Speech therapy in head and neck cancer

Rossi, Vaneli Colombo; Moraes, Juliana Lopes de; Molento, Camila Ferreira

doi:10.1016/j.bjorl.2021.02.002

Cited by 2 publications

(2 citation statements)

References 4 publications

(6 reference statements)

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“…32,33 Dysphagia and dysphonia presented by the patient are deficits commonly found after excision of parapharyngeal space tumors with postoperative cranial nerve dysfunction. 34,35 Confirm that early assessment and speech therapy offer better prognosis in functionality rehabilitation. 18,19,34,35 It is known that the clinical manifestations presented in facial paralysis range from facial asymmetry to form and function disorders such as incomplete eye closure, nasolabial sulcus deviation, reduced orbicularis oris strength, inability to and disfigurement of the muscles of facial mimicry.…”

Section: Discussionmentioning

confidence: 74%

“…34,35 Confirm that early assessment and speech therapy offer better prognosis in functionality rehabilitation. 18,19,34,35 It is known that the clinical manifestations presented in facial paralysis range from facial asymmetry to form and function disorders such as incomplete eye closure, nasolabial sulcus deviation, reduced orbicularis oris strength, inability to and disfigurement of the muscles of facial mimicry. In this study, it was observed, through the performance of exercises for the stomatognathic functions and mainly aimed at the rehabilitation of facial mime, which had as objectives the gain of tonus and strength of the oral musculature.…”

Section: Discussionmentioning

confidence: 74%

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Speech therapy rehabilitation in Tapia´s syndrome: case report

Spacassassi¹,

Pereira²

2023

IPMRJ

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Tapia’s syndrome is charaterized by damage to the recurrent laryngeal nerve (branch of the Xth) and the hypoglossal nerve (XIIth), and in some cases, the accessory nerve (XIth) may also be affected. The cause is usually trauma to the point where the hypoglossal and vagus intersect. This results in lingual hemiparesis, vocal fold paralysis and dysphagia. Objective: to present the results of speech therapy in a case that evolved with Tapia´s Syndrome after the excision of a tumour in the parapharyngeal space. Case report: male patient, 71 years old, submitted to excision of a Schwannoma in the vagus nerve, with parotid invasion. Evolved with: dysarthria; severe dysphagia; lack of flow control; dysphonia; facial paralysis and dyspnoea. Six months after surgery, thyroplasty and botulinum toxin injections were performed in the cricopharyngeal muscle and salivary glands, which ensured a temporary improvement in voice and control of salivary flow. Results: The rehabilitation process consisted of stimulating the mobility of the muscles responsible for facial mimicry, reintegration of stomatognathic functions, swallowing and voice. After two years of speech therapy, the patient showed improvement in the mobility of the facial mimic muscles, a slight improvement in the vocal pattern, in addition to an improvement in the breathing pattern. Conclusion: despite the limitations and functional complexities encountered in the postoperative period, there was evidence of improvement in the patient’s quality of life after performing clinical procedures combined with the therapeutic process.

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Section: Discussionmentioning

confidence: 74%

Section: Discussionmentioning

confidence: 74%

Speech therapy rehabilitation in Tapia´s syndrome: case report

Spacassassi¹,

Pereira²

2023

IPMRJ

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Prehabilitation of dysphagia in the therapy of head and neck cancer- a systematic review of the literature and evidence evaluation

Vester,

Muhr,

Meier

et al. 2023

Front. Oncol.

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BackgroundPrehabilitation is becoming increasingly important in oncology because of the significant survival benefits that the reduction of malnutrition provide. Specifically, tumor- and therapy-related dysphagia leads to malnutrition in more than half of head and neck tumor patients. Studies describe the positive effects of an early onset of swallow-specific prehabilitation on the protection of the swallowing function. This paper intents to evaluate the existing evidence on the efficacy of preventive forms of swallowing therapy.MethodsA systematic literature search was performed in February 2022 in the Cochrane Library, MEDLINE via PubMed, and ClinicalTrials.gov databases for randomized controlled trials investigating preventive swallowing therapy in head and neck tumor patients. This Procedure complies with the PRISMA statement. The RCTs were evaluated by using the PEDro Scale and the Cochrane Risk of Bias tool RoB2.ResultsFive randomized-controlled trials with 423 participants were identified. Four Studies showed moderate to high quality in the PEDro analysis, one showed less. The risk of bias was high in all studies because there was no possibility for blinding and there were high dropout rates. Heterogeneity in interventions, measurement instruments, measurement time points, and outcomes limits a general statement about which swallowing exercises are suitable for the prevention of dysphagia in head and neck tumor patients. Evidence is provided for short-term effects (≤24 months) on functional aspects of swallowing and quality of life. Overall, a decreasing adherence over time was observed in the intervention groups.DiscussionInitial studies describe swallowing-specific prehabilitation programs in head and neck tumor patients as effective, at least in the short term, whereas long-term effects need to be further investigated. At the current time the evidence base for clear recommendations does not appear to be sufficiently high and studies share a high risk of bias. Further well-designed research, especially considering the conditions in the national health care system, is needed.OtherThere was no funding and no registration.

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Speech therapy in head and neck cancer

Cited by 2 publications

References 4 publications

Speech therapy rehabilitation in Tapia´s syndrome: case report

Speech therapy rehabilitation in Tapia´s syndrome: case report

Prehabilitation of dysphagia in the therapy of head and neck cancer- a systematic review of the literature and evidence evaluation

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