Functional speech outcomes after laryngectomy and pharyngolaryngectomy

McAuliffe, M. J., Ward, E. C., Bassett, L. and Perkins, K. (2000) Functional speech outcomes after laryngectomy and pharyngolaryngectomy. Archives of Otolaryngology - Head and Neck Surgery, 126 6: 705-709. doi:10.1001/archotol.126.6.705

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Author McAuliffe, M. J.
Ward, E. C.
Bassett, L.
Perkins, K.
Title Functional speech outcomes after laryngectomy and pharyngolaryngectomy
Journal name Archives of Otolaryngology - Head and Neck Surgery   Check publisher's open access policy
ISSN 2168-6181
2168-619X
Publication date 2000-06-01
Year available 2000
Sub-type Article (original research)
DOI 10.1001/archotol.126.6.705
Open Access Status File (Publisher version)
Volume 126
Issue 6
Start page 705
End page 709
Total pages 5
Place of publication Chicago, IL, United States
Publisher American Medical Association
Language eng
Formatted abstract
Objective:
To compare and contrast functional speech outcomes of patients having undergone total laryngectomy and pharyngolaryngectomy who use tracheoesophageal speech as their primary mode of communication.

Design:

Group comparison design.

Setting:
Adult acute tertiary care hospital.

Patients:
Thirty patients who underwent total laryngectomy and 13 who underwent pharyngolaryngectomy with free jejunal interposition reconstruction. All patients used tracheoesophageal speech.

Intervention:

Group comparisons across measures of speech intelligibility, voice quality, tracheoesophageal speech use, voice satisfaction and levels of perceived voice disability, handicap, and well-being/distress.

Main Outcome Measure:
The existence of any significant differences between the 2 groups on measures of intelligibility, voice quality, tracheoesophageal speech use, and voice satisfaction and levels of voice disability, handicap, and well- being/distress.

Results:
Statistical comparisons confirmed reduced functional intelligibility (P<.05), reduced vocal quality (P<.01), and higher levels of disability (P<.05) in the pharyngolaryngectomy group. However, no significant difference was observed between the proportion of patients classified as 'successful' tracheoesophageal speech users in either group. Low levels of handicap and high levels of patient well-being were recorded in both groups.

Conclusion:
Despite the perceptual differences in voice quality and intelligibility observed between the 2 groups, tracheoesophageal speech that is functional, effective, and perceived by the patients as satisfactory can be achieved after total laryngectomy and pharyngolaryngectomy with free jejunal interposition reconstruction.
Keyword Voice restoration
Tracheoesophageal speech
Acceptability ratings
Laryngopharyngectomy
Puncture
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Health and Rehabilitation Sciences Publications
 
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Created: Thu, 17 Mar 2011, 00:01:02 EST