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Factors influencing intelligibility and severity of chronic speech disorders of patients treated for oral or oropharyngeal cancer

Balaguer, Mathieu and Boisguerin, Aline and Galtier, Anaïs and Gaillard, Nadège and Puech, Michèle and Woisard, Virginie Factors influencing intelligibility and severity of chronic speech disorders of patients treated for oral or oropharyngeal cancer. (2019) European Archives of Oto-Rhino-Laryngology and Head and Neck, 276 (6). 1767-1774. ISSN 0937-4477

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Official URL: https://doi.org/10.1007/s00405-019-05397-6


Purpose: Oral or oropharyngeal tumors degrade patients' speech quality because of their location. The treatment of these cancers also affects the functional outcomes, depending on type (surgery, radiotherapy, chemotherapy), volume resection (according the size of the tumor) or on the anatomical area treated, and the post-treatment delay. The aim of this work is to determine the factors influencing the chronic speech disorders (in terms of intelligibility and severity) of patients treated for an oral or oropharyngeal cancer. Methods: Speech-perceptive assessment was led by a panel of six expert speech therapists, on a task of a description of a picture, presented to 87 patients. Clinical and treatment data were gathered by examining medical files. Results: Intelligibility and severity scores in our population were 6.06 (interquartile range 4.2-8) and 7.61 (interquartile range 6.8-9.5) on a maximum of 10. After adjusting for age and anatomical region involved, multivariate analysis showed a principal impact of surgery on both intelligibility and severity, while the size of the tumor significantly affected the intelligibility score [¿ 143; 95% CI (¿ 2.21, ¿ 0.65)]. These results are consistent with the definitions of intelligibility and severity of speech disorders. Conclusions: The lack of information on the impact of tumor location, however, requires more work to contribute to reducing impact on the quality of life of patients.

Item Type:Article
Additional Information:https://link.springer.com/article/10.1007%2Fs00405-019-05397-6
Audience (journal):International peer-reviewed journal
Uncontrolled Keywords:
Institution:French research institutions > Centre National de la Recherche Scientifique - CNRS (FRANCE)
Université de Toulouse > Institut National Polytechnique de Toulouse - Toulouse INP (FRANCE)
French research institutions > Institut National de la Santé et de la Recherche Médicale - INSERM (FRANCE)
Université de Toulouse > Université Toulouse III - Paul Sabatier - UT3 (FRANCE)
Université de Toulouse > Université Toulouse - Jean Jaurès - UT2J (FRANCE)
Université de Toulouse > Université Toulouse 1 Capitole - UT1 (FRANCE)
Other partners > Centre Hospitalier Universitaire de Toulouse - CHU Toulouse (FRANCE)
Laboratory name:
INCa : Institut National du Cancer (France)
Deposited On:21 Jan 2020 13:07

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