Speech and Swallowing Function After Anterior Tongue and Floor of Mouth Resection With Distal Flap Reconstruction The purpose of this study was to assess the postoperative functioning of oral cancer patients with resections of the anterior tongue and floor of mouth, reconstructed with distal flap closure. Speech and swallowing performance was assessed for 11 men and 5 women preoperatively and at 1 and 3 months postoperatively ... Research Article
Research Article  |   April 01, 1993
Speech and Swallowing Function After Anterior Tongue and Floor of Mouth Resection With Distal Flap Reconstruction
 
Author Affiliations & Notes
  • Barbara Roa Pauloski
    Northwestern University Evanston, IL
  • Jeri A. Logemann
    Northwestern University Evanston, IL
  • Alfred W. Rademaker
    Northwestern University Evanston, IL
  • Fred M. S. McConnel
    Emory University Atlanta, GA
  • Mary Anne Heiser
    Roswell Park Memorial Institute Buffalo, NY
  • Salvatore Cardinale
    Roswell Park Memorial Institute Buffalo, NY
  • Donald Shedd
    Roswell Park Memorial Institute Buffalo, NY
  • Jan Lewin
    University of Michigan Ann Arbor, MI
  • Shan R. Baker
    University of Michigan Ann Arbor, MI
  • Darlene Graner
    Edward Hines VA Hospital Hines, IL
  • Barbara Cook
    Edward Hines VA Hospital Hines, IL
  • Frank Milianti
    Edward Hines VA Hospital Hines, IL
  • Sharon Collins
    Loyola University Medical Center Maywood, IL
  • Theresa Baker
    Illinois Cancer Center Chicago, IL
  • Contact author: Barbara Roa Pauloski, PhD, Northwestern University, Department of Communication Sciences and Disorders, 2299 Sheridan Road, Evanston, IL 60208-3540.
Article Information
Swallowing, Dysphagia & Feeding Disorders / Speech / Research Articles
Research Article   |   April 01, 1993
Speech and Swallowing Function After Anterior Tongue and Floor of Mouth Resection With Distal Flap Reconstruction
Journal of Speech, Language, and Hearing Research, April 1993, Vol. 36, 267-276. doi:10.1044/jshr.3602.267
History: Received March 25, 1992 , Accepted September 30, 1992
 
Journal of Speech, Language, and Hearing Research, April 1993, Vol. 36, 267-276. doi:10.1044/jshr.3602.267
History: Received March 25, 1992; Accepted September 30, 1992

The purpose of this study was to assess the postoperative functioning of oral cancer patients with resections of the anterior tongue and floor of mouth, reconstructed with distal flap closure. Speech and swallowing performance was assessed for 11 men and 5 women preoperatively and at 1 and 3 months postoperatively following a standardized protocol. Speech tasks included an audio recording of a brief conversation and of a standard articulation test; swallowing function was examined using videofluoroscopy. Data were also collected on the number and duration of speech/swallowing treatment sessions, as well as the amount and duration of radiation therapy. Statistical analyses revealed that patients demonstrated a significant and severe impairment in speech and swallow functioning after surgery, with no recovery of function by 3 months post-healing. The degree of impairment in these patients may be related to the adynamic character of the distal flap used for reconstruction. Lack of improvement at the 3-month evaluation may be related to either the timing of postoperative radiation therapy or the low rate (44%) and amount of speech/swallowing treatment provided to these patients.

Acknowledgments
This project was supported by NIH/NCI research grant #P01-CA40007. Portions of these data were presented at the 1991 Annual Convention of the American Speech-Language-Hearing Association, Atlanta, GA. The authors wish to thank Cathy Lazarus, Northwestern University; Joan Kuhn, Medical College of Wisconsin; David Stein and Quinter Beery, University of Pittsburgh Eye and Ear Institute; and Paula Sullivan, H. Lee Moffitt Cancer Center, for their contributions to this study.
Order a Subscription
Pay Per View
Entire Journal of Speech, Language, and Hearing Research content & archive
24-hour access
This Article
24-hour access