Speech and swallow rehabilitation following partial glossectomy: a systematic review

Int J Speech Lang Pathol. 2015;17(4):401-10. doi: 10.3109/17549507.2014.979880. Epub 2014 Dec 17.

Abstract

Purpose: Tongue cancer is known to negatively affect both speech and swallowing function; however this is the first review to report speech-language pathology (SLP) intervention for both functions following partial glossectomy.

Method: Using a PRISMA approach, systematic screening of nine databases was undertaken. Original studies reporting SLP rehabilitation for speech and/or swallowing dysfunction with participants following partial glossectomy as primary cancer treatment were included.

Result: These studies are discussed in terms of SLP assessment and intervention trends as well as quality according to current research method standards (levels of evidence, Pedro-P, SCED) in order to determine suitability for guiding current clinical practice.

Conclusion: Publications were few (n = 7) and mostly of non-experimental design. This review highlights the gap in evidence and questions the rationale of current SLP rehabilitation following partial glossectomy.

Keywords: Tongue cancer; rehabilitation; speech; speech-language pathology; swallowing.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review
  • Systematic Review

MeSH terms

  • Deglutition Disorders / etiology
  • Deglutition Disorders / rehabilitation*
  • Glossectomy / adverse effects*
  • Humans
  • Speech Disorders / etiology
  • Speech Disorders / rehabilitation*
  • Speech-Language Pathology / methods*
  • Tongue Neoplasms / surgery