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VFSS outcomes were worst at 12\u2009months and improved by 24\u2009months, with low aspiration rates and high swallow function at all timepoints. Older age, higher T\u2010stage, and base of tongue tumors (versus tonsil) were associated with poorer swallowing. Clinician\u2010and patient\u2010reported speech and voice problems were minimal.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Swallowing was safe and efficient, and communication highly intelligible at 24\u2009months post treatment. Both 'objective' and patient\u2010reported measures are important to understand the impact of new treatment approaches on swallowing\u2010related outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hed.28245","type":"journal-article","created":{"date-parts":[[2025,7,15]],"date-time":"2025-07-15T10:58:57Z","timestamp":1752577137000},"page":"3310-3320","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Swallowing and Communication Outcomes Post Chemoradiotherapy for Low\u2010Risk Human Papillomavirus (\n                    <scp>HPV<\/scp>\n                    )\u2010Associated Oropharyngeal Squamous Cell Carcinoma: A Substudy of\n                    <scp>TROG<\/scp>\n                    12.01"],"prefix":"10.1002","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-0166-0026","authenticated-orcid":false,"given":"Rhys","family":"Hughes","sequence":"first","affiliation":[{"name":"Nutrition &amp; 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