The role of the speech and language therapist in the rehabilitation of speech, swallowing, voice and trismus in people diagnosed with head and neck cancer

Rothrie, ﻿Sinead; Fitzgerald, Eavan; Brady, Grainne; Roe, Justin

doi:10.1038/s41415-022-5145-2

Cited by 4 publications

(4 citation statements)

References 49 publications

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“…Assessment of dysphagia in the HNC population typically consists of clinical and instrumental assessments in combination with patient-reported outcome measures (PROMs). Specific measures are outlined comprehensively in scientific literature [ 2 , 6 , 7 ]. Dynamic instrumental assessment of swallowing is considered gold standard.…”

Section: Slp Management Of Dysphagiamentioning

confidence: 99%

“…An overall benefit to swallow rehabilitation following curative chemoradiotherapy has been suggested, regardless of the timing of intervention [ 17 ]. However, although the majority of SLPs recommend post-treatment maintenance programmes [ 42 ], there is a paucity of evidence defining optimal timing and intensity of intervention [ 7 , 17 , 43 ].…”

Section: Slp Management Of Dysphagiamentioning

confidence: 99%

“…In palliative and end-of-life care, SLPs work closely with the wider multidisciplinary team (MDT) to consider intervention approaches, with recognition of confounding preexisting difficulties when treating disease recurrence [ 7 ]. SLPs, alongside other healthcare professionals, have a responsibility for ongoing advocacy for this patient cohort through palliation [ 72 ].…”

Section: Slp Management Of Dysphagiamentioning

confidence: 99%

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Post-Radiotherapy Dysphagia in Head and Neck Cancer: Current Management by Speech-Language Pathologists

Govender,

Gilbody,

Simson

et al. 2024

Curr. Treat. Options in Oncol.

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Opinion statementDysphagia, difficulty in eating and drinking, remains the most common side effect of radiotherapy treatment for head and neck cancer (HNC) with devastating consequences for function and quality of life (QOL). Over the past decade, 5-year survival has improved due to multiple factors including treatment advances, reduction in smoking, introduction of the human papillomavirus (HPV) vaccine and more favourable prognosis of HPV-related cancers. Increased prevalence of HPV-positive disease, which tends to affect younger individuals, has led to an elevated number of people living for longer with the sequelae of cancer and its treatment. Symptoms are compounded by late effects of radiotherapy which may lead to worsening of dysphagia for some long-term survivors or new-onset dysphagia for others. Speech-language pathology (SLP) input remains core to the assessment and management of dysphagia following HNC treatment. In this article, we present current SLP management of dysphagia post-radiotherapy. We discuss conventional treatment approaches, the emergence of therapy adjuncts and current service delivery models. The impact of adherence on therapy outcomes is highlighted. Despite treatment advancements, patients continue to present with dysphagia which is resistant to existing intervention approaches. There is wide variation in treatment programmes, with a paucity of evidence to support optimal type, timing and intensity of treatment. We discuss the need for further research, including exploration of the impact of radiotherapy on the central nervous system (CNS), the link between sarcopenia and radiotherapy-induced dysphagia and the benefits of visual biofeedback in rehabilitation.

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Section: Slp Management Of Dysphagiamentioning

confidence: 99%

Section: Slp Management Of Dysphagiamentioning

confidence: 99%

Section: Slp Management Of Dysphagiamentioning

confidence: 99%

See 1 more Smart Citation

Post-Radiotherapy Dysphagia in Head and Neck Cancer: Current Management by Speech-Language Pathologists

Govender,

Gilbody,

Simson

et al. 2024

Curr. Treat. Options in Oncol.

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“…As a malignant disease that adversely affects crucial functions such as chewing, speech, and swallowing, oral cancer also exerts significant social and psychological impacts by altering the individual's appearance [5,[7][8][9][10][11]. Therefore, selecting a surgical approach for oral cancer treatment is a critical decision that directly influences patient outcomes and long-term survival.…”

Section: Introductionmentioning

confidence: 99%

Clinical Characteristics and Treatment Outcomes of Oral Cancers Using Transoral Robotic Surgery in an Endemic Region

Chang,

Chen,

Hsieh

et al. 2023

Cancers

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Oral cancer poses a major health challenge in Taiwan, consistently ranking among the highest globally in both incidence and cancer-related mortality. Transoral robotic surgery (TORS) has potential advantages over open surgery, but its long-term oncologic outcomes are not well established. In this study, we sought to elucidate the role of TORS in improving treatment outcomes among oral cancer patients. A case–control study with propensity score matching was conducted in a single teaching hospital in Taiwan. It included 72 oral cancer patients in each group to analyze and compare survival outcomes between the surgical approaches. The TORS group demonstrated a higher negative resection margin rate, a lower mortality risk and better overall survival than the open-surgery group. Multivariate Cox regression analysis confirmed TORS’s association with a reduced risk of death. Kaplan–Meier survival analysis and log-rank tests indicated significantly better survival outcomes for the TORS group across all cancer stages. Moreover, the TORS group exhibited improved overall survival rates for stage III and IV patients compared to the conventional open-surgery group. In conclusion, this study suggests that TORS may offer better overall survival rates and potential advantages over conventional surgery for oral cancer treatment.

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Psychological Distress in Patients with Head and Neck Cancer: Exploring the Biological Connections

Pequeno,

Sartoretto,

Carron

et al. 2024

Interdisciplinary Cancer Research

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The role of the speech and language therapist in the rehabilitation of speech, swallowing, voice and trismus in people diagnosed with head and neck cancer

Cited by 4 publications

References 49 publications

Post-Radiotherapy Dysphagia in Head and Neck Cancer: Current Management by Speech-Language Pathologists

Post-Radiotherapy Dysphagia in Head and Neck Cancer: Current Management by Speech-Language Pathologists

Clinical Characteristics and Treatment Outcomes of Oral Cancers Using Transoral Robotic Surgery in an Endemic Region

Psychological Distress in Patients with Head and Neck Cancer: Exploring the Biological Connections

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