Speech and swallowing function after oral and oropharyngeal resections: One‐year follow‐up

Pauloski, Barbara Roa; Logemann, Jerilyn A.; Rademaker, Alfred; McConnel, Fred M. S.; Stein, David; Beery, Quinter C.; Johnson, Jonas; Heiser, Mary Anne; Cardinale, Salvatore; Shedd, Donald P.; Graner, Darlene E.; Cook, Barbara S.; Milianti, Frank; Collins, Sharon L.; Baker, Tom

doi:10.1002/hed.2880160404

Cited by 146 publications

(108 citation statements)

References 13 publications

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“…The results of the present study indicate that oropharyngeal swallow efficiency (OPSE) in patients with oral cancer did not recover progressively between 1 and more than 12 months post-surgically, this supports the finding reported by Paulosky et al 4 .…”

Section: Discussionsupporting

confidence: 92%

“…Swallowing dysfunction after oral and pharyngeal resection with primary closure, distal flap, and vascularized free flap has been discussed [1][2][3][4][5][6][7] . Evaluation of the post-surgical swallowing function was performed mainly with videofluoroscopic measures [1][2][3][4][5][6] , but some authors use subjective methods such as questionnaires or similar with or without videofluoroscopic measurements [7][8][9][10][11][12] .…”

Section: Introductionmentioning

confidence: 99%

“…Evaluation of the post-surgical swallowing function was performed mainly with videofluoroscopic measures [1][2][3][4][5][6] , but some authors use subjective methods such as questionnaires or similar with or without videofluoroscopic measurements [7][8][9][10][11][12] . Pauloski 4 , Wagner 7 To clarify the course of the recovery of post-surgical swallowing dysfunction between 1 and more than 12 months after surgery, and to determine the correlation among videofluoroscopic measures and medical status indicators, post-surgical oropharyngeal swallow efficiency, nutritional condition, type of nutrition, diet levels, and the occurrence of pneumonia were investigated.…”

Section: Introductionmentioning

confidence: 99%

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Recovery from Postsurgical Swallowing Dysfunction in Patients With Oral Cancer

Tei

Maekawa

Kitada

et al. 2007

Journal of Oral and Maxillofacial Surgery

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TEL＆Fax 81-11-706-42831 Purpose: The present study was focused on a comparison of post-surgical oropharyngeal swallow efficiency and medical status indicators. Study design: The swallowing function was assessed in 25 patients (18 males and 7 females) with oral cancer. The swallowing function was assessed preoperatively, and 1, 6, and 12 months and in some cases more than 24 months after surgery. Assessment of the swallowing function consisted of videofluoroscopic evaluation (oropharyngeal swallow efficiency; OPSE) and details of the method of nutrition, diet level, nutritional condition, and occurrence of pneumonia. Results: Post-surgically OPSE did not recover to the preoperative level more than 12 months after surgery. Twenty-one patients (84%) had full oral intake and only three patients (12%) showed poorer nutritional conditions compared to the pre-surgery state. Aspiration pneumonia did not occur more than 12 months after surgery. Conclusions: The patients in the present study showed stable medical status and functional swallowing at the final evaluation despite of the insufficient recovery of the oropharyngeal swallow efficiency revealed by videofluoroscopic evaluation .

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Recovery from Postsurgical Swallowing Dysfunction in Patients With Oral Cancer

Tei

Maekawa

Kitada

et al. 2007

Journal of Oral and Maxillofacial Surgery

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“…HNC patients can be feeding tube dependent (e.g., percutaneous endoscopic gastrostomy [PEG] tube) for many months after CRT. Swallowing-related QOL often fails to improve in the period of 12 months after CRT [2]. Even with prophylactic swallowing exercises and nutritional support, dysphagia is prominent.…”

Section: Introductionmentioning

confidence: 99%

Acupuncture for Chemoradiation Therapy-Related Dysphagia in Head and Neck Cancer: A Pilot Randomized Sham-Controlled Trial

Wayne

Davis

et al. 2016

The Oncologist

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Introduction. Dysphagia is common in head and neck cancer patients after concurrent chemoradiation therapy (CRT). This study evaluated the feasibility of conducting a randomized sham-controlled trial and collected preliminary data on safety and efficacy of acupuncture. Patients and Methods. Head and neck cancer (HNC) patients with stage III-IV squamous cell carcinoma were randomized to 12 sessions of either active acupuncture (AA) or sham acupuncture (SA) during and following CRT. Patients were blinded to treatment assignment. Swallowing-related quality of life (QOL) was assessed using the MD Anderson Dysphagia Inventory (MDADI) total and subscale scores. Results. Multiple aspects of trial feasibility were confirmed. Forty-two of 196 patients screened (21%) were enrolled and randomized to receive AA (n 5 21) or SA (n 5 21); 79% completed at least 10 of 12 planned acupuncture sessions; 81%

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“…1 Howev er, resection of the maxillofacial region can cause functional disorders in speech, mastication, and swallowing. 2,3 Speech is very important as a means of communication, and accordingly, speech disor ders caused by resection impair the quality of life of maxillofacial patients. 4,5 Therefore, the rehabili tation of speech is one of the most important aims of maxillofacial prosthetic treatment.…”

Section: Introductionmentioning

confidence: 99%

Investigation of the Factors Influencing the Outcome of Prostheses on Speech Rehabilitation of Mandibulectomy Patients

Hagino

Inohara

Sumita

et al. 2008

J Jpn Prosthodont Soc

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Speech rehabilitation with prosthodontic treatment af ter mandibulectomy is difficult and hard to predict. Our study revealed that the ease of tongue movement, no soft tissue grafting, and mandibular continuity were related to the recovery of speech ability with prosthodon tic treatment, and we can predict the recovery before prosthodontic treatment. AbstractPurpose: The aim of this study was to investigate the factors influencing the outcome of prostheses on speech rehabilitation of mandibulectomy patients.Methods: Eleven patients (6 males and 5 females) who underwent mandibulectomy without glossectomy be cause of a tumor participated in the study. A Speech Intelligibility (SI) test was applied without and with a prosthesis to evaluate their speech ability. The type of resection, whether soft tissue grafting was undertaken or not, the continuity of mandibular bone, and the num ber of remaining teeth related to the stability of the prosthesis were determined from the medical records. The some of acoustic features, Formant 1 and Formant 2 range, were investigated to evaluate objectively the limitation of tongue movement. Five questionnaires were sent out to evaluate subjectively the difference in sense of discomfort while speaking with and without the prosthesis. These eleven items were entered into stepwise multiple regression models to determine the predictors of the differences in SI score without and with a prosthesis.Results: Three variables, the ease of tongue movements, whether soft tissue grafting was undertaken or not, and whether the mandibular bone was continuous or not, contributed to the recovery of speech ability with prosth odontic treatment. Conclusion:The ease of tongue movement, no soft tis sue grafting, and the continuity of mandibular bone contribute to the recovery of speech ability with prosth odontic treatment.

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Speech and swallowing function after oral and oropharyngeal resections: One‐year follow‐up

Cited by 146 publications

References 13 publications

Recovery from Postsurgical Swallowing Dysfunction in Patients With Oral Cancer

Recovery from Postsurgical Swallowing Dysfunction in Patients With Oral Cancer

Acupuncture for Chemoradiation Therapy-Related Dysphagia in Head and Neck Cancer: A Pilot Randomized Sham-Controlled Trial

Investigation of the Factors Influencing the Outcome of Prostheses on Speech Rehabilitation of Mandibulectomy Patients

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