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Voice and swallowing after total laryngectomy

Arenaz Búa, Beatriz LU ; Pendleton, Hillevi LU ; Westin, Ulla LU and Rydell, Roland LU (2018) In Acta Oto-Laryngologica 138(2). p.170-174
Abstract

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... (More)

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.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Pharyngoesophageal segment, Sydney Swallow Questionnaire, total laryngectomy, tracheoesophageal prosthesis, Voice Handicap Index-Throat
in
Acta Oto-Laryngologica
volume
138
issue
2
pages
170 - 174
publisher
Taylor & Francis
external identifiers
  • scopus:85030660611
ISSN
0001-6489
DOI
10.1080/00016489.2017.1384056
language
English
LU publication?
yes
id
b4770e7a-3022-4901-bc63-c898fa6c53e5
date added to LUP
2017-11-02 13:17:42
date last changed
2018-05-29 10:47:34
@article{b4770e7a-3022-4901-bc63-c898fa6c53e5,
  abstract     = {<p>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 (r<sub>s</sub> = 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.</p>},
  author       = {Arenaz Búa, Beatriz and Pendleton, Hillevi and Westin, Ulla and Rydell, Roland},
  issn         = {0001-6489},
  keyword      = {Pharyngoesophageal segment,Sydney Swallow Questionnaire,total laryngectomy,tracheoesophageal prosthesis,Voice Handicap Index-Throat},
  language     = {eng},
  number       = {2},
  pages        = {170--174},
  publisher    = {Taylor & Francis},
  series       = {Acta Oto-Laryngologica},
  title        = {Voice and swallowing after total laryngectomy},
  url          = {http://dx.doi.org/10.1080/00016489.2017.1384056},
  volume       = {138},
  year         = {2018},
}