Areas of Expertise

Professor Justin Roe treats various conditions including the following:

• Swallowing problems (dysphagia)
• Voice disorders (dysphonia)
• Airway stenosis
• Head and Neck Cancer
• Persistent throat symptoms
• Chronic cough

Some of the treatments and procedures he offers are:

• Flexible Endoscopic Evaluation of Swallowing; (FEES)
• Videofluoroscopy (Modified Barium Swallow)
• Swallowing rehabilitation
• Voice rehabilitation

About Professor Justin Roe

Professor Justin Roe is a Consultant Speech and Language Therapist specialising in voice, airway, and swallowing disorders as well as the assessment and rehabilitation of problems resulting from head and neck cancer and its treatment. He also has extensive experience in supporting people diagnosed with lung and other cancers with voice and swallowing difficulties.

He is the Professional Lead and Joint Head of the Department of Speech, Voice and Swallowing at the Royal Marsden NHS Foundation Trust and the Clinical Service Lead at the Complex Laryngology/ National Centre for Airway Reconstruction at Imperial College Healthcare NHS Trust. He is a Professor of Practice (Speech and Swallowing Rehabilitation) in the Department of Surgery and Cancer at Imperial College London.

He has contributed to many key policy and position papers and acted as an expert adviser to a number of organisations, including National Institute for Clinical Excellence, Macmillan and NHS England, and the Clinical Oversight Group for RM Partners West London Cancer Alliance. He was elected as a Council member for the British Association of Head and Neck Oncologists in 2019 and the British Laryngological Association in 2020.

Professor Roe was awarded a PhD from the Institute of Cancer Research in London, after evaluating functional and quality of life outcomes following treatment with intensity-modulated radiotherapy (IMRT) in people diagnosed with head and neck cancer. He actively participates in a number of high-profile Cancer Research UK and National Institute for Health Research portfolio studies. He has published over 60 peer-reviewed papers, articles, national guidelines, book chapters, and invited reviews.

Professor Roe was made a Fellow of the Royal College of Speech and Language Therapists in 2018 and was awarded an MBE in 2021 in recognition of his contribution to the advancement of the SLT profession.

Research Highlights

Full details of publications can be accessed on the Imperial College London website. Recent peer-reviewed publications include:

1.    Brady, G.C., Roe, J.W.G., Paleri, V., Lagergren, P. and Wells, M. 2023 Patient experience, functional and quality of life outcomes in patients receiving surgical and non-surgical treatment for residual, recurrent, or new oropharyngeal cancer in a previously irradiated field: A systematic review Advances in Communication and Swallowing DOI: 10.3233/ACS-230001

2.    Nutting C, Finneran L, Roe J, Sydenham MA, Beasley M, Bhide S, Boon C, Cook A, De Winton E, Emson M, Foran B, Frogley R, Petkar I, Pettit L, Rooney K, Roques T, Srinivasan D, Tyler J, Hall E; DARS Trialist Group. Dysphagia-optimised intensity-modulated radiotherapy versus standard intensity-modulated radiotherapy in patients with head and neck cancer (DARS): a phase 3, multicentre, randomised, controlled trial. Lancet Oncol. 2023 Aug;24(8):868-880.

3.    Zuydam, A., Rogers, S.N. and Roe, J.W.G. (2023) Addressing patients’ concerns in Speech and Language Therapy consultations following the diagnosis and treatment of head and neck cancer Current Opinion in Otolaryngology, Head and Neck Surgery (2023) DOI: 10.1097/MOO.0000000000000881

4.    Roe J, Brady G, Emery L, Walker S, de Brito Ashurst I, Mowbray-Pape D et al. Co-design of new post-covid oncology rehabilitation services offers a model for the future  BMJ  (2022); 379 :o2875 doi:10.1136/bmj.o2875

5.    Rothrie, S., Fitzgerald, E., Brady, G. and Roe, J. The rehabilitation of speech, swallowing, voice and trismus in people diagnosed with head and neck cancer. The role of the speech and language therapist as part of the multidisciplinary team. British Dental Journal (2022) DOI: 10.1038/s41415-022-5145-2

6.    Thomson, D.J., Cruickshank, C., Baine, H., Banner, R., Betts, G., Bulbeck, H., Charlwood, F., Christian, J., Clarke, M., Donnelly, O., Foran, B., Gillies, C., Griffin, C., Homer, J., Langendijk, J., Lee, L,.W., Lester, J., Lowe, McPartlin, A., Miles, E., Nutting, C., Palaiappan, N., Prestwich, R., Price, J., Roberts, C., Roe, J., Shanmugasundaram, R., Simoes, R., Thompson, A., West, C., Wilson, L., Wolstenholme, J., and Hall, E. TORPEdO: A phase III trial of intensity-modulated proton beam therapy versus intensity-modulated radiotherapy for multi-toxicity reduction in oropharyngeal cancer Clinical and Translational Radiation Oncology (2022) doi.org/10.1016/j.ctro.2022.11.010

7.    Clunie, G., Roe, J.W.G., Al-Yaghchi, C., Alexander, A., McGregor, A., Sandhu, G. A prospective study of the voice and swallowing profile of adults with laryngotracheal stenosis International Journal of Language and Communication Disorders (2022) in press

8.    Clunie, G., Belsi, A., Roe, J.W.G., Al-Yaghchi, C., Sandhu, G., McGregor, A., Alexander, A., ‘Is there something wrong with your voice?’ A qualitative study of the voice concerns of people with laryngotracheal stenosis. International Journal of Language and Communication Disorders (2022) https://doi.org/10.1111/1460-6984.12794

9.    Hardman, J.C., Holsinger, F. C., Bracy, G.C., Beharry, A., Bonifer, A.T., D'Andrea, G., Dabas, S.K., de Almeida, J., Duvvuri, U., Floros, P., Ghanem, T.A., Gorphe, P., Gross, N.D., Hamilton, D.W., Kurukulasuriya, C., Larson, M.H.H., Lin, D.J., Magnuson, J.S., Meulemans, J., Miles, B.A., Moore, E.J., Pantvaidya, G., Roof, S., Rubek, N., Simon, C., Subash, A., Topf, M., Van Abel, K.M., Vander Poorten , V., Walgama, E.S., Greenlay, E., Satchwell, L., Balaji, A., Starmer, H., Stephen, S., Roe, J.W.G., Harrington, K.J., and Paleri, V. Transoral Robotic surgery for rECurrent tumours of the Upper aerodigestive Tract (RECUT): an international multicentre cohort study. Journal of the National Cancer Institute (2022) https://doi.org/10.1093/jnci/djac130

10.  Loizidou, A., Tatla, T., Harvey, I., Abibula, M., Roe, J., Sethi, N. and Schilder, A. COVID-VU an ENT UK National Survey of Flexible Nasendoscopy in the Upper Aerodigestive Tract Amidst the COVID-19 Pandemic BMC Health Services Research (2022) 22, 625 DOI:10.1186/s12913-021-07416-x

11.  Clunie G, Bolton L, Lovell L, Bradley E, Bond C, Bennington S, Roe J Considerations for speech and language therapy management of patients with COVID-19 with dysphagia following critical illness: a single centre case series International Journal of Therapy and Rehabilitation, (2022) ISSN: 1354-8581

12.  Rouhani, M., Morley, I., Lovell, L., Roe, J., Devabalan, Y., Bidaye, R., Sandhu, G. and Al-Yaghchi, C. Assessment of swallow function pre and post-endoscopic CO2 laser medial arytenoidectomy: a case series Clinical Otolaryngology (2022) 47:347-350. DOI: 10.1111/coa.13896

13.  Brady, G, Leigh-Doyle, L, Riva, F, Kerawala, C and Roe, J Speech and swallowing outcomes following surgical resection with immediate free tissue transfer reconstruction for advanced osteoradionecrosis of the mandible following radiation treatment for head and neck cancer Dysphagia (2021) DOI: 10.1007/s00455-021-10375-4

14.  Brady, G, Leigh-Doyle, L, Riva, F, Kerawala, C and Roe, J Early Post-operative Feeding: An Investigation of Early Functional Outcomes for Oral Cancer Patients Treated with Surgical Resection and Free Flap Reconstruction Dysphagia (2021) DOI: 10.1007/s00455-021-10363-8

15.  Clunie, G., Anderson, C., Hughes, C., Savage, M., Roe, J.W.G., Sandhu, G., McGregor, A. and Alexander, C.M. “A Major Quality of Life Issue”: A Survey-Based Analysis of the Experiences of Adults With Laryngotracheal Stenosis with Mucus and Cough The Annals of Otology, Rhinology, and Laryngology (2021) DOI: 10.1177/00034894211050627

16.  Brady, G., Ashforth, K., Cowan-Dickie, S., Dewhurst, S., Harris, N., Monteiro, A., Sandsund, C. and Roe, J. An evaluation of the provision of oncology rehabilitation services via telemedicine using a participatory design approach Supportive Care in Cancer (2021) DOI 10.1007/s00520-021-06552-8

17.  Haywood, M., Lovell, L., Roe, J.W.G., Clunie, G., Sandhu, G., Al-Yaghchi, C. Perioperative instrumental swallowing evaluation in adult airway reconstruction: A retrospective observational cohort study Clinical Otolaryngology (2021) DOI: 10.1111/coa.13820

18.  Lovell, L., Clunie, G., Al-Yaghchi, C., Roe, J.W.G. and Sandhu, G. Laryngeal Sarcoidosis and Swallowing: What Do We Know About Dysphagia Assessment and Management in this Population? Dysphagia (2021) DOI: 10.1007/s00455-021-10305-4

19.  Clunie, G., Belsi, A., Roe, J.W.G., Alexander, C., Sandhu, G. and McGregor, A. Not Just Dyspnoea: Swallowing as a Concern for Adults with Laryngotracheal Stenosis Undergoing Airway Reconstruction Dysphagia (2021) DOI: 10.1007/s00455-021-10287-3

20.  Schache, A., Kerawala, C., Ahmed, O., Brennan, P.A., Cook, F., Garrett, M., Homer, J., Hughes, C., Mayland, C., Mihai, R., Newbold, K., O'Hara, J., Roe, J., Sibtain, A., Smith, M., Thavaraj, S., Weller, A., Winter, L., Young, V. and Winter, SC British Association of Head and Neck Oncologists (BAHNO) standards 2020 J Oral Pathol Med (2021) DOI:10.111/jop13161