TY - JOUR
T1 - Voice and swallowing after total laryngectomy
AU - Arenaz Búa, Beatriz
AU - Pendleton, Hillevi
AU - Westin, Ulla
AU - Rydell, Roland
PY - 2018
Y1 - 2018
N2 - Background: Voice and swallowing problems are often seen in patients with advanced larynx cancer, after total laryngectomy (TL) and chemo/radiotherapy. The aim of this study was to determine the occurrence of voice and swallowing problems in patients who have been laryngectomised and investigate if these symptoms were related to age, time after TL, radiotherapy and TNM-classification. In addition, we studied how often the patients changed their voice prostheses and the need of therapeutic interventions after TL. Methods: Forty-five patients were included in the study and completed the Swedish version of the Sydney Swallow Questionnaire and the Voice Handicap Index-T. Results: Swallowing problems were reported by 89% of the patients and moderate-to-severe voice handicap was reported by 66%. Most of the subjects who had dysphagia also presented voice problems (rs = 0.67 p ≤ .01). Additional therapeutic interventions to manage problems with voice and/or swallowing after TL were required in 62% of the patients. Conclusions: Swallowing and voice problems after TL are common. Thus, the preoperative information and assessment of these functions, as well as the treatment and the post-operative rehabilitation should be evaluated and optimised to provide better functional results after treatment of advanced larynx cancer.
AB - Background: Voice and swallowing problems are often seen in patients with advanced larynx cancer, after total laryngectomy (TL) and chemo/radiotherapy. The aim of this study was to determine the occurrence of voice and swallowing problems in patients who have been laryngectomised and investigate if these symptoms were related to age, time after TL, radiotherapy and TNM-classification. In addition, we studied how often the patients changed their voice prostheses and the need of therapeutic interventions after TL. Methods: Forty-five patients were included in the study and completed the Swedish version of the Sydney Swallow Questionnaire and the Voice Handicap Index-T. Results: Swallowing problems were reported by 89% of the patients and moderate-to-severe voice handicap was reported by 66%. Most of the subjects who had dysphagia also presented voice problems (rs = 0.67 p ≤ .01). Additional therapeutic interventions to manage problems with voice and/or swallowing after TL were required in 62% of the patients. Conclusions: Swallowing and voice problems after TL are common. Thus, the preoperative information and assessment of these functions, as well as the treatment and the post-operative rehabilitation should be evaluated and optimised to provide better functional results after treatment of advanced larynx cancer.
KW - Pharyngoesophageal segment
KW - Sydney Swallow Questionnaire
KW - total laryngectomy
KW - tracheoesophageal prosthesis
KW - Voice Handicap Index-Throat
UR - http://www.scopus.com/inward/record.url?scp=85030660611&partnerID=8YFLogxK
U2 - 10.1080/00016489.2017.1384056
DO - 10.1080/00016489.2017.1384056
M3 - Article
C2 - 28978261
AN - SCOPUS:85030660611
SN - 0001-6489
VL - 138
SP - 170
EP - 174
JO - Acta Oto-Laryngologica
JF - Acta Oto-Laryngologica
IS - 2
ER -