Velopharyngeal Function Post Head and Neck Cancer: A Review.

IF 17.7 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-09-01 Epub Date: 2022-01-28 DOI:10.1177/01455613211070895

Veena Kallambettu, Youkyung Bae, Ricardo Carrau

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Abstract

Background: Velopharyngeal dysfunction (VPD) in head and neck cancer is frequently clinically reported, affecting both speech and swallowing function. This review sought to identify the tumor subsites and treatment modalities reported in association with VPD and summarize the current reporting methodology of VPD-related speech and swallowing outcomes in patients following head and neck cancer treatment.

Methods: A literature search was conducted through December 2020 using electronic databases and a total of 15 studies were included in review.

Results: Reported VPD was largely secondary to palate resections. Large variability in reporting methodology was noted with heavy reliance on speech-related perceptual measures and swallowing-related patient-reported outcomes over imaging and instrumental evaluations.

Conclusions: This review revealed inconsistencies in evaluating and reporting VPD, which likely translates into inconsistencies in clinical management. Further attention to VPD secondary to other head and neck malignancies would provide a broader perspective on VPD through head and neck cancer treatment.

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头颈癌术后的咽喉功能：综述。

背景：头颈部癌症患者的咽部功能障碍（VPD）经常见于临床报道，会影响患者的言语和吞咽功能。本综述旨在确定与VPD相关的肿瘤亚部位和治疗方式，并总结目前头颈癌治疗后患者VPD相关语言和吞咽结果的报告方法：通过电子数据库对截至2020年12月的文献进行了检索，共纳入15项研究：报告的VPD主要继发于上颚切除术。报告方法存在很大差异，主要依赖于与语言相关的感知测量和与吞咽相关的患者报告结果，而非成像和仪器评估：本综述揭示了在评估和报告 VPD 方面的不一致性，这可能会导致临床管理的不一致性。进一步关注继发于其他头颈部恶性肿瘤的 VPD 将为头颈部癌症治疗中的 VPD 提供更广阔的视角。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.

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