Health Condition 1: C021- Malignant neoplasm of border of tongue Health Condition 2: C029- Malignant neoplasm of tongue, unspecified
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. All histopathologically proven operable SCC of oral cavity with stage (cT1-4b N1-3 M0) undergoing resection of primary tumor +/-reconstructive procedures with curative intent. 2. Patients who can tolerate atleast a thin liquid diet by postoperative day 10 of surgery. 3. ECOG PS 1-2
Exclusion criteria
Exclusion criteria: 1. Recurrent oral cavity cancers. 2. Previous history of pharyngeal or esophageal malignancy. 3. Existing difficulty in swallowing due to causes other than current malignancy eg.hemiparesis, neuromuscular disorder etc. 4. Not giving informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To study the effect of post-operative Structured Oral Exercise Therapy (POSE) on swallowing function as assessed by Fiberoptic Endoscopic Evaluation of Swallowing (FEES) in oral cavity cancer patients compared to those who receive standard care (SC) at 4-6 weeks and 4-6 months post-surgeryTimepoint: 4-6 weeks and 4-6 months post-surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. To study the effect of POSE on other swallowing outcomes like Eating Assessment tool (EAT-10), tube dependency, mouth opening, gargle, whistle, pain at 4-6 weeks and 4-6 months post-surgery. 2. To assess the relationship between patient-reported symptoms of oropharyngeal dysphagia (OD) using EAT-10 and objective assessment of swallowing function like aspiration-penetration score and pharyngeal residue score using FEES. 3. To study the effect of POSE on speech as assessed by Continuous speech assessment in terms of speech intelligibility and didokokinesis. 4. To study the impact of POSE on health-related Quality of Life (HR-QOL) as measured by FACT-G and FACT-HN measured at 4-6 weeks and 4-6 month post-operatively. Timepoint: 4-6 weeks and 4-6 months post-operatively. | — |
Countries
India
Contacts
AIIMS Jodhpur