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Cited by 30Dysphagia Assessment and ManagementHead and Neck Cancer StudiesVoice and Speech Disorders

Efficacy of Thickened Liquids for Eliminating Aspiration in Head and Neck Cancer: A Systematic Review

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Barbon, Carly E. A., Steele, Catriona M.·2015·Otolaryngology–Head and Neck Surgery
DOI 10.1177/0194599814556239PMC PMC4321780
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Abstract

Objective: To appraise the current videofluoroscopic evidence on the reduction of aspiration using thickened liquids in the head and neck cancer population. Data Sources: Search terms relating to deglutition or dysphagia or swallow and neoplasms and oncology or head and neck cancer and viscosity or texture and apira or residu* were combined with honey or nectar, xerostomia, and respiratory aspiration using Boolean operators. Review Methods: A multiengine literature search identified 337 nonduplicate articles, of which 6 were judged to be relevant. These underwent detailed review for study quality and qualitative synthesis. Results: The articles reviewed in detail predominantly described heterogeneous study samples with small sample sizes, making for difficult interpretation and generalization of results. Rates of aspiration were typically not reported by bolus consistency, despite the fact that a variety of stimulus consistencies was used during a videofluoroscopic swallowing study. Studies confirmed that aspiration is a major concern in the head and neck cancer population and reported a trend toward more frequent aspiration after (chemo)radiotherapy. Conclusion: Overall, the literature on thickened liquids as an intervention to eliminate aspiration in the head and neck cancer population is limited. Because aspiration is known to be prevalent in the head and neck cancer population and thickened liquids are known to eliminate aspiration in other populations, it is important to determine the effectiveness of thickened liquids for reducing aspiration in the head and neck cancer population.

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  • In IBD patients with intestinal strictures or stenosis in combination with obstructive symptoms, a diet with adapted texture, or distal (post-stenosis) enteral nutrition, can be recommended; there is no robust data and this is a logical practical approach.

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Cited by

Sorted by citations

Authors
Barbon, C. E. A., & Steele, C. M.
Affiliations
University Health Network (CA)
Corresponding author
Barbon, Carly E. A.
ORCID
Venue
Otolaryngology–Head and Neck Surgery
Publisher
Wiley
Published
2014-10-30
Volume
152
Issue
2
Pages
211-218
ISSN
  • 0161-6439 (ISSN-L)
  • 0194-5998
  • 1097-6817
DOI
10.1177/0194599814556239
PMC
PMC4321780
OpenAlex
W2080425518
Cited by
30
References
0
Citations by year
2026: 2 · 2025: 2 · 2024: 4 · 2023: 3 · 2022: 4 · 2021: 3 · 2020: 3 · 2019: 3 · 2017: 1 · 2016: 3 · 2015: 2
FWCI
0.41
Type
journal article
Language
en
Open access
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Otolaryngology (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • Toronto Rehabilitation Institute
  • National Institute on Deafness and Other Communication Disorders (R01DC011020)
Topics
  • Health Sciences › Health Professions › Speech and Hearing › Dysphagia Assessment and Management
  • Health Sciences › Medicine › Otorhinolaryngology › Head and Neck Cancer Studies
  • Health Sciences › Medicine › Physiology › Voice and Speech Disorders
Keywords
thickened liquids, aspiration, head and neck cancer, dysphagia, videofluoroscopic swallowing study, bolus consistency, chemoradiotherapy, xerostomia, honey, nectar
MeSH terms
Deglutition Disorders, Enteral Nutrition, Head and Neck Neoplasms, Humans, Video Recording, Viscosity, Respiratory Aspiration

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