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Rehabilitation of head and neck cancer patients

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Palliative Care and Rehabilitation of Cancer Patients

Part of the book series: Cancer Treatment and Research ((CTAR,volume 100))

Abstract

Patients who are treated for head and neck cancer can present with some of the most significant posttreatment morbidity of any cancer group [1–29]. Their eating, talking, respiration, and cosmesis can all be significantly altered by their treatment. All these effects may be quite visible and may interfere with socialization and employment. Therefore, rehabilitation for head and neck cancer patients about to undergo treatment should be an initial and continuing concern of the patient’s attending physician or surgeon, not the last item to be considered in the patient’s care plan [30—42]. In fact, the thinking of physicians and surgeons caring for patients with head and neck cancer has changed significantly over the last 10 years to the point where rehabilitation is usually considered at the time of treatment selection, rather than at the end of the treatment continuum. This chapter will review the particular functional problems resulting from head and neck cancer at various disease sites and the subsequent treatment(s) of this cancer and will present current thinking on aggressive rehabilitation for these patients.

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References

  1. Aguilar N, Olson M, Shedd D. 1979. Rehabilitation of deglutition problems in patients with head and neck cancer. Am J Surg 138:501–507.

    Article  PubMed  CAS  Google Scholar 

  2. Conley J. 1960. Swallowing dysfunctions associated with radical surgery of the head and neck. Arch Surg 80:602–612.

    Article  PubMed  CAS  Google Scholar 

  3. Georgian D, Logemann JA, Fisher HB. 1982. Compensatory articulation patterns of a surgically treated oral cancer patient. J Speech Hear Dis 47:154–159.

    CAS  Google Scholar 

  4. Lazarus CL. 1993. Effects of radiation therapy and voluntary maneuvers on swallow functioning in head and neck cancer patients. Clin Commun Disorders 3(4):11–20.

    CAS  Google Scholar 

  5. Lazarus C, Logemann JA, Gibbons P. 1993. Effects of maneuvers on swallowing function in a dysphagic oral cancer patient. Head Neck 15:419–424.

    Article  PubMed  CAS  Google Scholar 

  6. Lazarus CL, Logemann JA, Kahrilas PJ, Mittal BB. 1994. Swallow recovery in an oral cancer patient following surgery, radiotherapy, and hyperthermia. Head Neck 16(3):259–265.

    Article  PubMed  CAS  Google Scholar 

  7. Lazarus CL, Logemann J, Pauloski BR, Colangelo LA, Kahrilas PJ, Mittal BB, Pierce M. 1996. Swallowing disorders in head and neck cancer patients treated with radiotherapy and adjuvant chemotherapy. Laryngoscope 106:1157–1166.

    Article  PubMed  CAS  Google Scholar 

  8. List MA, Ritter-Sterr CA, Baker TM, Logemann JA, Matz G, Pauloski BR, Colangelo LA. 1996. A longitudinal assessment of quality of life in laryngeal cancer patients. Head Neck 18(l):1–10.

    Article  PubMed  CAS  Google Scholar 

  9. Logemann JA. 1985. Aspiration in head & neck surgical patients. Ann Otol Rhinol Laryngol 94:373–376.

    PubMed  CAS  Google Scholar 

  10. Logemann JA. 1985. The relationship between speech and swallowing in head and neck surgical patients. Semin Speech Lang 6(4):351–359.

    Article  Google Scholar 

  11. Logemann JA. 1989. Deglutition disorders in cancer of the head and neck. In Kagan AR, Miles J (eds), Head and Neck Oncology. Elmsford, NY: Pergamon Press, 155–161

    Google Scholar 

  12. Logemann JA. 1990. Normal swallowing and the effects of oral cancer on normal deglutition. In Fee W, Goepfert H, Johns M, Strong E, Ward P (eds), Head and Neck Cancer, vol. 2. Toronto: Decker, 324–326.

    Google Scholar 

  13. Logemann JA. 1993. Rehabilitation of the patient after treatment. In Niederhuber JE (ed), Current Therapy in Oncology. St. Louis, MO: B.C. Decker, 169–174.

    Google Scholar 

  14. Logemann JA. 1994. Rehabilitation of the head & neck cancer patient. Semin Oncol 21(3):359–365.

    PubMed  CAS  Google Scholar 

  15. Logemann JA, Bytell DE. 1979. Swallowing disorders in three types of head and neck surgical patients. Cancer 44:1095–1105.

    Article  PubMed  CAS  Google Scholar 

  16. Logemann JA, Pauloski BR, Rademaker AW, et al. 1993. Speech and swallow function after tonsil/base of tongue resection w/primary closure. J Speech Hear Res 36:918–926.

    PubMed  CAS  Google Scholar 

  17. McConnel FMS, Hester TR, Mendelsohn MS, Logemann JA. 1988. Manofluorography of deglutition after total laryngopharyngectomy. Plast Reconstr Surg 81(3):346–351

    Article  PubMed  CAS  Google Scholar 

  18. McConnel FMS, Logemann JA, Rademaker AW, et al. 1994. Surgical variables affecting postoperative swallowing efficiency in oral cancer patients: a pilot study. Laryngoscope 104(l):87–90.

    PubMed  CAS  Google Scholar 

  19. McConnel FMS, Mendelsohn MS, Logemann JA. 1986. Examination of swallowing after total laryngectomy using manofluorography. Head Neck Surg 9:3–12.

    Article  PubMed  CAS  Google Scholar 

  20. McConnel FMS, Mendelsohn MS, Logemann JA. 1987. Manofluorography of deglutition after supraglottic laryngectomy. Head Neck Surg 9:142–150.

    Article  PubMed  CAS  Google Scholar 

  21. McConnel FMS, Pauloski BR, Logemann JA, Rademaker AW, Colangelo LA, Shedd D, Carroll W, Lewin J, Johnson J. 1998. The functional results of primary closure versus flaps in oropharyngeal reconstruction. Arch Otolaryngol Head Neck Surg 124(6): 625–630.

    PubMed  CAS  Google Scholar 

  22. Pauloski BR, Logemann JA, Colangelo LA, et al. 1998. Surgical variables affecting speech in treated oral/oropharyngeal cancer patients. Laryngoscope 108:908–916.

    Article  PubMed  CAS  Google Scholar 

  23. Pauloski BR, Logemann JA, Fox JC, Colangelo LA. 1995. Biomechanical analysis of the pharyngeal swallow in postsurgical patients with anterior tongue and floor of mouth resection and distal flap reconstruction. J Speech Hear Res 38:110–123.

    PubMed  CAS  Google Scholar 

  24. Pauloski BR, Logemann JA, Rademaker A, et al. 1993. Speech and swallowing function after anterior tongue & floor of mouth resection w/distal flap reconstruction. J Speech Hear Res 36:267–276.

    PubMed  CAS  Google Scholar 

  25. Pauloski BR, Logemann JA, Rademaker AW, et al. 1994. Speech and swallowing function after oral and oropharyngeal resections: one-year follow-up. Head Neck 16(4):313–322.

    Article  PubMed  CAS  Google Scholar 

  26. Pauloski BR, Rademaker AW, Logemann JA, Colangelo L. 1998. Speech and swallowing in irradiated and nonirradiated postsurgical oral cancer patients. Otolaryngol Head Neck Surg 118(5):616–624.

    PubMed  CAS  Google Scholar 

  27. Sessions D, Zill R, Schwartz J. 1979. Deglutition after conservation surgery for cancer of the larynx and hypopharynx. Otolaryngol Head Neck Surg 87:779–796.

    PubMed  CAS  Google Scholar 

  28. Som M. 1951 Hemilaryngectomy — a modified technique for cordal carcinoma with extension posteriorly. Arch Otolaryngol 54:524–533.

    Article  CAS  Google Scholar 

  29. Weaver A, Fleming S. 1978. Partial laryngectomy: analysis of associated swallowing disorders. Am J Surg 136:486–489.

    Article  PubMed  CAS  Google Scholar 

  30. Colangelo LA, Logemann JA, Pauloski BR, Pelzer HJ, Rademaker AW 1996. T-stage and functional outcome in oral and oropharyngeal cancer patients. Head Neck 18:259–268.

    Article  PubMed  CAS  Google Scholar 

  31. Fleming T. 1982. Dental care for cancer patients receiving radiotherapy to the head and neck. Cancer Bull 34:63–65.

    Google Scholar 

  32. Logemann JA. 1981 Nursing and allied health interventions in cancer control. In Mettlin K (ed), Progress in Cancer Control. New York: Alan R. Liss, 101–110.

    Google Scholar 

  33. Logemann J. 1983. Treatment of articulation disorders: The oropharyngeal impaired patient. In Perkins WH (ed), Current Therapy for Communication Disorders. New York: Thieme and Stratton, 69–78.

    Google Scholar 

  34. Logemann JA. 1986. Studies of speech and swallowing rehabilitation in head and neck cancer patients. Cancer Focus 8(1 & 2):66–70.

    Google Scholar 

  35. Logemann JA. 1989. Speech and swallowing rehabilitation for head and neck tumor patients. In Myers EN, Suten JY (eds), Cancer of the Head and Neck, 2nd ed. New York: Churchill Livingstone, 1021–1043.

    Google Scholar 

  36. Logemann JA. 1989. Swallowing and communication rehabilitation. Semin Oncol Nurs 5:205–212.

    Article  PubMed  CAS  Google Scholar 

  37. Logemann JA. 1994. Speech therapy and rehabilitation: commentary. Curr Opin Otolaryngol Head Neck Surg 2(3):217–219.

    Article  Google Scholar 

  38. Logemann JA. 1995. Surgical rehabilitation of adults. In Leahy M (ed), Disorders of Communication: The Science of Intervention, 2nd ed. London: Whurr, 305–326.

    Google Scholar 

  39. Logemann JA. 1998. Commentary:’ Rehabilitation in head and neck cancer patient’ (author: Mary Clarke). Oncology 12:93–94.

    Google Scholar 

  40. Logemann JA, Pauloski BR, Rademaker AW, Colangelo L. 1997. Speech and swallowing rehabilitation in head and neck cancer patients. Oncology 11(5):651–656, 659; discussion 659, 663-664.

    PubMed  CAS  Google Scholar 

  41. Logemann JA, Sisson GA, Wheeler R. 1980. The team approach to rehabilitation of surgically treated oral cancer patients. Proceedings of the National Forum on Cancer Rehabilitation. Williamsburg, VA, Nov. 13-15, 222–227.

    Google Scholar 

  42. McConnel FMS, Logemann JA. 1990. Diagnosis and treatment of swallowing disorders. In Cummings CW, Fredrickson JM, Harker LA, Krause CJ, Schuller DE (eds), Otolaryngology — Head and Neck Surgery: Update II. St. Louis: Mosby, 10–38.

    Google Scholar 

  43. Davis J, Lazarus C, Logemann J, Hurst P. 1987. Effect of a maxillary glossectomy prosthesis on articulation and swallowing. J Prosthet Dent 57(6):715–719.

    Article  PubMed  CAS  Google Scholar 

  44. Logemann J, Kahrilas P, Hurst P, Davis J, Krugler C. 1989. Effects of intraoral prosthetics on swallowing in oral cancer patients. Dysphagia 4:118–120.

    Article  PubMed  CAS  Google Scholar 

  45. Wheeler R, Logemann J, Rosen MS. 1980. A maxillary reshaping prosthesis: its effectiveness in improving the speech & swallowing of postsurgical oral cancer patients. J Prosthet Dent 43:491–495.

    Article  Google Scholar 

  46. Logemann JA. 1998. Evaluation and Treatment of Swallowing Disorders, 2nd ed. Austin, TX: Pro-Ed.

    Google Scholar 

  47. Rasley A, Logemann JA, Kahrilas PJ, Rademaker AW, Pauloski BR, Dodds WJ. 1993. Prevention of barium aspiration during videofluoroscopic swallowing studies: value of change in posture. Am J Roent 160:1005–1009.

    CAS  Google Scholar 

  48. Hanson DG, Logemann JA, Hast M. 1992. Physiology of pharynx & larynx. In Meyerhoff EL, Rice DH (eds), Otolaryngology — Head and Neck Surgery. Orlando, FL: WB. Saunders, 683–698.

    Google Scholar 

  49. Logemann JA. 1998. Upper digestive tract anatomy and physiology. In Bailey B (ed), Head and Neck Surgery — Otolaryngology, 2nd ed. Philadelphia, PA: Lippincott-Raven, 571–578.

    Google Scholar 

  50. Kahrilas PJ, Lin S, Chen J, Logemann JA. 1996. Oropharyngeal accommodation to swallow volume. Gastroenterology 111:297–306.

    Article  PubMed  CAS  Google Scholar 

  51. Kahrilas PJ, Logemann JA, Krugler C, Flanagan E. 1991 Volitional augmentation of upper esophageal sphincter opening during swallowing. Am J Physiol 260 (Gastrointest Physiol 23):G450–G456.

    PubMed  CAS  Google Scholar 

  52. Logemann JA, Gibbons P, Rademaker AW, Pauloski BR, Kahrilas PJ, Bacon M, Bowman J, McCracken E. 1994. Mechanisms of recovery of swallow after supraglottic laryngectomy. J Speech Hear Res 37:965–974.

    PubMed  CAS  Google Scholar 

  53. Rademaker AW, Logemann JA, Pauloski BR, et al. 1993. Recovery of postoperative swallowing in patients undergoing partial laryngectomy. Head Neck 15:325–334.

    Article  PubMed  CAS  Google Scholar 

  54. Martin BJW, Logemann JA, Shaker R, Dodds WJ. 1993. Normal laryngeal valving patterns during three breath-hold maneuvers: a pilot investigation. Dysphagia 8:11–20.

    Article  PubMed  CAS  Google Scholar 

  55. Ohmae Y, Logemann JA, Kaiser P, Hanson DG, Kahrilas PJ. 1996. Effects of two breathholding maneuvers on oropharyngeal swallow. Ann Otol Rhinol Laryngol 105:123–131

    PubMed  CAS  Google Scholar 

  56. Logemann JA. 1983. Speech therapy after extensive surgery for post cricoid carcinoma. In Edels Y (ed), Vocal Rehabilitation After Laryngectomy. London: Croom Helm, 233–248.

    Google Scholar 

  57. McConnel FMS, Sisson GA, Logemann JA. 1976. Three years experience with a hypopharyngeal pseudoglottis for vocal rehabilitation after total laryngectomy. Trans Am Acad Ophthalmol Otolaryngol 84:63–67.

    Google Scholar 

  58. McConnel F, Sisson G, Logemann JA, Yeh S Jr. 1975. Voice rehabilitation after laryngectomy. Arch Otolaryngol 101:178–181

    Article  PubMed  Google Scholar 

  59. Singer M, Blom E. 1980. An endoscopic technique for restoration of voice after laryngectomy. Ann Otol Rhinol Laryngol 89:529–533.

    PubMed  CAS  Google Scholar 

  60. Sisson G, McConnel FMS, Logemann JA. 1975. Rehabilitation after laryngectomy with a hypopharyngeal voice prosthesis. Can J Otolaryngol 4:588–594.

    PubMed  CAS  Google Scholar 

  61. Pauloski BR, Blom ED, Logemann JA, Hamaker RC. 1995. Functional outcome after surgery for prevention of pharyngospasms in tracheoesophageal speakers. Part II: Swallow characteristics. Laryngoscope 105:1104–1110.

    Article  PubMed  CAS  Google Scholar 

  62. Logemann JA, Rademaker AW, Pauloski BR, Kahrilas PJ. 1994. Effects of postural change on aspiration in head and neck surgical patients. Otolaryngol Head Neck Surg 110:222–227.

    PubMed  CAS  Google Scholar 

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Authors
  1. Jeri A. Logemann
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Editors and Affiliations

  1. Center for Palliative Studies, San Diego Hospice, San Diego, California, USA

    Charles F. von Gunten M.D., Ph.D, FACP

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© 1999 Springer Science+Business Media New York

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Logemann, J.A. (1999). Rehabilitation of head and neck cancer patients. In: von Gunten, C.F. (eds) Palliative Care and Rehabilitation of Cancer Patients. Cancer Treatment and Research, vol 100. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-5003-7_6

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  • DOI: https://doi.org/10.1007/978-1-4615-5003-7_6

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-7272-1

  • Online ISBN: 978-1-4615-5003-7

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