Swallowing and communication outcomes following primary transoral robotic surgery.

Charters, E; Wu, R; Milross, C; Bogaardt, H; Freeman-Sanderson, A; Ballard, K; Davies, S; Oates, J; Clark, J

Swallowing and communication outcomes following primary transoral robotic surgery.

Charters, E Wu, R Milross, C Bogaardt, H Freeman-Sanderson, A

Ballard, K Davies, S Oates, J Clark, J

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Publisher:: Wiley
Publication Type:: Journal Article
Citation:: Head and Neck: journal for the sciences and specialities of the head and neck, 2021, 43, (7), pp. 2013-2023
Issue Date:: 2021-07

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Field	Value	Language
dc.contributor.author	Charters, E
dc.contributor.author	Wu, R
dc.contributor.author	Milross, C
dc.contributor.author	Bogaardt, H
dc.contributor.author	Freeman-Sanderson, A https://orcid.org/0000-0003-2161-6421
dc.contributor.author	Ballard, K
dc.contributor.author	Davies, S
dc.contributor.author	Oates, J
dc.contributor.author	Clark, J
dc.date.accessioned	2021-11-26T00:54:31Z
dc.date.available	2021-02-26
dc.date.available	2021-11-26T00:54:31Z
dc.date.issued	2021-07
dc.identifier.citation	Head and Neck: journal for the sciences and specialities of the head and neck, 2021, 43, (7), pp. 2013-2023
dc.identifier.issn	1043-3074
dc.identifier.issn	1097-0347
dc.identifier.uri	http://hdl.handle.net/10453/151855
dc.description.abstract	Background Heterogeneity within studies examining transoral robotic surgery (TORS) for oropharyngeal cancer (OPC) has made it challenging to make clear conclusions on functional outcomes. Infrequent use of instrumental swallow examinations compounds uncertainty surrounding the proposed functional advantage to TORS. Methods A prospective cohort of 49 patients underwent speech and swallowing assessment 12 months following treatment for OPC. Patients were assessed using fibreoptic endoscopic evaluation of swallowing (FEES), clinician- and patient-reported outcomes. Participants were matched according to tumor site, T category, and age. Speech and swallowing outcomes were compared for those receiving TORS versus chemoradiation. Results When adjuvant radiotherapy to the primary site could be avoided, TORS demonstrated an advantage for feeding tube duration, secretion severity, penetration/aspiration, M. D. Anderson Dysphagia Inventory (MDADI), and airway protection. Conclusion This explorative study suggests that a treatment philosophy of selecting patients for TORS where adjuvant therapy can be omitted or confined to the neck warrants further evaluation.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Wiley
dc.relation.ispartof	Head and Neck: journal for the sciences and specialities of the head and neck
dc.relation.isbasedon	10.1002/hed.26675
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1103 Clinical Sciences, 1105 Dentistry
dc.subject.classification	Otorhinolaryngology
dc.subject.mesh	Communication
dc.subject.mesh	Deglutition
dc.subject.mesh	Humans
dc.subject.mesh	Oropharyngeal Neoplasms
dc.subject.mesh	Prospective Studies
dc.subject.mesh	Robotic Surgical Procedures
dc.subject.mesh	Treatment Outcome
dc.subject.mesh	Humans
dc.subject.mesh	Oropharyngeal Neoplasms
dc.subject.mesh	Treatment Outcome
dc.subject.mesh	Prospective Studies
dc.subject.mesh	Communication
dc.subject.mesh	Deglutition
dc.subject.mesh	Robotic Surgical Procedures
dc.subject.mesh	Communication
dc.subject.mesh	Deglutition
dc.subject.mesh	Humans
dc.subject.mesh	Oropharyngeal Neoplasms
dc.subject.mesh	Prospective Studies
dc.subject.mesh	Robotic Surgical Procedures
dc.subject.mesh	Treatment Outcome
dc.title	Swallowing and communication outcomes following primary transoral robotic surgery.
dc.type	Journal Article
utslib.citation.volume	43
utslib.location.activity	United States
utslib.for	1103 Clinical Sciences
utslib.for	1105 Dentistry
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health/GSH.Speech Pathology
utslib.copyright.status	closed_access	*
pubs.consider-herdc	false
dc.date.updated	2021-11-26T00:54:30Z
pubs.issue	7
pubs.publication-status	Published
pubs.volume	43
utslib.citation.issue	7

Abstract:

Background Heterogeneity within studies examining transoral robotic surgery (TORS) for oropharyngeal cancer (OPC) has made it challenging to make clear conclusions on functional outcomes. Infrequent use of instrumental swallow examinations compounds uncertainty surrounding the proposed functional advantage to TORS. Methods A prospective cohort of 49 patients underwent speech and swallowing assessment 12 months following treatment for OPC. Patients were assessed using fibreoptic endoscopic evaluation of swallowing (FEES), clinician- and patient-reported outcomes. Participants were matched according to tumor site, T category, and age. Speech and swallowing outcomes were compared for those receiving TORS versus chemoradiation. Results When adjuvant radiotherapy to the primary site could be avoided, TORS demonstrated an advantage for feeding tube duration, secretion severity, penetration/aspiration, M. D. Anderson Dysphagia Inventory (MDADI), and airway protection. Conclusion This explorative study suggests that a treatment philosophy of selecting patients for TORS where adjuvant therapy can be omitted or confined to the neck warrants further evaluation.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/151855