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Showing 2 results for Dysphagia

Rabiei M, Rahimi A, Kazemnezhad Leyli E , Jalalian B, Massoudi Rad S,
Volume 16, Issue 2 (7-2014)
Abstract

Background and Objective: Radiotherapy is a main therapeutic regiment in the treatment of head and neck cancers. Radiation not only eradicate cancer but it also cause damage to healthy surrounding tissues, giving rise to objective and subjective problems. This study was done to evaluate the subjective complications of post radiation in patients with head and neck cancer. Methods: This descriptive –analytic study was carried out on 45 patients with head and neck cancer (28 males and 17 females) whom were gone under radiotherapy in Rasht, Iran. Subjective complications evaluated before, during, 1 month and 3 months after radiotherapy. Persian version of LENT-SOMA questionnaire was used. Pain, xerostomia, dysphagia, trismus and dysgeusia were recorded for each subject. Results: 80% of subjects experienced Pain. In the study period, pain intensity, frequency and analgesic consumption were belonging to ear and throat. One month after post radiation, pain intensity, frequency and analgesic consumption belong to ear, throat, jaw, mouth and teeth which were significantly more than 3 months after radiotherapy (P<0.05). One month after post treatment, xerostomia, dysphagia, trismus and dysgeusia were significantly more than 3 months after radiotherapy (P<0.05). Pain in ear and jaw had significant correlation with radiation dosage (P<0.05). Conclusion: Intensity of subjective complains were aggravated and merge one month after radiotherapy and can be reduced to nearly the initial stage of treatment, three months after radiotherapy.
A Sharafi , Mh Taziki , S Razaei ,
Volume 19, Issue 3 (10-2017)
Abstract

Background and Objective: Foreign body ingestion is one of the most common problems in otolarygyology in the world. Many kind of foreign body is lodged in esophagus and cause symptoms and complication. Information about patient age and type of foreign bodies and symptoms can help in management and treatment of patients. This study was done to determine the Prevalence of esophageal foreign body and its complications in Gorgan, northern Iran.
Methods: This descriptive retrospective study was done on 145 patients (61 males and 84 females) with foreign body ingestion whom admitted in 5thAzar hospital in Gorgan, northern Iran during 2004-14. Age and type of foreign body and symptoms was recorded for each patient. X-Ray in 41.4% of patients detected foreign body and esophagoscopy in others were used for definitive diagnosis.
Results: Most common chief complaint was dysphagia (42.8%). The most common foreign body was chikenbone (25.5%). Under 15 year’s old patients, coine was the most common. Most common site of lodged was 1/3 upper esophagus (62.63%). In all causes rigid esophaguscopy was used for removal of foreign body. In 56 causes foreign body in esophagus had not any complication.Complications due to foreign bodies were erision (24.82%), ulcer (21.37%), rapture of mucosal layer (6.2%), recurrent refer (4.82%), perforation of esophagus (5 cases, 3.44%) and obsess esophagus(0.68%). Mortality was seen in one patient due to fish bone ingestion.
Conclusion: Dysphagia was the most common chief complaint and coine was the most common foreign body in children. Also, erision and ulcer were the most common complications and upper one third of upper esophagus was the most common site of lodged foreign bodies.

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مجله دانشگاه علوم پزشکی گرگان Journal of Gorgan University of Medical Sciences
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