Rehabilitation of Swallowing and Communication Following Glossectomy

LaBlance, Gary R.; Kraus, Karen; Steckol, Karen F.

doi:10.1002/j.2048-7940.1991.tb01231.x

Cited by 24 publications

(14 citation statements)

References 28 publications

(30 reference statements)

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“…This is in agreement with Borggreven et al [54], who found that patients with oral cavity tumors (vs. oropharyngeal tumors) and patients with T3-T4 tumors (vs. T2 tumors) had worse speech and oral function scores, which is in contrast to the results of earlier studies [72,73]. Ablative surgery that involves the most anterior portion of the tongue is associated with significantly altered speech, whereas resections that incorporate the posterior tongue affect swallowing [38]. Adjunctive radiotherapy further impairs speech and swallowing; this is also in agreement with the results of this study, in which patients who received radiotherapy and surgery and radiotherapy showed the statistically significant lowest mean score.…”

Section: Discussionsupporting

confidence: 88%

“…Complications with eradication of disease include failure to cure the disease [35,36], altered masticatory function and nutrition [37], speech and swallowing disruption [38][39][40], disfigurement [36], osteoradionecrosis in patients who have received doses of radiation for head and neck malignancies in excess of 6000 cGy [41,42], xerostomia [43] as residual saliva tends to be thick and viscous and loses its ability to lubricate, cleanse, and protect, in addition to reconstruction and donor-site morbidity such as unesthetic scar, hardware failure, and tissue deficits [36].…”

Section: Introductionmentioning

confidence: 99%

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Health-related quality of life in oral cancer survivors

Musa¹,

Mosleh²,

Shawky³

et al. 2015

Egyptian Journal of Oral & Maxillofacial Surgery

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Aim After surgery and radiation for the treatment of oral cancer, patients often develop oral complications such as speech, swallowing problems, and limited mouth opening. These problems may be caused by surgery and radiation. This study is a survey guided by a questionnaire for the post-treatment quality of life (QOL) in oral cancer patients in terms of the complications of cancer therapy. Patients and methodsThis study was carried out as a survey using the University of Washington Quality-of-Life Questionnaire aiming to identify different patterns of health-related QOL of patients with oral cancer. A total of 192 patients treated with surgery and/or radiation for oral cancer were interviewed. Maximal interincisal mouth opening was measured in these patients. ResultsPatients with tumors of posterior areas and patients with late stages showed a statistically significantly higher prevalence of limited mouth opening. Patients with limited mouth opening (trismus) showed a statistically significant lower mean score in the swallowing domain. The overall QOL questionnaire showed that the highest mean score was found with saliva (84.7), followed by taste (84.5). The lowest mean score was found with chewing (53.8), followed by swallowing (74.2). The overall mean QOL score was 75.9.Conclusion About half of the patients who underwent primary treatment for oral cancer developed trismus and reported problems with eating and speech. Chewing was identified as the poorest rating domain and presented the highest proportion of complaints in the sample of this study. Egypt J Oral Maxillofac Surg 6:81-95

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Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Health-related quality of life in oral cancer survivors

Musa¹,

Mosleh²,

Shawky³

et al. 2015

Egyptian Journal of Oral & Maxillofacial Surgery

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“…In general, surgical ablation that involves the most anterior region of the tongue is often associated with significant speech alteration, whereas ablation that incorporates the posterior tongue affects swallowing [26–29]. With tumor ablation and the subsequent loss of a significant portion of the tongue, the manipulation and formation of the bolus (the oral preparatory phase) and the transfer of bolus from the anterior oral cavity to the posterior tonsillar area (the initiation of the swallowing reflex) are severely restricted [30].…”

Section: Oral Complications Of Cancer Therapymentioning

confidence: 99%

Oral Complications and Management Strategies for Patients Undergoing Cancer Therapy

Wong

2014

The Scientific World Journal

102

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With cancer survival rate climbing up over the past three decades, quality of life for cancer patients has become an issue of major concern. Oral health plays an important part in one's overall quality of life. However, oral health status can be severely hampered by side effects of cancer therapies including surgery, chemotherapy, radiotherapy, and hematopoietic stem cell transplantation. Moreover, prevention and treatment of these complications are often overlooked in clinical practice. The present paper aims at drawing health care professionals' attention to oral complications associated with cancer therapy by giving a comprehensive review. Brief comments on contemporary cancer therapies will be given first, followed by detailed description of oral complications associated with cancer therapy. Finally, a summary of preventive strategies and treatment options for common oral complications including oral mucositis, oral infections, xerostomia, and dysgeusia will be given.

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“…[1][2][3][4][5] Swallowing function in these patients may be affected by the degree of resection and the nature of reconstruction. [1][2][3][4][5] Swallowing function in these patients may be affected by the degree of resection and the nature of reconstruction.…”

mentioning

confidence: 99%

Impact of tongue base and posterior pharyngeal wall biomechanics on pharyngeal clearance in irradiated postsurgical oral and oropharyngeal cancer patients

Pauloski

Logemann

2000

Head Neck

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Background Postsurgical oral and oropharyngeal cancer patients may experience pharyngeal clearance problems after completion of postoperative radiotherapy. Methods Swallowing was examined in six patients using videofluoroscopy for up to 1 year after surgery. Biomechanical analysis was used to mark movement of the tongue base and posterior pharyngeal wall during swallowing. Results The majority of patients experienced increased problems with pharyngeal clearance at or after their 6 month posthealing evaluation, generally 18 to 22 weeks after completion of radiotherapy. Pharyngeal residue was associated with a disruption in either tongue base or posterior pharyngeal wall movement. Conclusions Increased fibrosis of the pharyngeal musculature after completion of radiotherapy may have a negative impact on pharyngeal clearance in addition to any pharyngeal clearance problems resulting from surgical resection. Tongue base to posterior pharyngeal wall contact is essential but not sufficient for effective pharyngeal clearance. Sufficient duration of tongue base to posterior pharyngeal wall contact is also needed to provide adequate pharyngeal bolus driving pressure. © 2000 John Wiley & Sons, Inc. Head Neck 22: 120–131, 2000.

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Rehabilitation of Swallowing and Communication Following Glossectomy

Cited by 24 publications

References 28 publications

Health-related quality of life in oral cancer survivors

Health-related quality of life in oral cancer survivors

Oral Complications and Management Strategies for Patients Undergoing Cancer Therapy

Impact of tongue base and posterior pharyngeal wall biomechanics on pharyngeal clearance in irradiated postsurgical oral and oropharyngeal cancer patients

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