prof. dr. M.W.M. (Michiel) van den Brekel

Oncological Voice and Speech Impediments (chair in co-operation with the Netherlands Cancer Institute)
  • Faculty of Humanities
    Capaciteitsgroep Taalwetenschap
  • Spuistraat  210
    1012 VT  Amsterdam
    Room number: 312
  • M.W.M.vandenBrekel@uva.nl

Interview

Not only is Michiel van den Brekel professor at the Faculty of Humanities, he is also head of the department of Head and Neck Oncology and Surgery at the Netherlands Cancer Institute and a staff member in the department of Otorhinolaryngology at the Amsterdam Academic Medical Centre. Appointed as Professor of Oncology-Related Voice and Speech Disorders in 2011, Van den Brekel is excited about the prospect of helping to further the cooperative relationship between the humanities and medicine.  A fertile ground for cooperation The idea that a university chair with the medical name 'oncology related voice and speech disorders' could form part of a humanities faculty seems counterintuitive, if not downright absurd. Indeed, thinking of medicine and humanities, one is easily excused for viewing these two disciplines as polar opposites, with little or nothing in common. And yet, on closer inspection, the links between them are as strong as they are beneficial; something to which Van den Brekel's own chair attests. Said Van den Brekel: 'Within the ACLC (Amsterdam Center for Language and Communication) there is substantial knowledge about speech, articulation and language, which can be practically applied within head and neck oncology. One of the goals of the research group is to ascertain whether patients can compensate for changes in voice and speech, and if yes, in what way? The ACLC plays a pivotal role in the linguistic side of the rehabilitation process. With the help of speech technology, our aim is to get a more comprehensive insight into the possible consequences an operation might have on a patient, so that we are able to provide better counseling about the various treatment options that are available.' Linking the fields of humanities and medicine  One of Van den Brekel's research fields is oncology related voice and speech disorders, which is a subject area in which the Faculty of Humanities provides unique expertise. Head and neck cancer is the sixth most common type of cancer in the Netherlands, with approximately 3000 patients treated for this disease annually. Van den Brekel: "Many patients with a tumor in their larynx and throat end up with impairments in speech and have difficulty swallowing partly as a result of the treatment. The research into these impairments can be done from both a medical and academic perspective.'  To illustrate the unique role that the humanities can play in oncology, Van den Brekel mentions a research project currently being carried out by one of the Faculty's PhD candidates, whereby speech technology is used for exploring a patient's comprehensibility and quality of voice after oncological treatment. As yet, patients suffering from voice and speech impairment after an operation usually visit a speech therapist, who then gives them exercises to do. In most cases both speech therapist and patient usually believe they're able to detect improvements after a few months of exercise, which is by no means an objective assumption. In this sense speech therapy is still a relatively young science. It would therefore be advantageous to use voice recognition software that automatically measures such things as speech quality, comprehension and all sorts of aspects surrounding articulation. In using such a device, both patient and speech therapist would be better informed about the current stage of rehabilitation and what still needs to be done. This is a process in which linguistic knowledge and techniques can play a major role.  A stimulating environment It is now almost a year since Van den Brekel started working at the Faculty of Humanities, which begs the question: does he feel like a humanities scholar? 'Although I'm a physician above all, I do enjoy working at the Faculty. As a medical practitioner you're mostly confined to a hospital. It's therefore really refreshing to see people at this Faculty engaged in totally different things. My own chair forms a beneficial link between the Faculty of Humanities and the medical world

2015

  • J. van Loon, M.W.M. van den Brekel, L.E. Smeele & F.J.M. Hilgers (2015). Outcome of transoral robotic surgery for stage I-II oropharyngeal cancer. European Archives of Oto-Rhino-Laryngology, 2015 (272), 175-183.
  • S.A.C. Kraaijenga, M.W.M. van den Brekel, L.E. Smeele & O. Lapid (2015). Herstel van slik- en stemfunctie met behulp van lipofilling in de mond- of keelholte na behandeling voor hoofd- halskanker. NED TIJDSCHR PLAST CHIR, 2015 (1), 31-36.
  • F.J.M. Hilgers, R.J. Dirven, I. Jacobi & M.W.M. van den Brekel (in press). Physiology and prospects of bimanual tracheoesophageal brass instrument play. Acta Oto-Laryngologica.
  • J. Timmermans, H.J.M. Harmsen, C Bus-Spoor, KJDA Buijssen, MC Goffau, R.H. Tonk, M.W.M. van den Brekel, C.J. van As-Brooks, F.J.M. Hilgers & B.F.A.M. van der Laan (2015). Biofilm formation on the Provox® ActiValve: composition and ingrowth analyzed by Illumina paired-end RNA sequencing, fluorescence in situ hybridization and confocal laser scanning microscopy. Head & Neck.
  • I. Jacobi, A. Navran, L. van der Molen, W.D. Heemsbergen, F.J.M. Hilgers & M. van den Brekel (2015). Radiation dose to the tongue and velopharynx predicts acoustic-articulatory changes after chemo-IMRT treatment for advanced head and neck cancer. European Archives of Oto-Rhino-Laryngology.
  • V.P. Retel, L. van der Molen, L.M.G. Steuten, M.W.M. van den Brekel & F.J.M. Hilgers (2015). A cost-effectiveness analysis of using TheraBite in a preventive exercise program for patients with advanced head and neck cancer treated with concomitant chemo-radiotherapy. European Archives of Oto-Rhino-Laryngology.

2014

2013

2012

2011

  • W.L. Lodder, H.J. Teertstra, I.B. Tan, F.A. Pameijer, L.E. Smeele, M.L.F. van Velthuysen & M.W.M. van den Brekel (2011). Tumour thickness in oral cancer using an intra-oral ultrasound probe. European Radiology, 21 (1), 98-106. doi: 10.1007/s00330-010-1891-7
  • M.W.M. van den Brekel, A.J.M. Balm, P.J.F.M. Lohuis & J.P.W. van der Veen (2011). 10th International Symposium on Head And Neck Skin Cancer. Expert Review of Anticancer Therapy, 11 (7), 1013-1015.
  • L. Vermeeren, R.A. Valdés Olmos, W.M.C. Klop, I.M.C. van der Ploeg, O.E. Nieweg, A.J.M. Balm & M.W.M. van den Brekel (2011). SPECT/CT for sentinel lymph node mapping in head and neck melanoma. Head & Neck, 33 (1), 1-6.

2010

2009

2008

2007

2006

  • F.J.M. Hilgers, A.J.M. Balm, M.W.M. van den Brekel & I.B. Tan (2006). Problembehandlung bei der prothetischen Stimmrehabilitation nach (totaler) Laryngektomie. Journal der Deutschen Gesellschaft für Plastische und Wiederherstellungschirurgie, 33, 41-51.
  • G.B. van den Broek, C.R.N. Rasch, F.A. Pameijer, E. Peter, M.W.M. van den Brekel & A.J.M. Balm (2006). Response measurement after intraarterial chemoradiation in advanced head and neck carcinoma: magnetic resonance imaging and evaluation under general anesthesia? Cancer, 106 (8), 1722-1729.
  • G.B. van den Broek, A.J.M. Balm, M.W.M. van den Brekel, M. Hauptmann, J.H. Schornagel & C.R.N. Rasch (2006). Relationship between clinical factors and the incidence of toxicity after intra-arterial chemoradiation for head and neck cancer. Radiotherapy and oncology, 81 (2), 143-150.

2014

2013

  • W.L. Lodder, C.A.H. Lange, H.J. Teertstra, F.A. Pameijer, M.W.M. van den Brekel & A.J.M. Balm (2013). Value of MR and CT Imaging for Assessment of Internal Carotid Artery Encasement in Head and Neck Squamous Cell Carcinoma. International Journal of Surgical Oncology, 2013, 968758.

2012

  • M.W.M. van den Brekel & F.J.M. Hilgers (2012). Preoperative workup of the neck in head and neck squamous cell carcinoma. In C.R. Cernea (Ed.), Pearls and pitfalls in head and neck surgery; practical tips to minimize complications; second revised and extended edition (pp. 36-37). s.l: Karger.

2011

  • R. Clapham, F. Hilgers, M. van den Brekel & R. van Son (2011). An exploration into automatic phonological feature evaluation of tracheoesophageal speech. In W. Zonneveld, H. Quené & W. Heeren (Eds.), Sound and sounds: studies presented to M.E.H. (Bert) Schouten on the occasion of his 65th birthday (pp. 69-79). Utrecht: Utrecht Institute of Linguistics OTS.
  • A.J.M. Balm, M.W.M. van den Brekel, I.B. Tan & F.J.M. Hilgers (2011). The indwelling voice prosthesis for speech rehabilitation after total laryngectomy: a safe approach. Otolaryngologia polska = Polish journal of otolaryngology, 65 (6), 402-409.

2010

  • R. Cevizci, B. Karakullukçu, M.W.M. van den Brekel & A.J. Balm (2010). Laser excision of a typical carcinoid tumor of the larynx: a case report. KULAK BURUN BOGAZ IHTIS DERG, 20 (6), 305-308.
  • A.J.M. Balm, M.L.F. van Velthuysen, F.J.P. Hoebers, W.V. Vogel & M.W.M. van den Brekel (2010). Diagnosis and treatment of a neck node swelling suspicious for a malignancy: an algorithmic approach. International Journal of Surgical Oncology, 2010, 581540.

2009

  • L. Vermeeren, W.M.C. Klop, M.W.M. van den Brekel, A.J.M. Balm, O.E. Nieweg & R.A. Valdés Olmos (2009). Sentinel Node Detection in Head and Neck Malignancies: Innovations in Radioguided Surgery. Journal of Oncology, 2009, 681746.

2008

  • P.C. Wever, J.C. Bos, M.W.M. van den Brekel, D. de Jong, L.P.M.J. BovǸe, M.J. Kersten, J.F.P. Schellekens & J.M. Kerst (2008). Een waarschijnlijk geval van difterie. Tijdschrift voor Infectieziekten, 3 (6), 230-235.

2015

  • F.J.M. Hilgers & M.W.M. van den Brekel (2015). Vocal and Speech Rehabilitation Following Laryngectomy. In P.W. Flint, B.H. Haughey, V. Lund, J.K. Niparko, K.T. Robbins, J. Regan Thomas & M.M. Lesperance (Eds.), Cummings Otolaryngology - Head & neck surgery. - 6th ed. - Vol. 2 (pp. 1732-1750). Philadelphia, PA: Elsevier.

2013

  • F.M. Hilgers, S.H. Muller, R.J. Scheenstra & M. van den Brekel (2013). Aktuelle Forschung zur Verbesserung der Wärme und Feuchtigkeitskapazität von HME. In K. Lorenz (Ed.), Pulmonale Rehabilitation nach Laryngektomie (UNI-MED science) (pp. 43-52). Bremen: UNI-MED-Verlag.
  • F.J.M. Hilgers, I.B. Tan & M.W.M. van den Brekel (2013). Comprehensive (prosthetic) voice, pulmonary and olfaction rehabilitation after total laryngectomy. In Head and Neck Surgery. - 2nd ed. New Delhi, India: Chris de Souza,Jaypee Brothers Medical Publishers (P) LTD.

2012

  • A.J. Timmermans, M.W.M. van den Brekel, L. van der Molen, A. Navran, T.F. Nijssen & F.J.M. Hilgers (2012). Nieuwe ontwikkelingen in behandeling en revalidatie bij hoofd-halskanker. Nederlands Tijdschrift voor Geneeskunde, 156 (41), 1719-1724.
  • F.J.M. Hilgers & M. van den Brekel (2012). Practical tips for voice rehabilitation after pharyngolaryngectomy. In R.C. Claudio (Ed.), Pearls and pitfalls in head and neck surgery: practical tips to minimize complications. - 2nd ed (pp. 94-95). Basel: Karger.
  • A. Ackerstaff, F.M. Hilgers & M. van den Brekel (2012). Bedeutung von HME für die ganzheitliche Rehabilitation nach LE. In K.J. Lorenz (Ed.), Pulmonale Rehabilitation nach Laryngektomie (UNI-MED science) (pp. 35-41). Bremen: UNI-MED-Verlag.
  • A.J. Timmermans, M. Krap, F.J.M. Hilgers & M.W.M. van den Brekel (2012). Spraakrevalidatie na een totale laryngectomie. Nederlands Tijdschrift voor Tandheelkunde, 119 (7-8), 357-361. doi: 10.5177/ntvt.2012.07/08.12132
  • M. van den Brekel (2012). Hoofd-hals oncologie onder spanning. (2012, November 15). Amsterdam: University of Amsterdam, Amsterdam Center for Language and Communication.[go to publisher's site]
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  • NKL-AVL Amsterdam
    Hoofd-hals chirurg
  • AMC Amsterdam
    KNO arts

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