Speech outcome after surgical treatment for oral and oropharyngeal cancer: a longitudinal assessment of patients reconstructed by a microvascular flap

Pepijn A Borggreven; Irma Verdonck-de Leeuw; Johannes A Langendijk; Patricia Doornaert; Marike N Koster; Remco de Bree; C René Leemans

doi:https://doi.org/10.1002/hed.20236

Speech outcome after surgical treatment for oral and oropharyngeal cancer: a longitudinal assessment of patients reconstructed by a microvascular flap

Pepijn A Borggreven, Irma Verdonck-de Leeuw, Johannes A Langendijk, Patricia Doornaert, Marike N Koster, Remco de Bree, C René Leemans

Research output: Contribution to journal › Article › Academic › peer-review

65 Citations (Scopus)

Abstract

BACKGROUND: The aim of the study was to analyze speech outcome for patients with advanced oral/oropharyngeal cancer treated with reconstructive surgery and adjuvant radiotherapy.

METHODS: Speech tests (communicative suitability, intelligibility, articulation, nasality, and consonant errors) were performed in a control group and in patients before treatment (n = 76), and 6 months (n = 51) and 12 months (n = 42) after treatment.

RESULTS: Speech tests were significantly worse for patients before and after treatment compared with the controls. Speech did not improve between 6 and 12 months. After treatment, patients with T3-4 tumors showed a significantly worse score for communicative suitability, intelligibility, and articulation than patients with T2 tumors. No significant differences were found for subsites after treatment, although patients with mobile tongue tumors showed the best results.

CONCLUSION: Speech difficulties are significant, and with the knowledge of this study better counseling and vigilance as to speech difficulties may be possible in patients undergoing treatment for oral/oropharyngeal cancer.

Original language	English
Pages (from-to)	785-93
Number of pages	9
Journal	Head & neck
Volume	27
Issue number	9
DOIs	https://doi.org/10.1002/hed.20236
Publication status	Published - 1 Sept 2005

Keywords

Adult
Aged
Analysis of Variance
Case-Control Studies
Female
Head and neck cancer
Humans
Journal Article
Longitudinal Studies
Male
Microvascular reconstruction
Middle Aged
Mouth Neoplasms
Oral cavity
Oropharyngeal Neoplasms
Oropharynx
Postoperative Complications
Radiotherapy, Adjuvant
Speech
Speech Intelligibility
Speech Production Measurement
Surgical Flaps

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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abstract = "BACKGROUND: The aim of the study was to analyze speech outcome for patients with advanced oral/oropharyngeal cancer treated with reconstructive surgery and adjuvant radiotherapy.METHODS: Speech tests (communicative suitability, intelligibility, articulation, nasality, and consonant errors) were performed in a control group and in patients before treatment (n = 76), and 6 months (n = 51) and 12 months (n = 42) after treatment.RESULTS: Speech tests were significantly worse for patients before and after treatment compared with the controls. Speech did not improve between 6 and 12 months. After treatment, patients with T3-4 tumors showed a significantly worse score for communicative suitability, intelligibility, and articulation than patients with T2 tumors. No significant differences were found for subsites after treatment, although patients with mobile tongue tumors showed the best results.CONCLUSION: Speech difficulties are significant, and with the knowledge of this study better counseling and vigilance as to speech difficulties may be possible in patients undergoing treatment for oral/oropharyngeal cancer.",

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author = "Borggreven, {Pepijn A} and {Verdonck-de Leeuw}, Irma and Langendijk, {Johannes A} and Patricia Doornaert and Koster, {Marike N} and {de Bree}, Remco and Leemans, {C Ren{\'e}}",

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AU - Borggreven, Pepijn A

AU - Verdonck-de Leeuw, Irma

AU - Langendijk, Johannes A

AU - Doornaert, Patricia

AU - Koster, Marike N

AU - de Bree, Remco

AU - Leemans, C René

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AB - BACKGROUND: The aim of the study was to analyze speech outcome for patients with advanced oral/oropharyngeal cancer treated with reconstructive surgery and adjuvant radiotherapy.METHODS: Speech tests (communicative suitability, intelligibility, articulation, nasality, and consonant errors) were performed in a control group and in patients before treatment (n = 76), and 6 months (n = 51) and 12 months (n = 42) after treatment.RESULTS: Speech tests were significantly worse for patients before and after treatment compared with the controls. Speech did not improve between 6 and 12 months. After treatment, patients with T3-4 tumors showed a significantly worse score for communicative suitability, intelligibility, and articulation than patients with T2 tumors. No significant differences were found for subsites after treatment, although patients with mobile tongue tumors showed the best results.CONCLUSION: Speech difficulties are significant, and with the knowledge of this study better counseling and vigilance as to speech difficulties may be possible in patients undergoing treatment for oral/oropharyngeal cancer.

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Speech outcome after surgical treatment for oral and oropharyngeal cancer: a longitudinal assessment of patients reconstructed by a microvascular flap

Abstract

Keywords

UN SDGs

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