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J Res Med Sci. 2016 Dec 26;21:127. doi: 10.4103/1735-1995.196609. eCollection 2016.

The impact of vocal rehabilitation on quality of life and voice handicap in patients with total laryngectomy.

Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences

Cristina Ţiple, Tudor Drugan, Florina Veronica Dinescu, Rodica Mureşan, Magdalena Chirilă, Marcel Cosgarea

Affiliations

  1. Department of Otorhinolaryngology, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
  2. Department of Otorhinolaryngology, Emergency County Hospital, Cluj-Napoca, Romania.
  3. Department of Medical Informatics and Biostatistics, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.

PMID: 28331513 PMCID: PMC5348966 DOI: 10.4103/1735-1995.196609

Abstract

BACKGROUND: Health-related quality of life (HRQL) and voice handicap index (VHI) of laryngectomies seem to be relevant regarding voice rehabilitation. The aim of this study is to assess the impact on HRQL and VHI of laryngectomies, following voice rehabilitation.

MATERIALS AND METHODS: A retrospective study done at the Ear, Nose, and Throat Department of the Emergency County Hospital. Sixty-five laryngectomees were included in this study, of which 62 of them underwent voice rehabilitation. Voice handicap and QOL were assessed using the QOL questionnaires developed by the European Organisation for Research and Treatment of Cancer (EORTC); variables used were functional scales (physical, role, cognitive, emotional, and social), symptom scales (fatigue, pain, and nausea and vomiting), global QOL scale (pain, swallowing, senses, speech, social eating, social contact, and sexuality), and the functional, physical, and emotional aspects of the voice handicap (one-way ANOVA test).

RESULTS: The mean age of the patients was 59.22 (standard deviation = 9.00) years. A total of 26 (40%) patients had moderate VHI (between 31 and 60) and 39 (60%) patients had severe VHI (higher than 61). Results of the HRQL questionnaires showed that patients who underwent speech therapy obtained better scores in most scales (

CONCLUSION: The EORTC and the VHI questionnaires offer more information regarding life after laryngectomy.

Keywords: Quality of life; voice handicap index; voice rehabilitation

Conflict of interest statement

There are no conflicts of interest.

References

  1. Folia Phoniatr Logop. 2009;61(2):83-92 - PubMed
  2. Braz J Otorhinolaryngol. 2014 Sep-Oct;80(5):403-8 - PubMed
  3. Health Qual Life Outcomes. 2008 Mar 28;6:26 - PubMed
  4. J Voice. 2007 Nov;21(6):728-34 - PubMed
  5. Head Neck. 2009 Jan;31(1):64-76 - PubMed
  6. Laryngoscope. 2012 Jul;122(7):1532-8 - PubMed
  7. Int J Pediatr Otorhinolaryngol. 2016 Sep;88:113-6 - PubMed
  8. Indian J Cancer. 2011 Jan-Mar;48(1):99-104 - PubMed
  9. Ann Otol Rhinol Laryngol. 1980 Nov-Dec;89(6 Pt 1):529-33 - PubMed
  10. Qual Life Res. 2000;9(10):1147-53 - PubMed
  11. J R Soc Med. 1999 Jun;92(6):299-302 - PubMed
  12. Laryngoscope. 1990 Nov;100(11):1202-7 - PubMed
  13. Eur Arch Otorhinolaryngol. 1993;250(7):375-8 - PubMed
  14. Ned Tijdschr Tandheelkd. 2012 Jul-Aug;119(7-8):357-61 - PubMed
  15. J Voice. 2015 May;29(3):382-8 - PubMed
  16. Head Neck. 2011 Jan;33(1):31-6 - PubMed
  17. Eur Arch Otorhinolaryngol. 2015 Nov;272(11):3431-7 - PubMed

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