|
| Pt. | Age (years) | Gender | Diagnosis | Dysphagia severity | Complex characteristics | Key issue/s |
|
| 1 | 50 | F | T2N1 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.
| Moderate | Mild 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
|
| 2 | 89 | F | Hurthle 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 severe | Severe dysphonia (hoarseness and breathiness). | Voice/Speech |
| 3 | 59 | M | T1N1 SCC of right lateral tongue managed with a right hemiglossectomy and right neck dissection (level 1–3) and postoperative chemoradiotherapy.
| Moderate | Mild-moderate hearing loss, mild dysarthria | Hearing impairment |
| 4 | 89 | F | Olivopontine atrophy | Mild-Moderate | Moderate hearing loss, severe dysphonia (hoarseness)
| Hearing impairment |
| 5 | 69 | M | Prior 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.
| Severe | Mild-moderate hypernasality with moderate-severe dysarthria | Voice/Speech |
| 6 | 56 | F | T4 N2 SCC of the left oropharynx, managed with chemoradiotherapy. | Mild-moderate | Mild reduction in attention span, easily distracted, self-conscious on web-camera, inappropriate timing of conversation.
| Behaviour/Emotion |
| 7 | 35 | F | T4N0 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. | Severe | Moderate-severe dysarthria, clenching of teeth during speech production resulting in reduced intelligibility, mild hypernasality.
| Voice/Speech |
| 8 | 68 | F | Parkinson’s disease with cervical dyskinesia | Moderate | Uncontrolled head and neck movements,
vocal tremors, severe generalised tremors.
| Movement disorder
and
voice/speech |
| 9 | 93 | M | Prior 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-Moderate | Reduced attention/engagement | Behaviour/Emotion |
| 10 | 82 | M | T3N2 SCC of oropharynx. Assessment conducted presurgery (planned intervention: total laryngectomy and bilateral neck dissection). | Moderate severe | Severe dysphonia (rough and hoarse voice, reduced intensity, occasional diplophonia), moderate hearing impairment. | Voice/Speech,
and
Hearing impairment. |
|
