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Speech-language disorders and access to the speech therapists in cases of death from lip, oral cavity and oropharyngeal cancer: a retrospective study

ABSTRACT:

Purpose:

to identify the speech-language disorders and access to speech therapist during the course of the disease, the death cases from lip, oral cavity and oropharynx cancer, in Olinda residents - PE, in 2012 and 2013.

Methods:

a descriptive, retrospective study whose population consisted of deaths from lip, oral cavity and oropharynx cancer, residents in Olinda, reported to the Mortality Information System and occurred in 2012 and 2013 with full assistance provided by SUS. The information was obtained from interviews with key informants in each case. To do this, the principles of Verbal Autopsy protocol were used. The percentage differences were tested by Chi-square with Yates' correction statistical test, or in cases where occurrence was less than five remarks, it was used the Fisher's Exact Test, with α = 5%.

Results:

of the 18 deaths investigated, in 55.6%, the cancer suspicion was through self-examination, diagnosis was given exclusively by medical professionals, and tongue and oropharynx appear as tumor site of major occurrence. All the cases showed any change in stomatognathic functions, 88.9% in speech, 83.3% in chewing and swallowing and 77.8% in the voice. In 27.8% there was an indication for speech therapy treatment, and of these, all reported access to a professional in the Health System.

Conclusion:

these results confirm that stomatognathic functions showed changes in high proportions, and despite this, few people received indication for speech therapy treatment. However, everyone that was indicated, reported access to this professional.

Keywords:
Mouth Neoplasms; Stomatognathic System; Communication Disorders

ABRAMO Associação Brasileira de Motricidade Orofacial Rua Uruguaiana, 516, Cep 13026-001 Campinas SP Brasil, Tel.: +55 19 3254-0342 - São Paulo - SP - Brazil
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