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.
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.
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.
868FParkinson’s disease with cervical dyskinesiaModerateUncontrolled head and neck movements,
vocal tremors, severe generalised tremors.
Movement disorder
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,
Hearing impairment.

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