这项工作的目的是综合口腔癌急性和晚期吞咽困难和发声困难的诊断和治疗方面的最新进展。使用 PubMed、Web of Science、Embase 和 Google Scholar 对 2024 年 5 月发表的文章进行了文献检索2021年和2024年。搜索词中的关键词包括口腔癌、吞咽困难、发声困难、吞咽、吞咽、声音、口腔癌治疗、口腔放射、化疗、味觉障碍、口干症、吞咽保存。27项相关研究符合纳入范围标准。头颈癌后最常见的吞咽困难症状是牙关紧闭、口干、粘膜炎和吞咽困难。一半的头颈癌幸存者报告有发声困难、声音变化。口腔、舌头、口咽及其周围结构放射治疗后的纤维化和神经病变是治疗后发声困难的最常见病因。口腔癌由于解剖和治疗后的变化而导致言语和吞咽功能障碍。这些后遗症可能会损害头颈癌幸存者的生活质量。对于头颈癌后的吞咽困难和发声困难，言语病理学家的早期言语和吞咽治疗对于恢复和维持功能至关重要。© 2024 John Wiley

The purpose of this work is to synthesize the latest developments in diagnosis and management of acute and late dysphagia and dysphonia in oral cavity cancer.A literature search was conducted using PubMed, Web of Science, Embase and Google Scholar in May 2024 of articles published between 2021 and 2024. Keywords in the search terms included oral cavity cancer, dysphagia, dysphonia, deglutition, swallowing, voice, oral cavity cancer treatment, oral cavity radiation, chemotherapy, dysgeusia, xerostomia, swallow preservation.Twenty-seven pertinent studies fit the inclusion criteria. The most common dysphagic complaints following head and neck cancer are trismus, xerostomia, mucositis and dysphagia. Dysphonia, change in voice is reported by half of head and neck cancer survivors. Fibrosis and neuropathy following radiation therapy to the oral cavity, tongue, oropharynx and its surrounding structures is the most common etiology of post-treatment dysphonia.Oral cavity cancers cause speech and swallowing dysfunction due to both anatomic and post-treatment changes. These sequalae can be detrimental to the quality of life of the head and neck cancer survivor. For both dysphagia and dysphonia after head and neck cancer early speech and swallow therapy with a Speech Language Pathologist are essential to restoring and maintaining function.© 2024 John Wiley & Sons Ltd.