Publications by authors named "L McCarroll"

Article Synopsis
  • - The study investigates the relationship between objective measures (like Modified Barium Swallow Study scores) and subjective patient-reported outcomes (SWAL-QOL scores) regarding swallowing function in head and neck cancer patients, using data from a large dysphagia registry.
  • - Researchers found a statistically significant correlation between objective (Penetration-Aspiration Score) and subjective (Dysphagia Domain Score) measures, particularly strong for oral cavity tumors and advanced T4 stages, indicating that the type and stage of cancer influence this relationship.
  • - The findings suggest that both objective and subjective assessments are important for evaluating swallowing function in these patients, helping healthcare professionals understand their effectiveness and limitations in clinical settings.
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Voice restoration following laryngectomy has a significant influence on quality of life (QOL). Three main techniques exist to provide voice: esophageal speech (ES), artificial larynx (electrolarynx [EL]), and tracheoesophageal puncture (TEP). Although the EL was historically the most used technique, TEP has quickly become the gold standard.

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Dysphagia is a common consequence of head and neck radiation and may be mitigated by performance of swallowing exercises during radiation treatment. Given historically poor adherence to such exercise protocols, we created a mobile health application, HNC Virtual Coach as an adjunct to standard clinical care. This randomized control trial investigated the impact of HNC Virtual Coach on adherence as well as swallowing outcomes by comparing those using the mobile app to those receiving only standard clinical care and paper logs.

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Background: Identifying and treating late dysfunction in survivors of head and neck cancer (HNC) is important; however, an effective way to do so is not established.

Methods: A quality improvement initiative altering our HNC survivorship clinic to include surveillance by rehabilitation providers was undertaken. The nature of dysfunction identified, along with the number and type of referrals to ancillary/support services were collected and compared to baseline.

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Background: As the use of anti-angiogenic treatments is gaining scope in the treatment of various malignancies, there are increasing reports of laryngeal side effects. We report two cases of laryngeal necrosis and dysphonia.

Methods: Two patients with gynecological malignancies presented with severe dysphonia 11-24 months after initiation of bevacizumab therapy.

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