Role of the Speech-Language Pathologist (SLP) in the Head and Neck Cancer Team

  • Kelly Hansen
  • Marybeth Chenoweth
  • Heather Thompson
  • Alexandra Strouss
Part of the Cancer Treatment and Research book series (CTAR, volume 174)


While treatments for head and neck cancer are aimed at curing patients from disease, they can have significant short- and long-term negative impacts on speech and swallowing functions. Research demonstrates that early and frequent involvement of Speech-Language Pathologists (SLPs) is beneficial to these functions and overall quality of life for head and neck cancer patients. Strategies and tools to optimize communication and safe swallowing are presented in this chapter.


Dysphagia Speech-language pathology Laryngectomy Voice Speech Feeding tube 


  1. 1.
    Lewin JS, Teng MS, Kotz T (2016) Speech and swallowing rehabilitation of the patient with head and neck cancer. Up To Date, Inc. (1).
  2. 2.
    Starmer H, Sanguineti G, Marur S, Gourin CG (2011) Multidisciplinary head and neck cancer clinic and adherence with speech pathology. Laryngoscope 121:2131–2135: Starmer HM, Tippett D, Webster K, Quon H, Jones B, Hardy S, Gourin CG (2014) Swallowing outcomes in patients with oropharyngeal cancer undergoing organ-preservation treatment. Head Neck 36:139207Google Scholar
  3. 3.
    Logemann JA (1999) Evaluation and treatment of swallowing disorders. PRO-ED, Inc.Google Scholar
  4. 4.
    Silver JK, Baima J (2013) Cancer prehabilitation: an opportunity to decrease treatment-related morbidity, increase cancer treatment options and improve physical and psychological health outcomes. AM J Phys Med Rehab 92(8):715–727CrossRefGoogle Scholar
  5. 5.
    Silver JK, Baima J, Mayer RS (2013) Impairment-driven cancer rehabilitation: an essential component of quality care and survivorship. CA Cancer J Clin 63(5):295–317CrossRefPubMedGoogle Scholar
  6. 6.
    Kotz T, Federman AD, Kao J et al (2012) Prophylactic swallowing exercises in patients with head nad neck cancer undergoing chemoradiation: a randomized trial. Arch Otolaryngol Head Neck Surg 138:376–382CrossRefPubMedGoogle Scholar
  7. 7.
    Pauloski BR, Rademaker AW, Logemann JA, Stein D, Beery Q, Newman L, Hanchett C, Tusant S, MacCracken E (2000) Pretreatment swallowing function in patients with head and neck cancer. Head Neck 22(5):474–482Google Scholar
  8. 8.
    Carnaby-Mann G, Crary MA, Schmalfuss I, Amdur R (2012) “Pharyngocise”: randomized controlled trial of preventative exercises to maintain muscle structure and swallowing function during head-and-neck chemoradiotherapy. Int J Radiat Oncol Biol Phys 83(1):210–219Google Scholar
  9. 9.
    Silver JK (2015) Cancer prehabilitation and its role in improving health outcomes and reducing healthcare costs. Semin Ocol Nurs. 31(1):13–30CrossRefGoogle Scholar
  10. 10.
    Bossola M (2015) Nutritional intervention in head and neck cancer patients undergoing chemoradiotherapy: a narrative review. Nutrients 7:265–276CrossRefPubMedPubMedCentralGoogle Scholar
  11. 11.
    Ohba S, Yokoyama J, Kojima M, Fujimaki M, Anzai T, Komatsu H, Ikeda K (2016) Significant preservation of swallowing function in chemoradiotherapy for advanced head and neck cancer by prophylactic swallowing exercise. Head Neck 38(4):517–521Google Scholar
  12. 12.
    Hutcheson KA, Bhayani MK, Beadle BM, Gold KA, Shinn EH, Lai SY, Lewin J (2013) Eat and exercise during radiotherapy or chemoradiotherapy for pharyngeal cancers: use it or lose it. JAMA Otolaryngol Head Neck Surg 139(11):1127–1134. CrossRefPubMedPubMedCentralGoogle Scholar
  13. 13.
    Langmore S, Krisciunas GP, Vasquez Miloro K, Evans SR, Cheng DM (2012) Does PEG cause dysphagia in heand and neck cancer patients? Dysphagia 27(2):251–259CrossRefPubMedGoogle Scholar
  14. 14.
    Carlaw C, Finlayson H, Beggs K, Visser T, Marcoux C, Coney D, Steele CM (2012) Outcomes of a pilot water protocol project in a rehabilitation setting. Dysphagia 27(3):297–306Google Scholar
  15. 15.
    Choby GW, Kim J, Abberbock S, Mandal R, Kim S, Ferris RL, Duvvuri U (2015) Transoral robotic surgery alone for oropharyngeal cancer: quality-of-life outcomes. JAMA Otolaryngology Head Neck Surgery 141(6):499–504Google Scholar
  16. 16.
    Finke EH, Light J, Kitko L (2008) A systematic review of the effectiveness of nurse communication with patients with complex communication needs with a focus on the use of augmentative and alternative communication. J Clin Nurs 17(16):2102–2115.
  17. 17.
    Rodriguez CS, Rowe M, Thomas L, Shuster J, Koeppel B, Cairns P (2016) Enhancing the communication of suddenly speechless critical care patients. Am J Crit Care 25(3):e40–e47
  18. 18.
    Landera MA, Lundy DS, Sullivan PA (2010) Dysphagia after total laryngectomy SIG 13 perspectives on swallowing and swallowing disorders. Dysphagia 19:39–44Google Scholar
  19. 19.
  20. 20.
    Hutcheson KA, Lewin JS, Barringer DA, Lisec A, Gunn B, Moore MWS, Holsinger FC (2012) Late dysphagia after radiotherapy-based treatment of head and neck cancer. Cancer 118(23):5793–5799Google Scholar
  21. 21.
    Yoon WL, Kai J, Khoo P, Liow SJR (2014) Chin tuck against resistance (CTAR): new method for enhancing suprahyoid muscle activity using a shaker-type exercise. Dysphagia 29(2):243CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Kelly Hansen
    • 1
  • Marybeth Chenoweth
    • 1
  • Heather Thompson
    • 2
  • Alexandra Strouss
    • 2
  1. 1.City of Hope National Medical CenterDuarteUSA
  2. 2.Cedars-Sinai Medical CenterLos AngelesUSA

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