Evaluation of speech outcomes in oral and oropharyngeal cancers
| Autor: | R. C. Dwivedi |
|---|---|
| Rok vydání: | 2009 |
| Předmět: | |
| Zdroj: | Journal of Clinical Oncology. 27:e17039-e17039 |
| ISSN: | 1527-7755 0732-183X |
| DOI: | 10.1200/jco.2009.27.15_suppl.e17039 |
| Popis: | e17039 Background: The aim of the study was to review the literature on oral and oropharyngeal cancers for speech outcomes over the last 8 years. Study design: Systematic review of published studies between 2000 and 2008. Methods: A comprehensive literature search for speech outcomes was performed on PUBMED/MEDLINE, EMBASE, CINAHL, and Science citation index from 2000 to 2008 using the key words- speech, voice, articulation, acoustic analysis etc in oral and oropharyngeal cancers. The reference lists from the selected relevant articles were also inspected and any other pertinent publications were added to the final review. Articles published in all languages on human subjects, and all types of studies were included. Sixty eight articles satisfied the inclusion criterion and their findings were tabulated, analysed and evaluate based on the modality used for evaluation - questionnaire evaluation (QE), perceptual evaluation (PE) and acoustic analysis (AE). Results: 39/68 studies used questionnaires; 30/68 used PE and 2/68 used acoustic analysis. Questionnaires with PE were used in 5 studies. Thirty three/ 68 were retrospective, 28/68 prospective and 7/68 were cross-sectional studies. The finds suggest that the Frequency and quality of abnormal phonation depends on postoperative deficits. Oral (vs. oropharyngeal) cancers, advanced (vs. early), associated comorbidities (vs. without comorbidities), flap reconstruction (vs. primary closure), irradiated (vs. non-irradiated) and Mandibulotomy (vs. without mandibulotomy) have poor speech outcome. Preservation of Tip of tongue and FOM, lateral type excision, smaller excision, greater tongue mobility, primary closure and younger patients have better speech outcome. Conclusions: No validated scoring system for PE has been used; QE needs to be done with speech/ dysarthria specific questionnaires. Most studies suffered because of their retrospective nature, single modality evaluation, small sample size and short duration of follow-up. There is a clear paucity of acoustic analysis studies in oral and oropharyngeal literature and further longitudinal studies are needed. No significant financial relationships to disclose. |
| Databáze: | OpenAIRE |
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