功能评估与康复：如何实现最佳效果。
Functional assessment and rehabilitation: how to maximize outcomes.
作者信息
Hutcheson Katherine A, Lewin Jan S
机构信息
Department of Head and Neck Surgery, Section of Speech Pathology & Audiology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 1445, Houston, TX 77030, USA.
出版信息
Otolaryngol Clin North Am. 2013 Aug;46(4):657-70. doi: 10.1016/j.otc.2013.04.006. Epub 2013 Jun 7.
Abstract
The number of oral cavity and oropharyngeal cancer survivors is rising. By 2030, oropharyngeal cancers are projected to account for almost half of all head and neck cancers. Normal speech, swallowing, and respiration can be disrupted by adverse effects of tumor and cancer therapy. This review summarizes clinically distinct functional outcomes of patients with oral cavity and oropharyngeal cancers, methods of pretreatment functional assessments, strategies to reduce or prevent functional complications, and posttreatment rehabilitation considerations.
摘要
口腔和口咽癌幸存者的数量正在增加。到2030年，预计口咽癌将占所有头颈癌的近一半。肿瘤和癌症治疗的不良反应可能会干扰正常的言语、吞咽和呼吸。本综述总结了口腔和口咽癌患者临床上不同的功能结局、治疗前功能评估方法、减少或预防功能并发症的策略以及治疗后康复注意事项。
相似文献
1
Functional assessment and rehabilitation: how to maximize outcomes.功能评估与康复：如何实现最佳效果。
Otolaryngol Clin North Am. 2013 Aug;46(4):657-70. doi: 10.1016/j.otc.2013.04.006. Epub 2013 Jun 7.
2
Speech and swallowing after surgical treatment of advanced oral and oropharyngeal carcinoma: a systematic review of the literature.晚期口腔和口咽癌手术治疗后的言语和吞咽功能：文献系统综述
Eur Arch Otorhinolaryngol. 2009 Nov;266(11):1687-1698. doi: 10.1007/s00405-009-1089-2.
3
Framework for Speech-Language Pathology Services in Patients with Oral Cavity and Oropharyngeal Cancers.口腔和口咽癌患者言语语言病理学服务框架
Oral Maxillofac Surg Clin North Am. 2018 Nov;30(4):397-410. doi: 10.1016/j.coms.2018.07.001.
4
Validity of patient-reported swallowing and speech outcomes in relation to objectively measured oral function among patients treated for oral or oropharyngeal cancer.在接受口腔或口咽癌治疗的患者中，患者报告的吞咽和言语结果与客观测量的口腔功能之间的相关性。
Dysphagia. 2015 Apr;30(2):196-204. doi: 10.1007/s00455-014-9595-9. Epub 2015 Jan 28.
5
Blowing ratio as an evaluation tool for velopharyngeal function after oral and oropharyngeal cancer resection.吹气量比作为口腔和口咽癌切除术后评估腭咽功能的工具。
Head Neck. 2010 Aug;32(8):1012-8. doi: 10.1002/hed.21283.
6
Predictors of speech and swallowing function following primary surgery for oral and oropharyngeal cancer.口腔和口咽癌初次手术后言语和吞咽功能的预测因素
Clin Otolaryngol. 2005 Oct;30(5):428-37. doi: 10.1111/j.1365-2273.2005.01061.x.
7
T stage and functional outcome in oral and oropharyngeal cancer patients.口腔和口咽癌患者的T分期与功能预后
Head Neck. 1996 May-Jun;18(3):259-68. doi: 10.1002/(SICI)1097-0347(199605/06)18:3<259::AID-HED8>3.0.CO;2-Z.
8
Tumor size and pretreatment speech and swallowing in patients with resectable tumors.可切除肿瘤患者的肿瘤大小及术前言语和吞咽情况。
Otolaryngol Head Neck Surg. 2000 May;122(5):653-61. doi: 10.1016/S0194-5998(00)70191-4.
9
Predictors of swallowing outcome in patients treated with surgery and radiotherapy for advanced oral and oropharyngeal cancer.手术联合放疗治疗晚期口腔和口咽癌患者的吞咽结局预测因素。
Oral Oncol. 2009 Sep;45(9):803-8. doi: 10.1016/j.oraloncology.2008.12.010. Epub 2009 Feb 28.
10
[Assessment of Swallowing Ability Scale for oral and oropharyngeal cancer patients].[口腔及口咽癌患者吞咽能力评估量表]
Nihon Jibiinkoka Gakkai Kaiho. 1997 Nov;100(11):1401-7. doi: 10.3950/jibiinkoka.100.1401.
引用本文的文献
1
A Pilot Trial of Tongue Reconstruction Using the Chimeric Innervated Vastus Lateralis Muscle and Antero-Lateral Thigh Free Flap.使用嵌合神经支配股外侧肌和股前外侧游离皮瓣进行舌重建的初步试验。
Head Neck. 2025 Jun;47(6):1758-1768. doi: 10.1002/hed.28087. Epub 2025 Jan 29.
2
Deep learning model for tongue cancer diagnosis using endoscopic images.使用内镜图像的舌癌诊断深度学习模型。
Sci Rep. 2022 Apr 15;12(1):6281. doi: 10.1038/s41598-022-10287-9.
3
Effect of Noise on Speech Intelligibility and Perceived Listening Effort in Head and Neck Cancer.噪声对头颈部癌症患者言语可懂度和感知聆听努力的影响。
Am J Speech Lang Pathol. 2021 Jun 18;30(3S):1329-1342. doi: 10.1044/2020_AJSLP-20-00149. Epub 2021 Feb 25.
4
European white paper: oropharyngeal dysphagia in head and neck cancer.欧洲白皮书：头颈部癌症患者的口咽吞咽困难。
Eur Arch Otorhinolaryngol. 2021 Feb;278(2):577-616. doi: 10.1007/s00405-020-06507-5. Epub 2020 Dec 19.
5
[Influence of mandibulotomy approaches on oral function following radical resection of tongue carcinoma].[下颌骨切开术式对舌癌根治术后口腔功能的影响]
Hua Xi Kou Qiang Yi Xue Za Zhi. 2020 Jun 1;38(3):280-283. doi: 10.7518/hxkq.2020.03.009.
6
Interactive website for head and neck cancer patients: Adherence and coping program to prevent dysphagia after radiation.头颈癌患者互动网站：预防放疗后吞咽困难的依从性与应对方案
Internet Interv. 2019 Oct 28;18:100289. doi: 10.1016/j.invent.2019.100289. eCollection 2019 Dec.
7
Swallowing-related outcomes associated with late lower cranial neuropathy in long-term oropharyngeal cancer survivors: cross-sectional survey analysis.长期口咽癌幸存者中与晚期下颅神经病变相关的吞咽相关结局：横断面调查分析。
Head Neck. 2019 Nov;41(11):3880-3894. doi: 10.1002/hed.25923. Epub 2019 Aug 23.
8
What Are We Really Measuring? A Content Comparison of Swallowing Outcome Measures for Head and Neck Cancer Based on the International Classification of Functioning, Disability and Health (ICF).我们到底在测量什么？基于国际功能、残疾和健康分类（ICF）对头颈癌吞咽结局测量的内容比较。
Dysphagia. 2019 Aug;34(4):575-591. doi: 10.1007/s00455-019-10005-0. Epub 2019 Apr 3.
9
Establishing a Multidisciplinary Head and Neck Clinical Pathway: An Implementation Evaluation and Audit of Dysphagia-Related Services and Outcomes.建立多学科头颈部临床路径：吞咽障碍相关服务和结局的实施评估和审核。
Dysphagia. 2019 Feb;34(1):89-104. doi: 10.1007/s00455-018-9917-4. Epub 2018 Jun 19.
10
Long-term outcomes after surgical or nonsurgical initial therapy for patients with T4 squamous cell carcinoma of the larynx: A 3-decade survey.喉T4期鳞状细胞癌患者手术或非手术初始治疗后的长期预后：一项为期30年的调查。
Cancer. 2015 May 15;121(10):1608-19. doi: 10.1002/cncr.29241. Epub 2015 Jan 13.
本文引用的文献
1
Late dysphagia after radiotherapy-based treatment of head and neck cancer.头颈部癌症放疗后晚期吞咽困难。
Cancer. 2012 Dec 1;118(23):5793-9. doi: 10.1002/cncr.27631. Epub 2012 May 17.
2
Gastrostomy tube placement in patients with hypopharyngeal cancer treated with radiotherapy or chemoradiotherapy: factors affecting placement and dependence.放疗或放化疗治疗下咽癌患者胃造口管置管：影响置管和依赖的因素。
Head Neck. 2013 Nov;35(11):1641-6. doi: 10.1002/hed.23199. Epub 2013 Jan 16.
3
Effects of the head lift exercise on the swallow function: a systematic review.头提升运动对吞咽功能的影响：系统评价。
Gerodontology. 2012 Dec;29(4):247-57. doi: 10.1111/j.1741-2358.2012.00638.x. Epub 2012 May 21.
4
Prophylactic swallowing exercises in patients with head and neck cancer undergoing chemoradiation: a randomized trial.头颈部癌症患者接受放化疗时的预防性吞咽训练：一项随机试验
Arch Otolaryngol Head Neck Surg. 2012 Apr;138(4):376-82. doi: 10.1001/archoto.2012.187.
5
Functional and physiological outcomes from an exercise-based dysphagia therapy: a pilot investigation of the McNeill Dysphagia Therapy Program.基于运动的吞咽障碍疗法的功能和生理结果：麦克奈尔吞咽障碍疗法计划的初步研究。
Arch Phys Med Rehabil. 2012 Jul;93(7):1173-8. doi: 10.1016/j.apmr.2011.11.008. Epub 2012 Feb 25.
6
Evaluation of swallowing by Sydney Swallow Questionnaire (SSQ) in oral and oropharyngeal cancer patients treated with primary surgery.采用悉尼吞咽问卷（SSQ）评估行根治性手术治疗的口腔及口咽癌患者的吞咽功能。
Dysphagia. 2012 Dec;27(4):491-7. doi: 10.1007/s00455-012-9395-z. Epub 2012 Feb 21.
7
Patient-perceived and objective functional outcomes following transoral robotic surgery for early oropharyngeal carcinoma.早期口咽癌经口机器人手术患者的主观和客观功能预后
Arch Otolaryngol Head Neck Surg. 2011 Nov;137(11):1112-6. doi: 10.1001/archoto.2011.172.
8
"Pharyngocise": randomized controlled trial of preventative exercises to maintain muscle structure and swallowing function during head-and-neck chemoradiotherapy."咽肌锻炼法"：头颈部放化疗中预防肌肉结构和吞咽功能障碍的预防性锻炼的随机对照试验。
Int J Radiat Oncol Biol Phys. 2012 May 1;83(1):210-9. doi: 10.1016/j.ijrobp.2011.06.1954. Epub 2011 Oct 17.
9
Human papillomavirus and rising oropharyngeal cancer incidence in the United States.人乳头瘤病毒与美国口咽癌发病率的上升
J Clin Oncol. 2011 Nov 10;29(32):4294-301. doi: 10.1200/JCO.2011.36.4596. Epub 2011 Oct 3.
10
An exploratory study of the influence of clinico-demographic variables on swallowing and swallowing-related quality of life in a cohort of oral and oropharyngeal cancer patients treated with primary surgery.一项探索性研究，旨在探讨临床人口统计学变量对接受原发性手术治疗的口腔和口咽癌患者吞咽功能和吞咽相关生活质量的影响。
Eur Arch Otorhinolaryngol. 2012 Apr;269(4):1233-9. doi: 10.1007/s00405-011-1756-y. Epub 2011 Sep 10.
Zotero 插件