- Head and Neck Cancer Studies
- Dysphagia Assessment and Management
- Voice and Speech Disorders
- Tracheal and airway disorders
- Oral health in cancer treatment
- Cancer survivorship and care
- Lymphatic System and Diseases
- Esophageal and GI Pathology
- Patient-Provider Communication in Healthcare
- Temporomandibular Joint Disorders
- Head and Neck Surgical Oncology
- Laser Applications in Dentistry and Medicine
- Interpreting and Communication in Healthcare
- Oral Health Pathology and Treatment
- Ear and Head Tumors
- Palliative Care and End-of-Life Issues
- Orthodontics and Dentofacial Orthopedics
- Management of metastatic bone disease
- Cleft Lip and Palate Research
- Cancer Diagnosis and Treatment
- Effects of Vibration on Health
- Nutrition and Health in Aging
- Brain Metastases and Treatment
- Reconstructive Surgery and Microvascular Techniques
- Botulinum Toxin and Related Neurological Disorders
The Netherlands Cancer Institute
2016-2025
University of Amsterdam
2011-2025
Google (United States)
2024
Amsterdam UMC Location University of Amsterdam
2014
GTx (United States)
2013
University Medical Center Groningen
2007
The aim of this study was to assess the effect (preventive) rehabilitation on swallowing and mouth opening after concomitant chemoradiotherapy (CCRT). Forty-nine patients with advanced oral cavity, oropharynx, hypopharynx larynx, or nasopharynx cancer treated CCRT were randomized into a standard (S) an experimental (E) preventive arm. Structured multidimensional assessment (i.e., videofluoroscopy, mouth-opening measurement, structured questionnaires) performed before 10 weeks CCRT. In both S...
Aim of this study is to thoroughly assess pretreatment organ function in advanced head and neck cancer through various clinical outcome measures patients' views.A comprehensive, multidimensional assessment was used, that included quality life, swallowing, mouth opening, weight changes. Fifty-five patients with stage III-IV disease were entered prior preserving (chemoradiation) treatment.All showed abnormalities or problems, identified by one more the measures. Most frequent problems...
Abstract The aims of this exploratory study and clinical phase II trial were to assess the specific nature extent dysphagia in laryngectomized patients with self-reported dysphagia, its rehabilitation potential using novel Swallowing Exercise Aid (SEA 2.0). Twenty participated a six-week exercise program SEA 2.0. Exercises consisted Chin Tuck Against Resistance (CTAR), Jaw Opening (JOAR), Effortful Swallow Resistance, conducted three times per day. was assessed at baseline (T0), six (T1) 14...
Background The efficacy of rehabilitative exercises for chronic dysphagia treatment in head and neck cancer survivors has not been studied extensively is ambiguous. Methods A prospective clinical phase II study using an intensive strength training program was carried out 17 with dysphagia. Both swallow nonswallow were performed 6-8 weeks a newly developed tool allowing progressive muscle overload, including chin tuck, jaw opening, effortful exercises. Outcome parameters feasibility,...
Abstract Background Physical and psychosocial challenges are common after total laryngectomy. The surgery leads to lifelong changes in communication, airway, swallowing appearance. As we move towards health models driven by patient‐centred care, understanding the differential impacts of surgical procedures on subgroups patients can help improve our care models, patient education support systems. This paper discusses experiences women following Aims To gain an insight into impact laryngectomy...
Background: To assess the prevalence of chronic lymphedema and trismus in patients > 6 months after head neck cancer (HNC) treatment, to explore how severity these conditions correlates with body image quality life. Methods: The cross-sectional sample included 59 patients, treated for HNC between six three years ago. Physical measurements were performed presence external (<36 mm). Furthermore, participants completed two questionnaires regarding (BIS) life (UW-QoL V4). Results:...
Abstract Background Concomitant chemo-radiotherapy (CCRT) has become an indispensable organ, but not always function preserving treatment modality for advanced head and neck cancer. To prevent/limit the functional side effects of CCRT, special exercise programs are increasingly explored. This study presents cost-effectiveness analyses a preventive (swallowing) program (PREP) compared to usual care (UC) from health perspective. Methods A Markov decision model PREP versus UC was developed CCRT...
Aims:To compare in a randomized controlled clinical trial (RCT) the application of TheraBite® (TB) Jaw Motion Rehabilitation System with standard physical therapy (PT) exercise regimen for treatment myogenic temporomandibular disorder (TMD).Methodology:Myogenic TMD patients were use TB device or PT. Mandibular function was assessed mandibular impairment questionnaire (MFIQ). Pain evaluated using visual analog scale, and maximum inter-incisor (mouth) opening (MIO) measured disposable range...
Abstract Background We studied the relationship between trismus (maximum interincisor opening [MIO] ≤35 mm) and dose to ipsilateral masseter muscle (iMM) medial pterygoid (iMPM). Methods Pretreatment post‐treatment measurement of MIO at 13 weeks revealed 17% cases in 83 patients treated with chemoradiation intensity‐modulated radiation therapy. Logistic regression models were fitted parameters iMM iMPM baseline (bMIO). A risk classification tree was generated obtain optimal cut‐off values...