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Scientific Papers Session V: Dysphagia in Head and Neck Cancer

 Friday, March 8 ,2019

8:45-10:15 a.m.

 Moderator:

Stephanie Daniels, PhD, CCC-SLP


 

Functional Outcomes Following Transoral Robotic Surgery For Recurrent Head and Neck Cancer (HNC)- A Prospective Observational Study

Grainne Brady

The standard of care for the management of recurrent HNC is open surgery, an intervention associated with high morbidity. Transoral robotic surgery (TORS) is now being considered as a minimally invasive option for selected tumors with encouraging oncological control. However, multidimensional swallowing outcomes have not been reported.

 

Expiratory Muscle Strength Training (EMST) for Radiation-Associated Dysphagia (RAD): Results of a Pilot Prospective Trial

Katherine Hutcheson

This research examines feasibility and outcomes of expiratory muscle strength training (EMST) among patients with radiation-associated dysphagia (RAD) after treatment for head and neck cancer (HNC). We hypothesized EMST is a safe and feasible paradigm to improve airway closure and/or airway clearance mechanisms in survivors with RAD.

 

Knowledge and Practices of Speech Pathologists and Radiation Therapists Regarding Radiation Dose and Implications for Dysphagia Management

Alana Hutchison

Research suggests a synergistic relationship between radiation dose and dysphagia severity. This study aimed to examine knowledge and practices of speech-language pathologists (SLPs) and radiation therapists (RTs) regarding radiation dose and dose optimization in head/neck cancer (HNC) care, and potential impacts to dysphagia. The secondary aim was to investigate the level of interaction occurring between these professional groups within cancer centers.

 

Hyposalivation and Xerostomia Post Head and Neck Cancer: Changes and Impact on Eating Over Time

Barbara Messing

Hyposalivation post head and neck cancer (HNC) care is a common deficit that negatively impacts eating. This prospective study examined changes in saliva weight and patient-reported xerostomia. Secondary aims explored associations between saliva weight and Quality of Life (QoL), perceived dysphagia severity, diet level and eating interference.

 

Impact of a Combined Inspiratory and Expiratory Muscle Strength Training Program in ALS: Results of a Sham Controlled Randomized Clinical Trial

Emily Plowman

Historical ALS management has been palliative in nature and focused on energy conservation and maximizing quality of life. We hypothesized that a proactive moderate intensity exercise program, applied early in the disease progression (prior to impairment onset) would increase physiologic capacity and reserve in early affected ALS patients and maintain the vital functions of breathing, airway clearance and swallowing into the disease progression.

Changes in Tongue Muscle Gene Expression Following Chemoradiation

John Russell

Concurrent chemoradiation (CCRT) for head and neck cancer treatment exposes normal tissues to radiation, which has many devastating effects and often results in difficulty with swallowing. While muscle weakness and fibrosis are possible etiologies for disruptions in critical communicative and deglutition functions following radiation, very little research has been performed on underlying molecular changes within muscles of the head and neck following chemoradiation.

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