Speech and swallowing function after oral and oropharyngeal resections: one-year follow-up. Head Neck 1994;16(4):313-22
Date
07/01/1994Pubmed ID
8056575DOI
10.1002/hed.2880160404Scopus ID
2-s2.0-0028362304 (requires institutional sign-in at Scopus site) 136 CitationsAbstract
BACKGROUND: The purpose of this study was to determine whether the speech and swallowing function of surgically treated oral cancer patients improves between 1 month and 1 year after surgery.
METHODS: Speech and swallowing performances were assessed for 28 men and 10 women preoperatively and at 1, 3, 6, and 12 months postoperatively following a standardized protocol. Speech tasks included an audio recording of a brief conversation and of a standard articulation test; swallowing function was examined using videofluoroscopy. Data were also collected on the number and duration of speech/swallowing therapy sessions, as well as the amount and duration of radiotherapy.
RESULTS: Statistical analyses revealed that the speech and swallowing function of surgically treated oral and oropharyngeal cancer patients did not improve progressively between 1 and 12 months postsurgery; the level of functioning that these patients demonstrated at the 1- and 3-month posthealing evaluations was characteristic of their status at 1 year after surgery.
CONCLUSION: The lack of improvement between 1 and 12 months postsurgery may be related to the relatively small amount of therapy that these patients received during that period. Several outcome variables worsened significantly at the 6-month evaluation; the reversal of function at the 6-month evaluation point could be the effect of postoperative radiotherapy, because irradiated and nonirradiated patients differed in their pattern of recovery on oropharyngeal swallow efficiency and several speech variables.
Author List
Pauloski BR, Logemann JA, Rademaker AW, McConnel FM, Stein D, Beery Q, Johnson J, Heiser MA, Cardinale S, Shedd DAuthor
Barbara R. Pauloski PhD, CCC-SLP Associate Professor in the Communication Sciences & Disorders department at University of Wisconsin - MilwaukeeMESH terms used to index this publication - Major topics in bold
Analysis of VarianceCombined Modality Therapy
Deglutition Disorders
Female
Follow-Up Studies
Humans
Linear Models
Male
Middle Aged
Mouth Neoplasms
Oropharyngeal Neoplasms
Prospective Studies
Radiotherapy
Speech Articulation Tests
Speech Disorders
Speech Therapy
Time Factors
