Table 1: Description of presenting characteristics of the 10 participants and the key issues complicating the assessment session.

Pt.Age (years)GenderDiagnosisDysphagia severityComplex characteristicsKey issue/s

150FT2N1 SCC left tongue treated with left supramyohyoid dissection, resection (left) tongue, (left) posterior tongue and tonsil removed, wrap around (right) anterior tongue flap. Postoperative radiotherapy.
ModerateMild dysarthric speech, moderate-severe dysphonia (husky voice, reduced intensity), emotional psychosocial changes coping with acute changes to voice posttreatment as participant was a professional voice user.
Voice/Speech
and
Behaviour/Emotion
289FHurthle cell thyroid cancer (widely invasive with recurrent laryngeal nerve palsy and subglottic stenosis)—treated with hemithyroidectomy and laser excision of stenosis/obstructive lesion. Postoperative radiotherapy.
Moderate severeSevere dysphonia (hoarseness and breathiness).Voice/Speech
359MT1N1 SCC of right lateral tongue managed with a right hemiglossectomy and right neck dissection (level 1–3) and postoperative chemoradiotherapy.
ModerateMild-moderate hearing loss, mild dysarthriaHearing impairment
489FOlivopontine atrophyMild-ModerateModerate hearing loss, severe dysphonia (hoarseness)
Hearing impairment
569MPrior history of a T2N2c SCC of left base of tongue managed via chemoradiotherapy. Recently managed for osteoradionecrosis of right jaw, which was treated surgically with partial mandibulectomy and a fibular free flap.
SevereMild-moderate hypernasality with moderate-severe dysarthriaVoice/Speech
656FT4 N2 SCC of the left oropharynx, managed with chemoradiotherapy.Mild-moderateMild reduction in attention span, easily distracted, self-conscious on web-camera, inappropriate timing of conversation.
Behaviour/Emotion
735FT4N0 SCC of the left tongue. Treated via a left hemiglossectomy with buccinators flap repair and left neck dissection (level 1–3) and adjuvant radiotherapy. Diffuse scleroderma post radiotherapy.SevereModerate-severe dysarthria, clenching of teeth during speech production resulting in reduced intelligibility, mild hypernasality.
Voice/Speech
868FParkinson’s disease with cervical dyskinesiaModerateUncontrolled head and neck movements,
vocal tremors, severe generalised tremors.
Movement disorder
and
voice/speech
993MPrior history of Achalasia, CVA (no residual deficits), vascular dementia, Depression, lumbar spinal stenosis. At time of assessment was admitted with chest pain and vomiting and acopia.
Mild-ModerateReduced attention/engagementBehaviour/Emotion
1082MT3N2 SCC of oropharynx. Assessment conducted presurgery (planned intervention: total laryngectomy and bilateral neck dissection).Moderate severeSevere dysphonia (rough and hoarse voice, reduced intensity, occasional diplophonia), moderate hearing impairment.Voice/Speech,
and
Hearing impairment.

Pt.: participant; M: male; F: female; CVA: cerebrovascular accident; SCC: squamous cell carcinoma; T: tumour size; N: nodal disease.