Perspectives on Swallowing and Communication Challenges Following Nasopharyngeal Cancer in Malaysian Males: A Qualitative Analysis
By
Giuditta Smith
Ting Ying Boey
Shin Ying Chu
Caryn Mei Hsien Chan
Siti Fathiah Masre
Fuad Ismail
Maria Garraffa
Deborah Hersh
March 10, 2026
Clinical Scorecard: Perspectives on Swallowing and Communication Challenges Following Nasopharyngeal Cancer in Malaysian Males: A Qualitative Analysis
At a Glance
Category Detail
Condition Nasopharyngeal Cancer (NPC)
Key Mechanisms Arises from the mucosal epithelium of the nasopharynx; associated with treatment-related complications such as xerostomia and dysphagia.
Target Population Male Malaysian citizens diagnosed with NPC.
Care Setting Oncology and Radiotherapy Department, Hospital Canselor Tuanku Muhriz, Universiti Kebangsaan Malaysia.
Key Highlights
NPC is the fifth most common cancer in Malaysian men, with higher prevalence in Chinese Malaysians. Common treatment-related issues include dry mouth and swallowing difficulties. Dysphagia affects nearly 75.4% of HNC patients post-treatment. Impaired communication significantly impacts quality of life in NPC patients. Culturally sensitive interventions are needed to address patient experiences.
Guideline-Based Recommendations
Diagnosis
Assess swallowing and communication difficulties in NPC patients.
Management
Implement speech and language therapy services for HNC patients.
Monitoring & Follow-up
Regularly evaluate the swallowing and communication status of patients post-treatment.
Risks
High rates of smoking and alcohol consumption are significant risk factors for HNC.
Patient & Prescribing Data
Male Malaysian citizens with NPC undergoing radiotherapy or chemoradiation.
Patients report significant swallowing difficulties and impaired communication post-treatment.
Clinical Best Practices
Proactively offer support on swallowing and communication to NPC patients. Utilize culturally sensitive approaches in patient care. Encourage referrals to speech and language therapy for affected patients.
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