{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T03:50:16Z","timestamp":1789185016813,"version":"build-2803163510"},"reference-count":31,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2004,2,24]],"date-time":"2004-02-24T00:00:00Z","timestamp":1077580800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2004,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background.<\/jats:title>\n                    <jats:p>Swallowing dysfunction is a common side effect of chemoradiation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods.<\/jats:title>\n                    <jats:p>Twelve patients with stage III or IV squamous cell carcinoma of the head and neck were enrolled. Videofluorographic swallowing studies were performed before initiation of chemoradiation to provide baseline swallowing function data. Postchemoradiation videofluorographic swallowing studies were performed from 1 to 14 weeks after the completion of treatment (mean, 8 weeks).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results.<\/jats:title>\n                    <jats:p>\n                      Changes in swallowing physiology after treatment included decreased base of tongue to posterior pharyngeal wall contact (\n                      <jats:italic>p<\/jats:italic>\n                      = .0010) and reduced pharyngeal contraction (\n                      <jats:italic>p<\/jats:italic>\n                      = .0313), resulting in impaired bolus transport through the pharynx. In addition, decreased laryngeal elevation (\n                      <jats:italic>p<\/jats:italic>\n                      = .0039), decreased laryngeal vestibule closure (\n                      <jats:italic>p<\/jats:italic>\n                      = .0078), and laryngeal penetration (\n                      <jats:italic>p<\/jats:italic>\n                      = .0078) were present. Bolus volume did not have a significant effect on swallowing ability. Aspiration was observed in four patients.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions.<\/jats:title>\n                    <jats:p>\n                      Organ preservation treatment impairs movement of structures essential for normal swallowing. Prophylactic swallowing exercises may benefit these patients. \u00a9 2004 Wiley Periodicals, Inc.\n                      <jats:italic>Head Neck<\/jats:italic>\n                      <jats:bold>26:<\/jats:bold>\n                      365\u2013372, 2004\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hed.10385","type":"journal-article","created":{"date-parts":[[2004,3,24]],"date-time":"2004-03-24T09:04:34Z","timestamp":1080119074000},"page":"365-372","source":"Crossref","is-referenced-by-count":137,"title":["Swallowing dysfunction after chemoradiation for advanced squamous cell carcinoma of the head and neck"],"prefix":"10.1002","volume":"26","author":[{"given":"Tamar","family":"Kotz","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosemary","family":"Costello","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marshall Roy","family":"Posner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2004,2,24]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0360-3016(02)02713-X"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0347(199801)20:1<31::AID-HED6>3.0.CO;2-4"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.124.5.589"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199106000-00002"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1995.01890090018003"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0360-3016(01)01544-9"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.127.12.1446"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.125.4.410"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199609000-00021"},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/hed.10000"},{"key":"e_1_2_5_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0360-3016(02)02712-8"},{"key":"e_1_2_5_13_2","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0347(200008)22:5<474::AID-HED6>3.0.CO;2-I"},{"key":"e_1_2_5_14_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.126.3.371"},{"key":"e_1_2_5_15_2","first-page":"11","article-title":"Effects of radiation therapy and voluntary maneuvers on swallowing function in head and neck cancer patients","volume":"3","author":"Lazarus CL","year":"1993","journal-title":"Clin Commun Disord"},{"key":"e_1_2_5_16_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0347(199812)20:8<720::AID-HED10>3.0.CO;2-L"},{"key":"e_1_2_5_17_2","doi-asserted-by":"publisher","DOI":"10.1177\/019459989811800509"},{"key":"e_1_2_5_18_2","first-page":"493","article-title":"Deglutition disorder as a late sequel of radiotherapy for a pharyngeal tumor","volume":"90","author":"Dejaeger E","year":"1994","journal-title":"Am J Gastroenterol"},{"key":"e_1_2_5_19_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02493488"},{"key":"e_1_2_5_20_2","doi-asserted-by":"publisher","DOI":"10.1044\/jshr.3602.267"},{"key":"e_1_2_5_21_2","doi-asserted-by":"publisher","DOI":"10.1044\/jshr.3605.918"},{"key":"e_1_2_5_22_2","first-page":"469","article-title":"Swallowing disorders in three types of head and neck surgical patients","volume":"81","author":"Logemann JA","year":"1979","journal-title":"Cancer"},{"key":"e_1_2_5_23_2","doi-asserted-by":"publisher","DOI":"10.1002\/hed.2880160404"},{"key":"e_1_2_5_24_2","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199401000-00015"},{"key":"e_1_2_5_25_2","doi-asserted-by":"publisher","DOI":"10.1177\/000348949210100206"},{"key":"e_1_2_5_26_2","volume-title":"A manual for videofluoroscopic evaluation of swallowing","author":"Logemann JA","year":"1993"},{"key":"e_1_2_5_27_2","volume-title":"Manual of dysphagia treatment in adults","author":"Murry J","year":"1999"},{"key":"e_1_2_5_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/0016-5085(92)90013-O"},{"key":"e_1_2_5_29_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.126.3.384"},{"key":"e_1_2_5_30_2","doi-asserted-by":"publisher","DOI":"10.1097\/00020840-199812000-00008"},{"key":"e_1_2_5_31_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.1996.14.3.838"},{"key":"e_1_2_5_32_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)90011-4"}],"container-title":["Head &amp; 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