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Velopharyngeal Function Post Head and Neck Cancer: A Review.
Veena Kallambettu1,2, Youkyung Bae1, Ricardo Carrau2
1Department of Speech and Hearing Science, The Ohio State University, Columbus, OH, USA.
Velopharyngeal dysfunction (VPD) after head and neck cancer treatment is often linked to palate resections. Inconsistent reporting methods for speech and swallowing outcomes hinder effective clinical management.
Area of Science:
- Oncology
- Speech-Language Pathology
- Otolaryngology
Background:
- Velopharyngeal dysfunction (VPD) is a common complication following head and neck cancer treatment, impacting speech and swallowing.
- Identifying tumor subsites and treatments associated with VPD is crucial for patient care.
Purpose of the Study:
- To review tumor subsites and treatment modalities linked to VPD in head and neck cancer patients.
- To summarize current methodologies for reporting speech and swallowing outcomes in patients with VPD.
Main Methods:
- A comprehensive literature search was performed up to December 2020.
- Fifteen studies were included in this systematic review.
Main Results:
- Velopharyngeal dysfunction was predominantly reported following palate resections.
- Significant variability exists in reporting methods, with a preference for perceptual speech measures and patient-reported swallowing outcomes over instrumental assessments.
Conclusions:
- Inconsistencies in evaluating and reporting VPD suggest a need for standardized methodologies.
- Standardization can improve clinical management of VPD in head and neck cancer patients.
- Further research on VPD related to diverse head and neck malignancies is warranted.
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