{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:22:49Z","timestamp":1747182169189,"version":"3.40.5"},"reference-count":51,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,9,17]],"date-time":"2022-09-17T00:00:00Z","timestamp":1663372800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003176","name":"Ministerio de Educaci\u00f3n, Cultura y Deporte","doi-asserted-by":"publisher","award":["17\/00408"],"award-info":[{"award-number":["17\/00408"]}],"id":[{"id":"10.13039\/501100003176","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Lang &amp;amp; Comm Disor"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Improvements in treatment of head\u2010and\u2010neck cancer (HNC) have resulted in improved long\u2010term survival rates so there is a growing interest in long\u2010term consequences.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>The aim was to perform a smartphone\u2010based assessment to analyse the upper airway dysfunction\u2010related symptoms in HNC 1 year after radiotherapy (RT) during social distancing due to COVID\u201019.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods &amp; Procedures<\/jats:title><jats:p>Smartphone\u2010based assessment on upper airway function 1 year after RT was performed. Upper airway functions include perceived impact of voice on quality of life (Voice Handicap Index, VHI\u201030), swallowing (Functional Oral Intake, FOIS; and Swallowing Quality of Life questionnaire, SWAL\u2010QOL) and sleep\u2010disordered breathing (Pittsburgh Sleep Quality Index, PSQI) assessments. Additionally, quality of life was assessed using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire.<\/jats:p><\/jats:sec><jats:sec><jats:title>Outcomes &amp; Results<\/jats:title><jats:p>The HNC group presented worse results in the VHI\u201030 scale, in the three subscales (<jats:italic>p<\/jats:italic> &lt; 0.001). Swallowing function also presented worse results in the HNC group, with a lower score in the FOIS questionnaire (<jats:italic>p<\/jats:italic> &lt; 0.001) and a poorer score in the SWAL\u2010QOL (<jats:italic>p<\/jats:italic> &lt; 0.001). Regarding to the sleep\u2010disordered breathing, the HNC group presented poorer scores in all subscales (<jats:italic>p<\/jats:italic> &lt; 0.05). The HNC group also presented worse scores in quality of life.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our findings showed that HNC survivors presented a poorer upper airway function and a worse quality of life. This population needs to be systematically screened for those function impairments.<\/jats:p><\/jats:sec><jats:sec><jats:title>WHAT THIS PAPER ADDS<\/jats:title><jats:sec><jats:title>What is already known on the subject<\/jats:title><jats:p>Head\u2010and\u2010neck cancer radiotherapy treatment is anatomically related to the upper airway, involved in several functions such as breathing, swallowing and speech that could be affected by the treatment. Public health restrictions caused by the COVID\u201019 pandemic have made it difficult, and in many cases impossible, to see patients in person and complete assessments that are often crucial to improve their approach. Telephone interviews appear to be largely equivalent to face\u2010to\u2010face interviews, which could solve these problems.<\/jats:p><\/jats:sec><jats:sec><jats:title>What this paper adds to existing knowledge<\/jats:title><jats:p>The aim of this study was to perform a smartphone\u2010based assessment to analyse the upper airway dysfunction\u2010related symptoms in head\u2010and\u2010neck cancer survivors 1 year after radiotherapy treatment. Our findings showed that head\u2010and\u2010neck cancer survivors who have been treated with radiotherapy presented a poorer upper airway function, with subjective speech and voice problems, swallowing and sleep\u2010disordered breathing compared to a control group matched for age and sex 1 year after the treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>What are the potential or actual clinical implications of this work?<\/jats:title><jats:p>The results of this study will allow a better approach to treatment of head\u2010and\u2010neck cancer survivors.<\/jats:p><\/jats:sec><\/jats:sec>","DOI":"10.1111\/1460-6984.12782","type":"journal-article","created":{"date-parts":[[2022,9,17]],"date-time":"2022-09-17T10:54:17Z","timestamp":1663412057000},"page":"270-278","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Smartphone\u2010based follow\u2010up of upper airway symptoms in head and neck cancer survivors one year 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