Navigation Links
Speech, Swallowing Usually OK After Head & Neck Cancer Therapy

MONDAY, Dec. 20 (HealthDay News) -- Most head and neck cancer patients can speak and swallow after undergoing combined chemotherapy and radiation treatment, but several factors may be associated with poor outcomes, researchers have found.

The new study included patients who were assessed nearly three years after they were successfully treated with chemoradiotherapy for advanced head and neck cancer.

The U.S. researchers gave a speaking score of 1 through 4 to 163 patients an average of 34.8 months after they completed treatment, and gave a swallowing score of 1 through 4 to 166 patients an average of 34.5 months after treatment. A higher score indicated reduced ability to speak or swallow.

Most of the patients (84.7 percent of those assigned speaking scores and 63.3 percent of those given swallowing scores) had no lasting problems and received a score of 1. Of the 160 patients who were given both speaking and swallowing scores, 96 had a score of 1 in each category, the investigators found.

Factors associated with poorer speaking ability were: being female; a history of smoking; a tumor in the hypopharynx (where the larynx and esophagus meet) or the larynx; or having a tumor that did not respond to the initial dose of chemotherapy.

Factors associated with poorer swallowing ability were: being older; have poor swallowing ability before treatment; neck dissection (surgery to remove lymph nodes and surrounding tissue); and having a tumor in the hypopharynx or larynx.

Dr. Kent Mouw, who was at the University of Chicago at the time of the study and is now at Brigham and Women's Hospital in Boston, and colleagues published their findings in the December issue of the journal Archives of Otolaryngology -- Head & Neck Surgery.

"One of the remarkable features of the data is that most of the patients experienced minimal residual speech or swallowing deficits. Although differences . . . may exist between these patients and healthy subjects, it is encouraging to note that, when day-to-day activities are used as a metric, most patients experience a return to normal or near-normal function," Mouw and colleagues wrote in a journal news release. "Because advances in therapy have led to improved survival in these patients, understanding and controlling adverse effects of treatment should continue to be an active area of investigation," the authors concluded.

More information

The U.S. National Cancer Institute has more about head and neck cancer.

-- Robert Preidt

SOURCE: JAMA/Archives journals, news release, Dec. 20, 2010

Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. New robotic head and neck cancer surgery preserves speech, without scarring
2. Oralflo Pill Swallowing Cup Wins Medical Design Excellence Award, Helps Autism Spectrum Kids and Dysphagia Sufferers Take Medications With No Problem
3. Swallowing safely is no choke
4. Intentional swallowing of foreign bodies and its impact on the cost of health care
5. UC Davis surgeons test innovative device in patient with swallowing disorder
6. Tinnitus Not Usually an Inherited Condition
7. Color, Odor Changes in Urine Usually -- But Not Always -- Harmless, Reports Harvard Women's Health Watch
8. One Month after Major Quake, Ongoing Crises for Haitian Children
9. Ex-President Clinton Said To Be Fine After Heart Procedure
10. Bill Clinton Back Home After Heart Procedure
11. After a Stroke, High Risk for a Recurrence
Post Your Comments:
Related Image:
Speech, Swallowing Usually OK After Head & Neck Cancer Therapy
(Date:6/27/2016)... ... June 27, 2016 , ... TherapySites, ... its affiliation with Tennessee Counseling Association. This new relationship allows TherapySites ... Tennessee Counseling Association, adding exclusive benefits and promotional offers. , "TCA is extremely ...
(Date:6/26/2016)... ... June 26, 2016 , ... On June 10-11, 2016, A Forever ... Cereal Festival and World’s Longest Breakfast Table in Battle Creek, MI, where the rehabilitation ... as home to some of the world’s leading providers of cereal and other breakfast ...
(Date:6/25/2016)... ... June 25, 2016 , ... ... and applications at AcademyHealth’s Annual Research Meeting June 26-28, 2016, at the Hynes ... important health care topics including advance care planning, healthcare costs and patient and ...
(Date:6/25/2016)... (PRWEB) , ... June 25, 2016 , ... As a ... Magna Cum Laude and his M.D from the David Geffen School of Medicine at ... returned to Los Angeles to complete his fellowship in hematology/oncology at the UCLA-Olive View-Cedars ...
(Date:6/24/2016)... ... June 24, 2016 , ... Those who have experienced ... feelings, many turn to unhealthy avenues, such as drug or alcohol abuse, as a ... has released tools for healthy coping following a traumatic event. , Trauma sufferers tend ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... June 24, 2016  Global Blood Therapeutics, Inc. (GBT) ... developing novel therapeutics for the treatment of grievous ... the closing of its previously announced underwritten public ... the public offering price of $18.75 per share. ... offered by GBT. GBT estimates net proceeds from ...
(Date:6/24/2016)... 24, 2016 Research and ... "Structural Electronics 2015-2025: Applications, Technologies, Forecasts" report ... In-Mold Electronics, Smart Skin, Structural Health Monitoring, ... Structural electronics involves electronic and/or electrical components ... replacing dumb structures such as vehicle bodies or ...
(Date:6/24/2016)... ANDOVER, Mass. and SAN CLEMENTE, Calif. ... California -based mobile pulmonary function testing company, is now ... portable PFT devices developed by ndd Medical Technologies , Inc. ... PFT testing done in hospital-based labs.  Thanks to ndd,s EasyOne PRO ... CA , can get any needed testing done in the ...
Breaking Medicine Technology: