Head & Neck · 2010 · 69 citations · 14 references
MedicineOtolaryngologySpeech-language PathologyCancer RehabilitationLaryngologyOutcomes ResearchLaryngeal CancerLaryngeal SurgerySpeech RehabilitationVoice DisordersVoice RehabilitationVoice SurgeryEsophageal SpeechLaryngeal Cancer SurgeryPost-laryngectomy RehabilitationTracheoesophageal SpeechVoice Outcome AssessmentVoice Outcomes MeasurementVoice QualityVoice Rehabilitation After Laryngeal Cancer
BACKGROUND: Laryngeal cancer has a significant impact on patients. This study compared the Voice-Related Quality of Life (V-RQOL) outcomes specific to 3 different postlaryngectomy voice rehabilitation methods. METHODS: We conducted a retrospective review of 75 patients with laryngectomy from our V-RQOL questionnaire database. RESULTS: The database included 18 electrolaryngeal speech (ELS), 15 esophageal speech (ES), and 42 tracheoesophageal speech (TES) patients. Pairwise comparisons of V-RQOL outcomes showed that TES was perceived to be better than ELS (p < .001). ES was perceived as better than ELS, but this was driven by a difference in the total and social-emotional V-RQOL scores (p < .05). There was no difference between TES and ES groups. Only ELS showed a positive correlation with time after surgery and older age. CONCLUSIONS: Patients using TES had similar V-RQOL outcomes compared to ES and both performed significantly better than ELS. For ELS, the total V-RQOL score was better with longer time after surgery and older age.
14
The Voice Handicap Index (VHI)
Barbara H. Jacobson, Alex Johnson, Cynthia Grywalski et al. · American Journal of Speech-Language Pathology · 1997 · 2.5K citations
Medicine, Rehabilitation Medicine, Speech-language Pathology +17