight. The authors used a subjective measure of swallowing function from the M. D. Anderson Dysphagia Inventory to assess patient-perceived dysphagia-specific quality-of-life outcomes in patients treated with TORS. However, an objective measure of dysphagia must be used to ascertain the functional impact of head and neck cancer treatment modalities. The penetration-aspiration scale (PAS) and the modified barium swallow provide excellent techniques for assessing swallowing function and risk of aspiration.

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April 1, 2012
Catherine F. Sinclair, MD, FRACS; Nancy L. McColloch, CCC-SLP; William R. Carroll, MD; Eben L. Rosenthal, MD; Renee A. Desmond, DVM, PhD; J. Scott Magnuson, MD
Arch Otolaryngol Head Neck Surg. 2012;138(4):432-433. doi:10.1001/archoto.2012.116.
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