Inclusion Criteria:  Age ≥ 18 years at study entry. Patient with T3-T4 carcinological pathology of the VADS, relevant to surgery and/or radiotherapy and/or chemotherapy. Patient managed at the IUCT-O and by a private speech therapist (near the patient's home). Patient affiliated to a Social Security system in France. Patient having signed informed consent prior to inclusion in the study and prior to any specific study procedure.  Exclusion Criteria:  Pregnant or lactating women. Any psychological, familial, geographical or sociological condition that does not allow for compliance with the medical follow-up and/or procedures foreseen in the study protocol. Patients deprived of their liberty or under legal protection (guardianship and tutorship, safeguard of justice).