Revisiting Swallowing Function Following Contemporary Surgical Interventions for Oral/Oropharyngeal Cancer: Key Underlying Issues There has been resurgence in surgical interventions for oral cavity and oropharyngeal cancer in tandem with technological advances in reconstructive and ablative procedures. This paper considers the mechanisms of impact of these surgical techniques on swallow function and patient outcomes especially in light of the shifting demographics of human papilloma ... Article
Article  |   June 01, 2015
Revisiting Swallowing Function Following Contemporary Surgical Interventions for Oral/Oropharyngeal Cancer: Key Underlying Issues
Author Affiliations & Notes
  • Tessa Goldsmith
    Massachusetts General Hospital, Boston, MA
  • Marlene Carno Jacobson
    Head and Neck Site Group, Oncology Program, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
    Department of Speech Language Pathology, University of Toronto, Toronto, Ontario, Canada
  • Financial Disclosure: Tessa Goldsmith is associate director of speech, language swallowing disorders at Massachusetts General Hospital. Marlene Carno Jacobson is a speech-language pathologist at Sunnybrook Health Science Centre.
    Financial Disclosure: Tessa Goldsmith is associate director of speech, language swallowing disorders at Massachusetts General Hospital. Marlene Carno Jacobson is a speech-language pathologist at Sunnybrook Health Science Centre.×
  • Nonfinancial Disclosure: Tessa Goldsmith has previously published in the subject area. Marlene Jacobson has previously published in the subject area.
    Nonfinancial Disclosure: Tessa Goldsmith has previously published in the subject area. Marlene Jacobson has previously published in the subject area.×
Article Information
Swallowing, Dysphagia & Feeding Disorders / Special Populations / Articles
Article   |   June 01, 2015
Revisiting Swallowing Function Following Contemporary Surgical Interventions for Oral/Oropharyngeal Cancer: Key Underlying Issues
SIG 13 Perspectives on Swallowing and Swallowing Disorders (Dysphagia), June 2015, Vol. 24, 89-98. doi:10.1044/sasd24.3.89
History: Received December 15, 2014 , Revised March 29, 2015 , Accepted April 20, 2015
SIG 13 Perspectives on Swallowing and Swallowing Disorders (Dysphagia), June 2015, Vol. 24, 89-98. doi:10.1044/sasd24.3.89
History: Received December 15, 2014; Revised March 29, 2015; Accepted April 20, 2015

There has been resurgence in surgical interventions for oral cavity and oropharyngeal cancer in tandem with technological advances in reconstructive and ablative procedures. This paper considers the mechanisms of impact of these surgical techniques on swallow function and patient outcomes especially in light of the shifting demographics of human papilloma virus (HPV) associated oropharyngeal cancer. We present a framework for considering physiologic impairment within the context of a holistic approach to patient care based on a series of key underlying considerations.

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