PMID- 37511742 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230801 IS - 2075-4426 (Print) IS - 2075-4426 (Electronic) IS - 2075-4426 (Linking) VI - 13 IP - 7 DP - 2023 Jul 12 TI - Evaluation of the Safety of Percutaneous Sensory Nerve Stimulation in Patients with Head and Neck Cancer Receiving Chemoradiotherapy. LID - 10.3390/jpm13071129 [doi] LID - 1129 AB - Chemoradiotherapy (CRT) is the standard treatment for locally advanced head and neck cancer; however, CRT may cause post-treatment dysphagia. Transcutaneous electrical sensory stimulation (TESS), developed in recent years for swallowing rehabilitation, is used at many medical facilities. Although TESS has been used for dysphagia in several fields, its safety and efficacy in patients with head and neck cancer remain to be clarified. Therefore, this study evaluated the safety of TESS in ten patients with head and neck cancers undergoing CRT. Swallowing rehabilitation intervention and TESS implementation were performed for all patients during CRT. Non-blood-toxicity adverse events (AEs), such as dermatitis and mucositis, occurred during CRT; however, the severity was less than grade 3. No patient experienced pain due to TESS. As survival time analysis using the Kaplan-Meier method for interferential current device implementation rates revealed a feasibility of 100% for up to 60 Gy and a feasibility of 78% for up to 70 Gy, TESS may be feasible until 70 Gy. This study confirmed the feasibility and safety of TESS in the head and neck region during CRT. Although the precise mechanism of TESS on dysphagia remains unclear, its continued use has great potential for improving sensory disturbance. FAU - Hamamoto, Takao AU - Hamamoto T AUID- ORCID: 0000-0001-9728-1264 AD - Department of Otorhinolaryngology, Head and Neck Surgery, Hiroshima University Hospital, 1-2-3, Kasumi, Minami-ku, Hiroshima 734-8551, Japan. FAU - Sato, Yuki AU - Sato Y AD - Department of Otorhinolaryngology, Head and Neck Surgery, Hiroshima University Hospital, 1-2-3, Kasumi, Minami-ku, Hiroshima 734-8551, Japan. FAU - Yumii, Kohei AU - Yumii K AD - Department of Otorhinolaryngology, Head and Neck Surgery, Hiroshima University Hospital, 1-2-3, Kasumi, Minami-ku, Hiroshima 734-8551, Japan. FAU - Chikuie, Nobuyuki AU - Chikuie N AD - Department of Otorhinolaryngology, Head and Neck Surgery, Hiroshima University Hospital, 1-2-3, Kasumi, Minami-ku, Hiroshima 734-8551, Japan. FAU - Taruya, Takayuki AU - Taruya T AD - Department of Otorhinolaryngology, Head and Neck Surgery, Hiroshima University Hospital, 1-2-3, Kasumi, Minami-ku, Hiroshima 734-8551, Japan. FAU - Horibe, Yuichiro AU - Horibe Y AD - Department of Otorhinolaryngology, Head and Neck Surgery, Hiroshima University Hospital, 1-2-3, Kasumi, Minami-ku, Hiroshima 734-8551, Japan. FAU - Ishino, Takashi AU - Ishino T AUID- ORCID: 0000-0002-0646-0839 AD - Department of Otorhinolaryngology, Head and Neck Surgery, Hiroshima University Hospital, 1-2-3, Kasumi, Minami-ku, Hiroshima 734-8551, Japan. FAU - Ueda, Tsutomu AU - Ueda T AD - Department of Otorhinolaryngology, Head and Neck Surgery, Hiroshima University Hospital, 1-2-3, Kasumi, Minami-ku, Hiroshima 734-8551, Japan. FAU - Takeno, Sachio AU - Takeno S AUID- ORCID: 0000-0002-9853-2501 AD - Department of Otorhinolaryngology, Head and Neck Surgery, Hiroshima University Hospital, 1-2-3, Kasumi, Minami-ku, Hiroshima 734-8551, Japan. FAU - Yoshimura, Kenichi AU - Yoshimura K AD - Medical Center for Translational and Clinical Research, Hiroshima University Hospital, Hiroshima 734-8555, Japan. LA - eng PT - Journal Article DEP - 20230712 PL - Switzerland TA - J Pers Med JT - Journal of personalized medicine JID - 101602269 PMC - PMC10381452 OTO - NOTNLM OT - chemoradiotherapy OT - dysphagia OT - electric stimulation OT - head and neck neoplasms OT - swallowing COIS- The Food Care Corporation provided the consumables used for attaching the IFCDs. Conflicts related to this study were properly managed using standards for the management of Conflicts of Interest in Clinical Research under the Clinical Research Act. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript; or in the decision to publish the results. EDAT- 2023/07/29 11:44 MHDA- 2023/07/29 11:45 PMCR- 2023/07/12 CRDT- 2023/07/29 01:26 PHST- 2023/05/31 00:00 [received] PHST- 2023/07/07 00:00 [revised] PHST- 2023/07/09 00:00 [accepted] PHST- 2023/07/29 11:45 [medline] PHST- 2023/07/29 11:44 [pubmed] PHST- 2023/07/29 01:26 [entrez] PHST- 2023/07/12 00:00 [pmc-release] AID - jpm13071129 [pii] AID - jpm-13-01129 [pii] AID - 10.3390/jpm13071129 [doi] PST - epublish SO - J Pers Med. 2023 Jul 12;13(7):1129. doi: 10.3390/jpm13071129.