SLP Experiences with the Head and Neck Cancer Population

Eva Guerrero

Date of Submission

Spring 2024

Document Type

Closed Research Project

Degree Name

Master of Science in Speech-Language Pathology

Department

Speech-Language Pathology

First Advisor

Maria Centeno-Vazquez, PhD, CCC-SLP, BCS-S

Abstract

Several patients with a history of Head and Neck Cancer (HNC) experience symptoms related to dysphagia and voice disorders. However, what about cancers such as thyroid cancer, which is located in the same area as HNC? Due to the location of these cancers, a multidisciplinary team is highly recommended for treatment. Although Speech-Language Pathologists (SLP) are the experts in the study of swallowing and vocal production, referral and intervention for these populations vary. This study aims to comprehensively analyze SLPs’ educational preparedness in HNC and the SLP referral process pre-and post-treatment. Additionally, exploring the role of SLPs in the multidisciplinary team. Participants were medical SLPs who completed a twenty-two-question survey focused on HNC and thyroid cancer evaluation and treatment process. Responses were recorded and compared demonstrating multiple response trends. Most participants showed to be more comfortable with treating and management of HNC than evaluating. Compared to thyroid cancer, with more reporting being unfamiliar with assessment and treatment. Regarding referrals, SLPs received more pre-op referrals to assess HNC than thyroid cancer. These findings also showed that referrals to assess vocal quality in thyroid cancer post-op were more likely to occur compared to referrals received pre-op for HNC. Due to complications that can arise from surgery, SLPs were asked about the occurrence of impairments following surgical interventions. Findings demonstrated vocal parameters were affected in both HNC and thyroid cancer. Participants also reported swallowing complications following surgery in both cancer groups with a 10% difference versus a 5% difference seen with vocal parameters. Trends in protocols used and opinions about pre- and post-surgery voice and dysphagia screening were also revealed and discussed.

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