China Journal of Oral and Maxillofacial Surgery ›› 2025, Vol. 23 ›› Issue (1): 24-28.doi: 10.19438/j.cjoms.2025.01.005

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Application of modified Kuwata’s drinking water swallow test in swallowing function screening for patients with oral cancer after surgery

HE Xing-fang, WANG Shuai, DENG Yi-jun, LIN Zhu-mei, HUANG Qiu-yu   

  1. Department of Oral and Maxillofacial Surgery, Hospital of Stomatology, Sun Yat-sen University; Guanghua School of Stomatology, Sun Yat-sen University; Guangdong Provincial Key Laboratory of Stomatology. Guangzhou 510055, Guangdong Province, China
  • Received:2024-03-19 Revised:2024-05-24 Online:2025-01-20 Published:2025-01-23

Abstract: PURPOSE: To analyze the application effect of modified Kuwata's water swallow test in the swallowing function of patients after repair and reconstruction surgery as screening for oral cancer. METHODS: A total of 120 patients with oral cancer who underwent repair and reconstruction in our hospital from June 2020 to June 2022 were selected as the research subjects, and they were divided into control group and experimental group by random number table, with 60 cases in each group. The patients in the experimental group were screened and evaluated by modified Kuwata's water swallow test, while patients in the control group were screened by Kuwata's water swallow test. The two groups were compared with the number of evaluations, the rate of gastric tube removal, the rate of gastric tube replacement, and duration of gastric tube indwelling. SPSS 22.0 software package was used for data analysis. RESULTS: The number of evaluations, the rate of gastric tube repositioning, and the duration of gastric tube indwelling in the experimental group were significantly lower than those in the control group(P<0.05), and the gastric tube removal rate in the experimental group was significantly higher than that in the control group(P<0.05). CONCLUSIONS: Modified Kuwata's water swallow test is safer and efficacy than water swallow test of swallowing function screening in postoperative patients with oral cancer, and it is worthy of clinical implementation.

Key words: Oral cancer, Kuwata's water swallow test, Swallowing function, Gastric tube extraction

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