Speech intelligibility in patients with oral cancer: An objective baseline evaluation of pretreatment function and impairment

Head Neck. 2019 Apr;41(4):1063-1069. doi: 10.1002/hed.25527. Epub 2019 Feb 23.

Abstract

Background: This study seeks to identify those factors that influence the pre-therapeutic speech intelligibility in patients with oral squamous cell carcinoma (OSCC).

Method: A group of 172 patients (125 males, 47 females, mean age = 61 ± 11 a) with different OSCC stages ranging from T1 to T4 and N0 to N2 was examined for their speech intelligibility using a computerized measuring tool, and compared to a healthy reference group (30 males, 10 females, mean age = 59 ± 12 a).

Results: It was found that the pre-therapeutic speech intelligibility in patients with OSCC is decreased when compared to a healthy collective. Two demographic factors that influence speech intelligibility could be identified: sex and age. It was determined that the only disease-related factor that influences speech intelligibility before therapy is the location of the tumor.

Conclusion: The results of this study reveal that a preoperative speech intelligibility impairment in patients suffering from OSCC occurs independent of tumor stage, size of the tumor and infiltration status.

Keywords: PEAKS; automatic speech quantification; oral cancer; presurgical; speech intelligibility.

MeSH terms

  • Aged
  • Analysis of Variance
  • Carcinoma, Squamous Cell / pathology
  • Carcinoma, Squamous Cell / surgery*
  • Case-Control Studies
  • Female
  • Germany
  • Humans
  • Male
  • Middle Aged
  • Mouth Neoplasms / pathology
  • Mouth Neoplasms / surgery*
  • Neoplasm Invasiveness / pathology
  • Neoplasm Staging
  • Oral Surgical Procedures / adverse effects*
  • Oral Surgical Procedures / methods
  • Prognosis
  • Regression Analysis
  • Retrospective Studies
  • Speech Disorders / etiology*
  • Speech Disorders / physiopathology
  • Speech Intelligibility / physiology*