Skip to main content

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

  • Chapter
  • First Online:
Multidisciplinary Care of the Head and Neck Cancer Patient

Part of the book series: Cancer Treatment and Research ((CTAR,volume 174))

Abstract

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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  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). http://www.uptodate.com/contents/speech-and-swallowing-rehabilitation-of-the-patient-with-head-and-neck-cancer#H1

  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 36:139207

    Google Scholar 

  3. Logemann JA (1999) Evaluation and treatment of swallowing disorders. PRO-ED, Inc.

    Google Scholar 

  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):715–727

    Article  Google Scholar 

  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):295–317

    Article  PubMed  Google Scholar 

  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 138:376–382

    Article  PubMed  Google Scholar 

  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):474–482

    Google Scholar 

  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):210–219

    Google Scholar 

  9. Silver JK (2015) Cancer prehabilitation and its role in improving health outcomes and reducing healthcare costs. Semin Ocol Nurs. 31(1):13–30

    Article  Google Scholar 

  10. Bossola M (2015) Nutritional intervention in head and neck cancer patients undergoing chemoradiotherapy: a narrative review. Nutrients 7:265–276

    Article  PubMed  PubMed Central  Google Scholar 

  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):517–521

    Google Scholar 

  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. https://doi.org/10.1001/jamaoto.2013.4715

    Article  PubMed  PubMed Central  Google Scholar 

  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):251–259

    Article  PubMed  Google Scholar 

  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):297–306

    Google Scholar 

  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):499–504

    Google Scholar 

  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. https://doi.org/10.1111/j.1365-2702.2008.02373.x

  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 https://doi.org/10.4037/ajcc2016217

  18. Landera MA, Lundy DS, Sullivan PA (2010) Dysphagia after total laryngectomy SIG 13 perspectives on swallowing and swallowing disorders. Dysphagia 19:39–44

    Google Scholar 

  19. https://www.cancer.gov/publications/dictionaries/cancer-terms?cdrid=445089

  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):5793–5799

    Google Scholar 

  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):243

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Kelly Hansen .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Hansen, K., Chenoweth, M., Thompson, H., Strouss, A. (2018). Role of the Speech-Language Pathologist (SLP) in the Head and Neck Cancer Team. In: Maghami, E., Ho, A. (eds) Multidisciplinary Care of the Head and Neck Cancer Patient. Cancer Treatment and Research, vol 174. Springer, Cham. https://doi.org/10.1007/978-3-319-65421-8_3

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-65421-8_3

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-65420-1

  • Online ISBN: 978-3-319-65421-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics