Speech outcome after surgical treatment for oral and oropharyngeal cancer: A longitudinal assessment of patients reconstructed by a microvascular flap

Borggreven, Pepijn A.; Leeuw, Irma M. Verdonck‐de; Langendijk, Johannes A.; Doornaert, P.; Koster, Marike N.; Bree, Remco de; Leemans, C. René

doi:10.1002/hed.20236

Cited by 60 publications

(39 citation statements)

References 30 publications

(12 reference statements)

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“…Like /k/, /x/ is also a velar consonant, which appears to be problematic for this patient population. These results are in agreement with earlier research [7,21,23] . The results concerning differentiation between groups can be explained by structure alterations of the vocal tract after tumor involvement and treatment.…”

Section: Discussionsupporting

confidence: 83%

“…Especially acoustic-phonetic parameters of /k/, /x/, /i/, and the size of the vowel triangle predicted best subjective assessment of overall intelligibility, articulation, nasal resonance and self-evaluation of speech. The result regarding /k/ is also reported [7] , where listeners often judged /k/ as /x/. Production of velar consonants such as /k/ and /x/ require a posterior move of the tongue towards the oropharyngeal region and an adequate motility of the velum.…”

Section: Discussionmentioning

confidence: 50%

“…Speech raters often mistook /k/ for /x/ [7,12] . For /k/ the duration of air pressure release (the so-called plosive) as a percentage of the total duration (short silent period of pressure building + the pressure release) was measured and used as outcome measure.…”

Section: Acoustic-phonetic Analysesmentioning

confidence: 99%

“…Results obtained from subjective assessments reveal correlations between tumor stage, intelligibility and articulation: patients with a smaller tumor (T2) have better intelligibility and articulation than patients with larger tumors (T3-T4). Nasal resonance and articulation of patients are significantly worse than in healthy individuals [7] . Nasal resonance in patients treated for tumors in the oropharynx appears to be worse than in patients with oral tumors.…”

Section: Introductionmentioning

confidence: 99%

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Objective Acoustic-Phonetic Speech Analysis in Patients Treated for Oral or Oropharyngeal Cancer

Bruijn

Bosch

Kuik

et al. 2009

Folia Phoniatr Logop

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Objective: Speech impairment often occurs in patients after treatment for head and neck cancer. New treatment modalities such as surgical reconstruction or (chemo)radiation techniques aim at sparing anatomical structures that are correlated with speech and swallowing. In randomized trials investigating efficacy of various treatment modalities or speech rehabilitation, objective speech analysis techniques may add to improve speech outcome assessment. The goal of the present study is to investigate the role of objective acoustic-phonetic analyses in a multidimensional speech assessment protocol. Patients and Methods: Speech recordings of 51 patients (6 months after reconstructive surgery and postoperative radiotherapy for oral or oropharyngeal cancer) and of 18 control speakers were subjectively evaluated regarding intelligibility, nasal resonance, articulation, and patient-reported speech outcome (speech subscale of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Head and Neck 35 module). Acoustic-phonetic analyses were performed to calculate formant values of the vowels /a, i, u/, vowel space, air pressure release of /k/ and spectral slope of /x/. Results: Intelligibility, articulation, and nasal resonance were best predicted by vowel space and /k/. Within patients, /k/ and /x/ differentiated tumor site and stage. Various objective speech parameters were related to speech problems as reported by patients. Conclusion: Objective acoustic-phonetic analysis of speech of patients is feasible and contributes to further development of a speech assessment protocol.

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Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 50%

Section: Acoustic-phonetic Analysesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Objective Acoustic-Phonetic Speech Analysis in Patients Treated for Oral or Oropharyngeal Cancer

Bruijn

Bosch

Kuik

et al. 2009

Folia Phoniatr Logop

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“…T classification is a known determinant of speech problems. 13 Patients treated for T1 tumors had significantly lower SHI scores compared to patients with T2, T3, or T4 tumors (p < .01).…”

Section: Subjectsmentioning

confidence: 87%

Speech Handicap Index in patients with oral and pharyngeal cancer: Better understanding of patients' complaints

et al. 2008

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Speech and Swallowing Impairment After Treatment for Oral and Oropharyngeal Cancer

Suarez-Cunqueiro

Schramm²,

Schoen³

et al. 2008

Arch Otolaryngol Head Neck Surg

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Speech outcome after surgical treatment for oral and oropharyngeal cancer: A longitudinal assessment of patients reconstructed by a microvascular flap

Abstract: Speech difficulties are significant, and with the knowledge of this study better counseling and vigilance as to speech difficulties may be possible in patients undergoing treatment for oral/oropharyngeal cancer.

Cited by 60 publications

References 30 publications

Objective Acoustic-Phonetic Speech Analysis in Patients Treated for Oral or Oropharyngeal Cancer

Objective Acoustic-Phonetic Speech Analysis in Patients Treated for Oral or Oropharyngeal Cancer

Speech Handicap Index in patients with oral and pharyngeal cancer: Better understanding of patients' complaints

Speech and Swallowing Impairment After Treatment for Oral and Oropharyngeal Cancer

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