Frans J. M. Hilgers
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View article: MfMRI assessment of muscle activation by swallowing exercises in laryngectomized individuals: investigating conventional and resistance-based exercises using the swallow exercise aid (SEA)
MfMRI assessment of muscle activation by swallowing exercises in laryngectomized individuals: investigating conventional and resistance-based exercises using the swallow exercise aid (SEA) Open
Purpose After total laryngectomy, dysphagia is common due to changes in anatomy and physiology. Currently, it is unclear if the remaining muscles still can be activated with swallowing exercises. This study aims to assess which muscles, if…
View article: Evaluation of post-laryngectomy dysphagia rehabilitation using High-Resolution impedance manometry: an exploratory study
Evaluation of post-laryngectomy dysphagia rehabilitation using High-Resolution impedance manometry: an exploratory study Open
Aim This exploratory study analyzes High-Resolution Impedance Manometry (HRIM) data obtained during a phase II rehabilitation trial in laryngectomees at baseline (T0), after six-weeks of resistance-based training (T1), and after eight week…
View article: Tracheoesophageal Voicing Following Resistance‐Based Dysphagia Rehabilitation: An Exploratory Multidimensional Assessment
Tracheoesophageal Voicing Following Resistance‐Based Dysphagia Rehabilitation: An Exploratory Multidimensional Assessment Open
Background This exploratory study investigated tracheoesophageal voicing following 6 weeks of resistance‐based dysphagia rehabilitation with the SEA2.0, using a multidimensional assessment approach. Methods Twenty laryngectomized participa…
View article: Long‐Term Outcomes of Dysphagia Rehabilitation With an Adjustable Resistance Training Device in Laryngectomized Individuals
Long‐Term Outcomes of Dysphagia Rehabilitation With an Adjustable Resistance Training Device in Laryngectomized Individuals Open
Background This study investigated long‐term outcomes of dysphagia rehabilitation with an adjustable resistance training device (Swallowing Exercise Aid, SEA2.0) in laryngectomized individuals. Methods Seventeen laryngectomized participant…
View article: Dysphagia After Total Laryngectomy: An Exploratory Study and Clinical Phase II Rehabilitation Trial with the Novel Swallowing Exercise Aid (SEA 2.0)
Dysphagia After Total Laryngectomy: An Exploratory Study and Clinical Phase II Rehabilitation Trial with the Novel Swallowing Exercise Aid (SEA 2.0) Open
The aims of this exploratory study and clinical phase II trial were to assess the specific nature and extent of dysphagia in laryngectomized patients with self-reported dysphagia, and its rehabilitation potential using the novel Swallowing…
View article: Long‐term swallowing, trismus, and speech outcomes after combined chemoradiotherapy and preventive rehabilitation for head and neck cancer; 10‐year plus update
Long‐term swallowing, trismus, and speech outcomes after combined chemoradiotherapy and preventive rehabilitation for head and neck cancer; 10‐year plus update Open
Background The objective of this study was to explore the 10‐year plus outcomes of Intensity Modulated Radiotherapy with concomitant chemotherapy (CRT) combined with preventive swallowing rehabilitation (CRT+) for head and neck cancer (HNC…
View article: Sarcopenia, a strong determinant for prolonged feeding tube dependency after chemoradiotherapy for head and neck cancer
Sarcopenia, a strong determinant for prolonged feeding tube dependency after chemoradiotherapy for head and neck cancer Open
Background Sarcopenia might be a relevant lead for optimization of the condition of patients with head and neck cancer (HNC) before chemoradiotherapy (CRT) to prevent long‐term functional swallowing impairment, such as feeding tube depende…
View article: Postlaryngectomy prosthetic voice rehabilitation outcomes in a consecutive cohort of 232 patients over a 13‐year period
Postlaryngectomy prosthetic voice rehabilitation outcomes in a consecutive cohort of 232 patients over a 13‐year period Open
Background With the increasing necessity for total laryngectomy (TL) after prior (chemo)radiotherapy, prosthetic vocal rehabilitation outcomes might have changed. Methods Retrospective cohort study including all patients laryngectomized be…
View article: Solving periprosthetic leakage with a novel prosthetic device
Solving periprosthetic leakage with a novel prosthetic device Open
Total laryngectomy (TL) is still an indispensable surgical procedure for advanced and recurrent larynx and hypopharynx cancer. Tracheoesophageal prosthetic voice rehabilitation is the method of choice for restoring oral communication in mo…
View article: Objective and subjective voice outcomes after total laryngectomy: a systematic review
Objective and subjective voice outcomes after total laryngectomy: a systematic review Open
Studies on speech outcomes after TL are flawed in design and represent weak levels of evidence. There is an urge for standardized measurement tools for evaluations of substitute voice speakers. TES is the favorable speech rehabilitation me…
View article: Efficacy of a novel swallowing exercise program for chronic dysphagia in long-term head and neck cancer survivors
Efficacy of a novel swallowing exercise program for chronic dysphagia in long-term head and neck cancer survivors Open
Feasibility and compliance were high. Some objective and subjective effects of progressive load on muscle strength and swallowing function could be demonstrated.
View article: Comparative Study Between Peristomal Patches in Patients with Definitive Tracheostomy
Comparative Study Between Peristomal Patches in Patients with Definitive Tracheostomy Open
Introduction To prevent or diminish pulmonary problems in laryngectomized patients, continuous use of a heat and moisture exchanger (HME) is recommended. Therefore, automatic speaking valves are also often combined with an HME to enable ha…
View article: Ex vivo humidifying capacity and patient acceptability of stoma cloths in laryngectomized individuals
Ex vivo humidifying capacity and patient acceptability of stoma cloths in laryngectomized individuals Open
Background Heat and moisture exchangers (HMEs) improve respiratory function after laryngectomy, but there is virtually no information on the benefit of traditional stoma cloths or other covers. Methods Two sequential studies were performed…
View article: Long-Term Stability of Tracheoesophageal Voices
Long-Term Stability of Tracheoesophageal Voices Open
Long-term voice outcomes of 13 tracheoesophageal speakers are assessed using speech samples that were recorded with at least 7 years in between. Intelligibility and voice quality are perceptually evaluated by 10 experienced speech and lang…
View article: Feasibility and potential value of lipofilling in post‐treatment oropharyngeal dysfunction
Feasibility and potential value of lipofilling in post‐treatment oropharyngeal dysfunction Open
Objectives/Hypothesis Head and neck cancer (HNC) patients may develop oropharyngeal dysfunction as result of volume loss or muscle atrophy of the tongue or pharyngeal musculature following treatment with surgery and/or chemoradiotherapy. I…
View article: The cost-effectiveness of TheraBite® as treatment for acute myogenic temporomandibular disorder
The cost-effectiveness of TheraBite® as treatment for acute myogenic temporomandibular disorder Open
Objective: Temporomandibular disorder (TMD) is a very common and costly pain problem concerning the temporomandibular joint. A previous study has shown that for the treatment of acute myogenic TMD, TheraBite® (TB) offers a faster and great…