A systematic review of interventions for eating and drinking problems following treatment for head and neck cancer suggests a need to look beyond swallowing and trismus

This systematic review identified and summarized evidence for rehabilitation interventions with the goal of alleviating the physical, functional, and psychosocial problems associated with eating and drinking after treatment for head and neck cancer. Studies indexed in Medline, CinAHL, and PsycINFO before June 2011 were searched. A total of 27 studies were identified: 15 focused on swallowing exercises, 8 on jaw mobility, and 4 on swallowing and jaw exercises. No studies were found that dealt with the interactions of the functional, physical, and psychosocial problems associated with eating. Studies are limited by design and sample size. Larger and higher-quality studies that address the psychosocial aspects of oral alimentation are needed.