Pain, function, and psychologic outcome before, during, and after intraoral tumor resection

Gellrich, N.‐C.; Schimming, Ronald; Schramm, Alexander; Schmalohr, Dorothea; Bremerich, A; Kügler, Joachim

doi:10.1053/joms.2002.33244

Cited by 78 publications

(64 citation statements)

References 23 publications

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“…Its treatment often negatively affects expressive speech skills and reduces speech intelligibility. As a consequence, patients' postoperative quality of life can be significantly impaired [2] . There is no standardized assessment of speech disorders in adults or children at national or international level [3][4][5] .…”

Section: Introductionmentioning

confidence: 99%

Automatic Quantification of Speech Intelligibility of Adults with Oral Squamous Cell Carcinoma

Windrich

Maier²,

Köhler³

et al. 2008

Folia Phoniatr Logop

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Objective: It has been the aim of the present study to introduce a novel automatic technique for the objective and quantitative assessment of speech intelligibility to the evaluation of postoperative outcome. Patients and Methods: Forty-six patients with oral carcinomas, mean age 59.8 ± 10.1 years, and an age-matched control group of 40 subjects without oral diseases. Recordings of a standard text read by the patients and the control group were analyzed by an automatic speech recognition system. Results: For the patients, automatic speech recognition yielded word recognition rates between 8 and 82% (mean 49 ± 19%), for the control group between 60 and 91% (76 ± 7%). Automatic evaluation closely correlated with the experts’ perceptual evaluation of intelligibility (r = –0.93; p < 0.01). The multi-rater kappa of the experts alone (0.55) differed only slightly from the multi-rater kappa of the experts and the speech recognition system (0.58). Conclusion: For adults with speech disorders, automatic speech recognition may serve as a valuable tool to assess global speech outcome after treatment of oral squamous cell carcinoma objectively and quantitatively for clinical and research purposes.

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Section: Introductionmentioning

confidence: 99%

Automatic Quantification of Speech Intelligibility of Adults with Oral Squamous Cell Carcinoma

Windrich

Maier²,

Köhler³

et al. 2008

Folia Phoniatr Logop

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show abstract

“…The last of these remains one of the more significant challenges to effective treatment in the long term, as the overall survival rates for SCCHN have not radically improved since the 1970s [3,15,16,22,23,24,25,26,27,28]. In addition, pain remains a common symptom in SCCHN patients and suffering has been underevaluated in patients with primary stage SCCHN [15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31,32,33,34,35,36,37].…”

Section: Introductionmentioning

confidence: 99%

A qualitative study of head and neck cancer

Moore

Chamberlain

Khuri

2004

Supportive Care in Cancer

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The findings presented contribute to quality of life (QOL) research by highlighting the significance of factors affecting the communication by patients with primary-stage squamous cell carcinoma of the head and neck cancer (SCCHN) of their experiences of suffering after treatment to their clinicians. Qualitative research methodology based on open-ended interviews with 18 survivors of American Joint Committee on Cancer primary stage I and II SCCHN were used. The interviews were transcribed verbatim and thematically analyzed. Three important themes emerged: (1). a diminished self (2). fears of addiction, and (3). hopelessness and the loss of meaning in life after SCCHN. The findings indicate that SCCHN patients under-report their experiences mainly due to fear. As a consequence, and perhaps due to a failure on the part of clinicians and patients to adequately address such fears, SCCHN patients may experience greater psychological morbidity, becoming increasingly fatalistic about biomedicine's ability to restore them to health after cancer despite being "cured", or to relieve related symptoms. This qualitative study provides a perspective as to why such under-reporting occurs, thereby potentially enhancing clinician-patient communication and the QOL of SCCHN patients who present with curable disease.

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“…The effects of impaired ingestion and speech, induced by oral dysfunction, on psychological well-being and social behavior have been previously described [25, 26, 37]. Gellrich et al [17] reported that challenges with eating and weight loss lead to restricted activity and reduced public appearance.…”

Section: Discussionmentioning

confidence: 99%

Physical and Psychological Impairments Associated with Mucositis after Oral Cancer Treatment and Their Impact on Quality of Life

et al. 2019

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Background: Posttherapeutic mucositis is a common secondary effect of oral cancer treatment. Mucositis affects the oral mucosa, which leads to specific physical impairments in oral function and a negative impact on quality of life. Objective: To evaluate the impairments associated with oral mucositis and their impact on posttherapeutic quality of life. Methods: A retrospective analysis was conducted on 1,652 patients treated for oral cancer during the multicenter rehabilitation study of the German-Austrian-Swiss Cooperative Group on Tumors of the Maxillofacial Region (DÖSAK), which included 43 clinics from Germany, Austria, and Switzerland. The analysis was based on questionnaires filled out by patients following treatment. Results: Approximately 10% of 1,652 patients included in our study had physical or psychological impairments due to increased posttreatment oral mucositis; this was mainly due to adjuvant radiotherapy or radiochemotherapy administered. Oral mucositis was significantly associated with specific physical impairments, especially xerostomia and pain (p = 0.000), which required supportive care and analgesia (p = 0.000). Additionally, impaired ingestion and speech significantly led to psychological disorders such as public avoidance behavior and social isolation (p = 0.001). Depressive coping of disease (p = 0.001) and concomitant depressive tendencies (p = 0.004) were highly associated with mucositis, which was accompanied by diminished general condition (p = 0.001), bleak future prospects (p = 0.006), and a reduction in quality of life (p = 0.002). Conclusion: Minimizing mucositis-related impairments should be a main effort in oral cancer treatment to optimize patient outcome and improve quality of life after therapy.

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Pain, function, and psychologic outcome before, during, and after intraoral tumor resection

Cited by 78 publications

References 23 publications

Automatic Quantification of Speech Intelligibility of Adults with Oral Squamous Cell Carcinoma

Automatic Quantification of Speech Intelligibility of Adults with Oral Squamous Cell Carcinoma

A qualitative study of head and neck cancer

Physical and Psychological Impairments Associated with Mucositis after Oral Cancer Treatment and Their Impact on Quality of Life

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