Impact of tongue base and posterior pharyngeal wall biomechanics on pharyngeal clearance in irradiated postsurgical oral and oropharyngeal cancer patients

Head & Neck ◽  
2000 ◽  
Vol 22 (2) ◽  
pp. 120-131 ◽  
Author(s):  
Barbara Roa Pauloski ◽  
Jerilyn A. Logemann
Keyword(s):  
Cancer Patients ◽  
Oropharyngeal Cancer ◽  
Posterior Pharyngeal Wall ◽  
Tongue Base ◽  
Pharyngeal Wall ◽  
Oral And Oropharyngeal Cancer ◽  
Pharyngeal Clearance

CD44 and associated markers in oral rinses and tissues from oral and oropharyngeal cancer patients

Oral Oncology ◽  
2020 ◽  
Vol 106 ◽  
pp. 104720
Author(s):  
Erin R. Cohen ◽  
Isildinha M. Reis ◽  
Carmen Gomez-Fernandez ◽  
Drew Smith ◽  
Lutecia Pereira ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Oropharyngeal Cancer ◽  
Oral And Oropharyngeal Cancer

Speech and Swallowing in Irradiated and Nonirradiated Postsurgical Oral Cancer Patients

1998 ◽  
Vol 118 (5) ◽  
pp. 616-624 ◽  
Author(s):  
Barbara Roa Pauloski ◽  
Alfred W. Rademaker ◽  
Jerilyn A. Logemann ◽  
Laura A. Colangelo
Keyword(s):  
Radiation Effects ◽  
Radiation Treatment ◽  
Salivary Flow ◽  
Tongue Base ◽  
Statistical Testing ◽  
Postoperative Radiation Therapy ◽  
Swallowing Function ◽  
Pharyngeal Wall ◽  
Pharyngeal Clearance ◽  
Pharyngeal Swallowing

The effect of radiation on speech and swallowing function was assessed for 18 patients surgically treated for oral and oropharyngeal cancer. Nine patients received surgical intervention and postoperative radiation therapy, and nine received surgery only. Patients were matched regarding percentage of oral tongue resected, percentage of tongue base resected, locus of resection, and method of reconstruction. Speech and swallowing function was assessed before and at 1, 3, 6, and 12 months after surgery following a standardized protocol. Speech tasks included an audio recording of a brief conversation and of a standard articulation test; swallowing function was examined with videofluoroscopy. Statistical testing indicated that overall speech function did not differ between the irradiated and nonirradiated patients. Irradiated patients had significantly reduced oral and pharyngeal swallowing performance, specifically, longer oral transit times on paste boluses, lower oropharyngeal swallow efficiency, increased pharyngeal residue, and reduced cricopharyngeal opening duration. Impaired function may be the result of radiation effects such as edema, fibrosis, and reduced salivary flow. Increased use of tongue range-of-motion exercises during and after radiation treatment may reduce the formation of fibrotic tissue in the oral cavity and may improve pharyngeal clearance by maintaining adequate tongue base-to-pharyngeal wall contact. (Otolaryngol Head Neck Surg 1998;118:616–24.)

Evaluation of Swallowing by Sydney Swallow Questionnaire (SSQ) in Oral and Oropharyngeal Cancer Patients Treated with Primary Surgery

Dysphagia ◽  
2012 ◽  
Vol 27 (4) ◽  
pp. 491-497 ◽  
Author(s):  
Raghav C. Dwivedi ◽  
Suzanne St.Rose ◽  
Edward J. Chisholm ◽  
Christos Georgalas ◽  
Brian Bisase ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Oropharyngeal Cancer ◽  
Primary Surgery ◽  
Oral And Oropharyngeal Cancer ◽  
Sydney Swallow Questionnaire
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