Nehal Elmashad

Publications

• Research Article   
  Dysphagia-Optimized Intensity-Modulated Radiotherapy versus Standard Intensity-Modulated Radiotherapy in Head and Neck Cancer Patients
  Author(s): Sara M El-badawy*, Nehal Elmashad, Rasha Khedr and Fatma Zakaria
  
  Purpose: Improving the functional outcomes of head and neck cancer (HNC) patients is pivotal, as healthier patients are increasingly cured with concurrent chemo-radiotherapy (CCRT), with a real risk of pharyngeal cripples. Current evidence confirms that a significant relationship exists between pharyngeal constrictor muscle (PCM) radiation and persistent dysphagia. Therefore, our study was to determine if reducing the radiation dose to the PCM via DO-IMRT (dysphagia optimized), which would improve swallowing compared with S-IMRT (standard) and to investigate the longitudinal pattern of swallowing function post radiotherapy via the MDADI (MD Anderson dysphagia inventory). Methods and Materials: This prospective, parallel, single-blinded, randomized controlled study included patients who underwent definitive CCRT for pathologically confirmed HNC (squamous cell carcinoma). Evaluations we.. Read More»
  

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