Differential modes of alaryngeal communication and long-term voice outcomes following pharyngolaryngectomy and laryngectomy

Ward, E.C., Koh, S.K., Frisby, J. and Hodge, R. (2003) Differential modes of alaryngeal communication and long-term voice outcomes following pharyngolaryngectomy and laryngectomy. Folia Phoniatrica Et Logopaedica, 55 1: 39-49. doi:10.1159/000068056


Author Ward, E.C.
Koh, S.K.
Frisby, J.
Hodge, R.
Title Differential modes of alaryngeal communication and long-term voice outcomes following pharyngolaryngectomy and laryngectomy
Journal name Folia Phoniatrica Et Logopaedica   Check publisher's open access policy
ISSN 1021-7762
Publication date 2003-01-01
Year available 2003
Sub-type Article (original research)
DOI 10.1159/000068056
Open Access Status
Volume 55
Issue 1
Start page 39
End page 49
Total pages 11
Editor H. K. Schutte
Place of publication Switzerland
Publisher S. Karger AG
Language eng
Subject C1
321025 Rehabilitation and Therapy - Hearing and Speech
730111 Hearing, vision, speech and their disorders
730303 Occupational, speech and physiotherapy
Abstract Patterns of vocal rehabilitation for 37 pharyngolaryngectomy patients and 55 total laryngectomy patients over a 5-year period were compared. An electrolarynx (EL) was introduced as the initial communication mode immediately after surgery for 98% of patients, with 30% of pharyngolaryngectomy and 74% of laryngectomy patients subsequently developing tracheoesophageal speech (TES) as their primary mode of communication. Follow-up with 14 of 37 pharyngolaryngectomy patients and 36 of 55 laryngectomy patients was conducted 1-6 years following surgery and revealed that 90% of the pharyngolaryngectomy patients maintained the use of TES in the long term compared to 69% of the laryngectomy group. Long-term outcomes relating to communication disability and handicap did not differ significantly between the two surgical groups, however the laryngectomy patients had significantly higher levels of wellbeing. Across the whole group of patients, statistical comparison revealed that patients using TES had significantly lower levels of disability, handicap and distress than EL users. Considering that lower levels of disability, handicap and distress are associated with TES, and the data supports that suitably selected patients can maintain functional TES in the long term, increased application of this form of communication rehabilitation should be encouraged where viable for the pharyngolaryngectomy population. Copyright (C) 2003 S. Karger AG, Basel.
Keyword Rehabilitation
Laryngectomy
Pharyngolaryngectomy
Voice Rehabilitation
Vocal Rehabilitation
Speech
Restoration
Cancer
Reconstruction
Life
Q-Index Code C1
Institutional Status UQ

 
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Created: Wed, 15 Aug 2007, 05:16:57 EST