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- Title
Telemedicine‐enabled biofeedback electropalatography rehabilitation (TEBER): A pilot study for patients treated with surgery for oral cavity carcinoma.
- Authors
Chepeha, Douglas B.; Barbon, Carly E. A.; Esemezie, Alex O.; Al Mardini, Majd; Philteos, Justine; Spector, Matthew E.; Bressmann, Tim; Martino, Rosemary; Bratman, Scott V.; Cho, John B. C.; Hope, Andrew J.; Hosni, Ali Abdalati; Kim, John J. H.; Ringash, Jolie G.; Waldron, John N.; Brown, Dale H.; de Almeida, John R.; Gilbert, Ralph W.; Goldstein, David P.; Gullane, Patrick J.
- Abstract
Background: To address the rehabilitative barriers to frequency and precision of care, we conducted a pilot study of a biofeedback electropalatography (EPG) device paired with telemedicine for patients who underwent primary surgery +/− adjuvant radiation for oral cavity carcinoma. We hypothesized that lingual optimization followed by telemedicine‐enabled biofeedback electropalatography rehabilitation (TEBER) would further improve speech and swallowing outcomes after "standard‐of‐care" SOC rehabilitation. Method: Pilot prospective 8‐week (TEBER) program following 8 weeks of (SOC) rehabilitation. Results: Twenty‐seven patients were included and 11 completed the protocol. When examining the benefit of TEBER independent of standard of care, "range‐of‐liquids" improved by +0.36 [95% CI, 0.02–0.70, p = 0.05] and "range‐of‐solids" improved by +0.73 [95% CI, 0.12–1.34, p = 0.03]. There was a positive trend toward better oral cavity obliteration; residual volume decreased by −1.2 [95% CI, −2.45 to 0.053, p = 0.06], and "nutritional‐mode" increased by +0.55 [95% CI, −0.15 to 1.24, p = 0.08]. Conclusion: This pilot suggests that TEBER bolsters oral rehabilitation after 8 weeks of SOC lingual range of motion.
- Subjects
ORAL surgery; REHABILITATION; PILOT projects; RANGE of motion of joints; CARCINOMA
- Publication
Head & Neck, 2024, Vol 46, Issue 7, p1737
- ISSN
1043-3074
- Publication type
Article
- DOI
10.1002/hed.27721