Speech evaluation and swallowing ability after intra-oral cancer.
In this study, four methods of postoperative speech evaluation are compared for 19 persons with oral cancers who have undergone oral surgery and/or radiotherapy. The Munich Intelligibility Profile was used for intelligibility testing and semiquantitative scoring by novice listeners. Expert ratings were done on the Therapy Outcome Measure (TOM) Phonological Disability form. For self-evaluation, the EORTC QLQ-C30 and the Head and Neck module was used. Swallowing function was scored on the TOM Dysphagia form. There was a high intercorrelation between the results of subjective speech evaluation by experts and non-experts and the intelligibility test, but no correlation with any of these methods could be shown for the self-evaluation by the participants. Voice quality seemed to have an influence on non-expert scores. Swallowing was a more severe problem for our group than speech impairment.
Mády
K
K
Department of Oral and Maxillofacial Surgery, University of Technology, Munich, Germany. mady@mkg.med.tu-muenchen.de
Sader
R
R
Hoole
P H
PH
Zimmermann
A
A
Horch
H H
HH
D000368:Aged; D003679:Deglutition; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009062:Mouth Neoplasms / Q000503:physiopathology* / Q000532:radiotherapy / Q000601:surgery; D013517:Otorhinolaryngologic Surgical Procedures / Q000009:adverse effects*; D010699:Phonation; D018714:Radiotherapy, Adjuvant / Q000009:adverse effects; D013065:Speech Intelligibility; D011795:Surveys and Questionnaires; D014833:Voice Quality