Effects of Intraoral Prostheses on Speech in Oropharyngeal Cancer Patients

1996 ◽  
Vol 5 (4) ◽  
pp. 43-55 ◽  
Author(s):  
Laura A. Colangelo ◽  
Barbara Roa Pauloski ◽  
Jerilyn A. Logemann ◽  
David W. Stein ◽  
Quinter C. Beery ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Soft Palate ◽  
Oropharyngeal Cancer ◽  
Speech Intelligibility ◽  
Patient Characteristics ◽  
Tongue Base ◽  
Speech Language Pathologist ◽  
The Individual ◽  
Obturator Prosthesis ◽  
Posterior Tongue

This study investigates specific articulatory problems and compromised speech intelligibility associated with and without the use of an intraoral prosthesis in 13 surgically treated oropharyngeal cancer patients. Ten patients had tonsil and varying amounts of posterior tongue, tongue base, and soft palate resected. Three other patients had soft palate resected with no involvement of oral tongue or tongue base. Three types of intraoral prostheses were employed. One type was a maxillary reshaping/lowering prosthesis, the second type was a soft palate obturator, and the third type was a combined maxillary reshaping/lowering and soft palate obturator prosthesis. Review of the individual cases in relation to improvements in articulation and conversational understandability revealed mixed success with prosthesis usage in the group of 10 patients with posterior resection. In the group of three patients with soft palate resection, however, two patients benefitted from use of obturators. The results identify the need for some criteria in patient selection for intraoral prosthetic rehabilitation. However, in view of the individuality of each patient case in terms of surgical deficit, patient characteristics, and varied prosthodontic/speech-language pathologist teams, it is impossible to develop prescriptions for prosthodontic construction based on surgical deficit alone.

scholarly journals Mindfulness-Based Cognitive Therapy for Cancer Patients Delivered via Internet: Qualitative Study of Patient and Therapist Barriers and Facilitators (Preprint)

2017 ◽  
Author(s):  
Félix R Compen ◽  
Else M Bisseling ◽  
Melanie PJ Schellekens ◽  
Ellen TM Jansen ◽  
Marije L van der Lee ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Cognitive Therapy ◽  
Cancer Patients ◽  
Qualitative Content Analysis ◽  
Patient Characteristics ◽  
Barriers And Facilitators ◽  
Number Of Patients ◽  
Facilitators And Barriers ◽  
The Individual ◽  
Living With Cancer

BACKGROUND The number of patients living with cancer is growing, and a substantial number of patients suffer from psychological distress. Mindfulness-based interventions (MBIs) seem effective in alleviating psychological distress. Unfortunately, several cancer patients find it difficult, if not impossible, to attend a group-based course. Internet-based MBIs (eMBIs) such as Internet-based mindfulness-based cognitive therapy (eMBCT) may offer solutions. However, it is yet to be studied what facilitators and barriers cancer patients experience during eMBCT. OBJECTIVE This study aimed to explore facilitators and barriers of individual asynchronous therapist-assisted eMBCT as experienced by both patients and therapists. METHODS Patients with heterogeneous cancer diagnoses suffering from psychological distress were offered eMBCT. This 9-week intervention mirrored the group-based MBCT protocol and included weekly asynchronous written therapist feedback. Patients were granted access to a website that contained the eMBCT protocol and a secured inbox, and they were asked to practice and fill out diaries on which the therapist provided feedback. In total, 31 patients participated in an individual posttreatment interview on experienced facilitators and barriers during eMBCT. Moreover, eight therapists were interviewed. The data were analyzed with qualitative content analysis to identify barriers and facilitators in eMBCT. RESULTS Both patients and therapists mentioned four overarching themes as facilitators and barriers: treatment setting (the individual and Internet-based nature of the treatment), treatment format (how the treatment and its guidance were organized and delivered), role of the therapist, and individual patient characteristics. CONCLUSIONS The eMBCT provided flexibility in when, where, and how patients and therapists engage in MBCT. Future studies should assess how different eMBCT designs could further improve barriers that were found.

scholarly journals Oral and maxillofacial rehabilitation of a patient suffering from intraosseous adenoid cystic carcinoma

2017 ◽  
Vol 65 (2) ◽  
pp. 168-173
Author(s):  
Janine WAECHTER ◽  
Cristina Braga XAVIER ◽  
Gislene CORRÊA ◽  
Eduardo de Freitas GOMES ◽  
Romeu Belon FERNANDES FILHO
Keyword(s):  
Quality Of Life ◽  
Adenoid Cystic Carcinoma ◽  
Head And Neck ◽  
Cancer Patients ◽  
Dental Treatment ◽  
Adenoid Cystic ◽  
The Individual ◽  
The Right ◽  
Obturator Prosthesis

ABSTRACT Treatment of cancers of the head and neck may provoke sequelae that affect the quality of life of patients during and after treatment. Mouth-sinus communication resulting from partial or total surgical resection of the palate leads to the patient experiencing dysphagia, dysphonia and trismus, which can lead to social isolation of the individual. As a result, the work of the dental surgeon, together with the multidisciplinary team caring for cancer patients, is fundamental and can help with the diagnosis, assist in the management of chemotherapy and radiotherapy complications and enable postsurgical rehabilitation. The present study reports the case of a patient with adenoid cystic carcinoma in the right maxilla, who underwent a partial maxillectomy, the resulting sequela being mouth-sinus communication. The dental treatment was performed at the Hospital of the Federal University of Pelotas preoperatively, during and after treatment. At this time the patient is rehabilitated with an obturator prosthesis and is being monitored by the dental team and the head and neck surgeon.

scholarly journals Reconstruction after wide resection of soft palate and lateral pharyngeal wall in oropharyngeal cancer patients.

1999 ◽  
Vol 25 (1) ◽  
pp. 94-100
Author(s):  
Takashi FUJII ◽  
Takeo SATO ◽  
Kunitoshi YOSHINO ◽  
Ken-ichi INAKAMI ◽  
Masamitsu NAGAHARA ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Soft Palate ◽  
Oropharyngeal Cancer ◽  
Wide Resection ◽  
Lateral Pharyngeal Wall ◽  
Pharyngeal Wall

Effect of Intraoral Prostheses on Swallowing Function in Postsurgical Oral and Oropharyngeal Cancer Patients

1996 ◽  
Vol 5 (3) ◽  
pp. 31-46 ◽  
Author(s):  
Barbara Roa Pauloski ◽  
Jerilyn A. Logemann ◽  
Laura A. Colangelo ◽  
David Stein ◽  
Quinter Beery ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Soft Palate ◽  
Oropharyngeal Cancer ◽  
Case Reports ◽  
Postoperative Radiotherapy ◽  
Oral Intake ◽  
Swallowing Function ◽  
Swallowing Dysfunction ◽  
Oral And Oropharyngeal Cancer ◽  
Extent Of Surgical Resection

This study investigated the effect of intraoral-prostheses on swallowing function in 13 postsurgical oral and oropharyngeal cancer patients. Three subjects had resections of the soft palate with no involvement of the tongue. Ten subjects had resections of the posterior oral cavity or oropharynx including resection of the oral tongue, tongue base, soft palate, tonsil, and/or mandible. Patients received either an obturator only, a maxillary reshaping/lowering prosthesis, or an obturator combined with a maxillary reshaping/lowering prosthesis. Swallowing was examined with and without the prosthesis 3 months posthealing using videofluoroscopy; results are presented in the form of case reports. The majority of patients had either unchanged swallowing function or mixed results (i.e., improvement for some but not all bolus consistencies) when using an intraoral prosthesis. The extent of surgical resection, type of reconstruction, and postoperative radiotherapy had an impact on the type of prosthesis constructed and the patient’s ultimate swallowing ability. Despite the swallowing dysfunction demonstrated by some of the patients, all were able to maintain oral intake either with or without the prosthesis in place.

scholarly journals The trends of complementary alternative medicine use among cancer patients

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Abdul Rahman Jazieh ◽  
Khadega A. Abuelgasim ◽  
Husam I. Ardah ◽  
Mohammad Alkaiyat ◽  
Omar B. Da’ar
Keyword(s):  
Alternative Medicine ◽  
Cancer Patients ◽  
Clinical Information ◽  
Cross Sectional Study ◽  
Complementary Alternative Medicine ◽  
Cultural Changes ◽  
Cross Sectional ◽  
Patients With Cancer ◽  
Cam Use ◽  
The Individual

Abstract Background The use of complementary and alternative medicine (CAM) is common among cancer patients and it may reflect the individual and societal beliefs on cancer therapy. Our study aimed to evaluate the trends of CAM use among patients with cancer between 2006 and 2018. Methods We included 2 Cohorts of patients with cancer who were recruited for Cohort 1 between 2006 and 2008 and for Cohort 2 between 2016 and 2018. The study is a cross-sectional study obtaining demographic and clinical information and inquiring about the types of CAM used, the reasons to use them and the perceived benefits. We compared the changes in the patterns of CAM use and other variables between the two cohorts. Results A total of 1416 patients were included in the study, with 464 patients in Cohort 1 and 952 patients in Cohort 2. Patients in Cohort 2 used less CAM (78.9%) than Cohort 1 (96.8%). Cohort 1 was more likely to use CAM to treat cancer compared to Cohort 2 (84.4% vs. 73%, respectively, p < 0.0001,); while Cohort 2 used CAM for symptom management such as pain control and improving appetite among others. Disclosure of CAM use did not change significantly over time and remains low (31.6% in Cohort 1 and 35.7% for Cohort 2). However, physicians were more likely to express an opposing opinion against CAM use in Cohort 2 compared to Cohort 1 (48.7% vs. 19.1%, p < 0.001, respectively). Conclusion There is a significant change in CAM use among cancer patients over the decade, which reflects major societal and cultural changes in this population. Further studies and interventions are needed to improve the disclosure to physicians and to improve other aspects of care to these patients.

scholarly journals Considerations for the Management of Women with Breast Cancer during the COVID-19 Pandemic

2020 ◽  
Vol 5 (03) ◽  
pp. 260-263
Author(s):  
Monica Irukulla ◽  
Palwai Vinitha Reddy
Keyword(s):  
Breast Cancer ◽  
Resource Allocation ◽  
Patient Care ◽  
Cancer Patients ◽  
Cancer Care ◽  
Clinical Care ◽  
Current Availability ◽  
The Individual

AbstractOutcomes in cancer patients are strongly influenced by timeliness and quality of multidisciplinary interventions. The COVID-19 pandemic has led to severe disruption in cancer care in many countries. This has necessitated several changes in clinical care and workflow, including resource allocation, team segregation and deferment of many elective procedures. Several international oncological societies have proposed guidelines for the care of patients afflicted with breast cancer during the pandemic with a view to optimize resource allocation and maximize risk versus benefit for the individual and society. Clinicians may utilize these recommendations to adapt patient care, based on the current availability of resources and severity of the COVID-19 pandemic in each region. This article discusses the guidelines for care of patients afflicted with breast cancer during the pandemic.

scholarly journals Hospital Processes and the Nurse-Patient Interaction in Breast Cancer Care. Findings from a Cross-Sectional Study

2021 ◽  
Vol 18 (15) ◽  
pp. 8224
Author(s):  
Johanna Sophie Lubasch ◽  
Susan Lee ◽  
Christoph Kowalski ◽  
Marina Beckmann ◽  
Holger Pfaff ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Social Support ◽  
Cancer Patients ◽  
Perceived Social Support ◽  
Patient Characteristics ◽  
Patient Survey ◽  
Breast Cancer Patients ◽  
Cross Sectional ◽  
Patient Interaction ◽  
Hospital Structures

(1) Background: Evidence suggests that organizational processes of hospitals have an impact on patient-professional interactions. Within the nurse-patient interaction, nurses play a key role providing social support. Factors influencing the nurse-patient interaction have seldomly been researched. We aimed to examine whether the process organization in hospitals is associated with breast cancer patients’ perceived social support from nurses.; (2) Methods: Data analysis based on a cross-sectional patient survey (2979 breast cancer patients, 83 German hospitals) and information on hospital structures. Associations between process organization and perceived social support were analyzed with logistic hierarchical regression models adjusted for patient characteristics and hospital structures.; (3) Results: Most patients were 40–69 years old and classified with UICC stage II or III. Native language, age and hospital ownership status showed significant associations to the perception of social support. Patients treated in hospitals with better process organization at admission (OR 3.61; 95%-CI 1.67, 7.78) and during the hospital stay (OR 2.11; 95%-CI 1.04; 4.29) perceived significantly more social support from nurses.; (4) Conclusions: Designing a supportive nursing work environment and improving process organization in hospitals may create conditions conducive for a supportive patient-nurse interaction. More research is needed to better understand mechanisms behind the associations found.

scholarly journals Deep Learning Based HPV Status Prediction for Oropharyngeal Cancer Patients

Cancers ◽  
2021 ◽  
Vol 13 (4) ◽  
pp. 786
Author(s):  
Daniel M. Lang ◽  
Jan C. Peeken ◽  
Stephanie E. Combs ◽  
Jan J. Wilkens ◽  
Stefan Bartzsch
Keyword(s):  
Deep Learning ◽  
Cancer Patients ◽  
Oropharyngeal Cancer ◽  
Characteristic Curve ◽  
Learning Models ◽  
Convolutional Network ◽  
Hpv Status ◽  
3D Information ◽  
External Test

Infection with the human papillomavirus (HPV) has been identified as a major risk factor for oropharyngeal cancer (OPC). HPV-related OPCs have been shown to be more radiosensitive and to have a reduced risk for cancer related death. Hence, the histological determination of HPV status of cancer patients depicts an essential diagnostic factor. We investigated the ability of deep learning models for imaging based HPV status detection. To overcome the problem of small medical datasets, we used a transfer learning approach. A 3D convolutional network pre-trained on sports video clips was fine-tuned, such that full 3D information in the CT images could be exploited. The video pre-trained model was able to differentiate HPV-positive from HPV-negative cases, with an area under the receiver operating characteristic curve (AUC) of 0.81 for an external test set. In comparison to a 3D convolutional neural network (CNN) trained from scratch and a 2D architecture pre-trained on ImageNet, the video pre-trained model performed best. Deep learning models are capable of CT image-based HPV status determination. Video based pre-training has the ability to improve training for 3D medical data, but further studies are needed for verification.

Sign in / Sign up

Export Citation Format

Share Document