Abstract
Case 1, a 61-year-old male had suffered from dysphagia after undergoing an operation for oral base carcinoma. Case 2, a 79-year-old male with dysphagia due to pseudobulbar paralysis as a result of a cerebrovascular disorder and case 3, a 54-year-old male who demonstrated dysphagia after undergoing concurrent chemoradiotherapy for mesopharyngeal carcinoma. All 3 patients were treated by swallowing training and nutritional control by a nutrition support team (NST). Case 1 could eat nothing orally at admission. After treatment, however, he was able to eat highly softened rice gruel with highly softened chopped up foods and drink high caloric liquid food at the time of discharge. Case 2 could eat only a small amount of pulpy food that was mixed in a blender on admission, but after treatment, he was able to eat rice gruel with softened chopped food. Case 3 could eat nothing orally at admission, but after treatment, he was able to eat rice gruel with thickened pulpy food mixed in a blender and drink high caloric liquid food. In all cases the severity of the dysphagia improved while the nutritional condition of the 3 patients also became better. Based on these findings, close cooperation with the NST is thus considered to improve the outcome when performing swallowing training.
