{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T09:20:42Z","timestamp":1784193642095,"version":"3.55.0"},"reference-count":15,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2016,9,19]],"date-time":"2016-09-19T00:00:00Z","timestamp":1474243200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2017,4]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To explore whether pre\u2010treatment swallowing measures predict swallowing recovery at 6 weeks after transoral robotic surgery (TORS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Prospective cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Tertiary care cancer centre in the United Kingdom.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Fifty\u2010one consecutive patients undergoing TORS for head and neck cancer, between April 2013 and February 2015.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Swallowing function assessed by Performance Status Scale (PSS) Normalcy of Diet, timed water swallow test capacity scores (WST) and duration of tube feeding.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The primary site distribution was as follows: 21 oropharynx, 8 larynx, 6 mucosectomy and 6 hypopharynx. T stages included 7 staged Tx, 21 T1\u2013T2 tumours and 1 T3 tumour. Moderate\u2010to\u2010severe comorbidity was found in 45\/51 patients. Mean PSS score was 83 (<jats:sc>sd<\/jats:sc> 27.54); mean WST score was 11.14 (<jats:sc>sd<\/jats:sc> 7.97). Most patients (73%) required tube feeding post\u2010operatively, with mean tube feed duration of 18.08 days (<jats:sc>sd<\/jats:sc> 17.91); 76% resumed oral intake by 6 weeks. Pre\u2010treatment swallow tests showed moderate negative correlation with tube feeding duration: PSS (<jats:italic>rho<\/jats:italic> 0\u2013.430, <jats:italic>P<\/jats:italic> = .003); WST (<jats:italic>rho<\/jats:italic> 0\u2013.503, <jats:italic>P<\/jats:italic> = 0.002).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The majority of TORS patients resume oral intake by 6 weeks. This study shows that impaired swallowing prior to surgery correlates with post\u2010operative duration of tube feeding and strengthens the evidence for the utility of these measures in this clinical setting.<\/jats:p><\/jats:sec>","DOI":"10.1111\/coa.12731","type":"journal-article","created":{"date-parts":[[2016,8,20]],"date-time":"2016-08-20T07:08:39Z","timestamp":1471676919000},"page":"366-372","source":"Crossref","is-referenced-by-count":25,"title":["Baseline swallowing measures predict recovery at 6 weeks after transoral robotic surgery for head and neck cancer"],"prefix":"10.1111","volume":"42","author":[{"given":"S.","family":"Owen","sequence":"first","affiliation":[{"name":"Newcastle University Newcastle upon Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Puvanendran","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head\u2010Neck Surgery Colchester Hospital University NHS Foundation Trust Essex UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Meikle","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head\u2010Neck Surgery Freeman Hospital, Newcastle upon Tyne University Hospitals NHS Trust Newcastle upon Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I.","family":"Bowe","sequence":"additional","affiliation":[{"name":"Adult Nutrition and Dietetics Service Freeman Hospital Newcastle upon Tyne University Hospitals NHS Trust Newcastle upon Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"O'Hara","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head\u2010Neck Surgery Freeman Hospital, Newcastle upon Tyne University Hospitals NHS Trust Newcastle upon Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Patterson","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, 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