Rehabilitation of dysphagia and voice problems following total laryngectomy
(2024) In European Archives of Oto-Rhino-Laryngology- Abstract
Objective: Determine participants’ satisfaction with rehabilitation following total laryngectomy (TL) and investigate associations between dysphagia, voice problems, and possible explanatory variables. Methods: 172 Danish and Swedish participants having received a TL 1.6–18.1 years ago for laryngeal/hypopharyngeal cancer answered a questionnaire regarding satisfaction with rehabilitation following TL and the V-RQOL, MDADI, and HADS questionnaires. Results: 85% and 75% were satisfied with the help received from their local hospital and municipality, respectively. 22%, 78%, and 65% indicated having not received any vocal, swallow, or olfactory rehabilitation, respectively. MDADI mean score was 77.5, V-RQOL was 62.8 and the HADS... (More)
Objective: Determine participants’ satisfaction with rehabilitation following total laryngectomy (TL) and investigate associations between dysphagia, voice problems, and possible explanatory variables. Methods: 172 Danish and Swedish participants having received a TL 1.6–18.1 years ago for laryngeal/hypopharyngeal cancer answered a questionnaire regarding satisfaction with rehabilitation following TL and the V-RQOL, MDADI, and HADS questionnaires. Results: 85% and 75% were satisfied with the help received from their local hospital and municipality, respectively. 22%, 78%, and 65% indicated having not received any vocal, swallow, or olfactory rehabilitation, respectively. MDADI mean score was 77.5, V-RQOL was 62.8 and the HADS questionnaire indicated that possible depression or anxiety was present in 16% and 20% of participants, respectively. Multivariate analysis found the following variables to be associated with dysphagia; more voice problems, higher depression score, higher anxiety score, and being treated and rehabilitated in Denmark vs. in Sweden. Furthermore, multivariate analysis found the following variables to be associated with voice problems; more problems with dysphagia and higher depression score. Conclusion: We found that the majority of participants were satisfied with the received rehabilitation but that a large proportion reported having no dysphagia or olfactory rehabilitation. We found that voice problems, dysphagia, and depression after TL are tightly linked, and therefore suggest that medical personnel in contact with TL patients should be aware of possible psychological late effects. We found that being treated and rehabilitated in Sweden, vs. in Denmark, was associated with a better swallow outcome and we suggest additional centralization of rehabilitation in especially Denmark.
(Less)
- author
- Wulff, Nille Lyngeraa ; Dalton, Susanne Oksbjerg ; Wessel, Irene ; Búa, Beatriz Arenaz LU ; Löfhede, Helena ; Hammerlid, Eva ; Kjaer, Trille Kristina ; Godballe, Christian ; Kjærgaard, Thomas and Homøe, Preben
- organization
- publishing date
- 2024
- type
- Contribution to journal
- publication status
- epub
- subject
- keywords
- Dysphagia, Rehabilitation, Total laryngectomy, Voice problems
- in
- European Archives of Oto-Rhino-Laryngology
- publisher
- Springer Science and Business Media B.V.
- external identifiers
-
- scopus:85207297626
- pmid:39419839
- ISSN
- 0937-4477
- DOI
- 10.1007/s00405-024-09023-y
- language
- English
- LU publication?
- yes
- additional info
- Publisher Copyright: © The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2024.
- id
- fcdf7707-e971-495e-a7a8-a16b51e104d0
- date added to LUP
- 2025-01-09 08:23:24
- date last changed
- 2025-07-10 23:50:46
@article{fcdf7707-e971-495e-a7a8-a16b51e104d0,
abstract = {{<p>Objective: Determine participants’ satisfaction with rehabilitation following total laryngectomy (TL) and investigate associations between dysphagia, voice problems, and possible explanatory variables. Methods: 172 Danish and Swedish participants having received a TL 1.6–18.1 years ago for laryngeal/hypopharyngeal cancer answered a questionnaire regarding satisfaction with rehabilitation following TL and the V-RQOL, MDADI, and HADS questionnaires. Results: 85% and 75% were satisfied with the help received from their local hospital and municipality, respectively. 22%, 78%, and 65% indicated having not received any vocal, swallow, or olfactory rehabilitation, respectively. MDADI mean score was 77.5, V-RQOL was 62.8 and the HADS questionnaire indicated that possible depression or anxiety was present in 16% and 20% of participants, respectively. Multivariate analysis found the following variables to be associated with dysphagia; more voice problems, higher depression score, higher anxiety score, and being treated and rehabilitated in Denmark vs. in Sweden. Furthermore, multivariate analysis found the following variables to be associated with voice problems; more problems with dysphagia and higher depression score. Conclusion: We found that the majority of participants were satisfied with the received rehabilitation but that a large proportion reported having no dysphagia or olfactory rehabilitation. We found that voice problems, dysphagia, and depression after TL are tightly linked, and therefore suggest that medical personnel in contact with TL patients should be aware of possible psychological late effects. We found that being treated and rehabilitated in Sweden, vs. in Denmark, was associated with a better swallow outcome and we suggest additional centralization of rehabilitation in especially Denmark.</p>}},
author = {{Wulff, Nille Lyngeraa and Dalton, Susanne Oksbjerg and Wessel, Irene and Búa, Beatriz Arenaz and Löfhede, Helena and Hammerlid, Eva and Kjaer, Trille Kristina and Godballe, Christian and Kjærgaard, Thomas and Homøe, Preben}},
issn = {{0937-4477}},
keywords = {{Dysphagia; Rehabilitation; Total laryngectomy; Voice problems}},
language = {{eng}},
publisher = {{Springer Science and Business Media B.V.}},
series = {{European Archives of Oto-Rhino-Laryngology}},
title = {{Rehabilitation of dysphagia and voice problems following total laryngectomy}},
url = {{http://dx.doi.org/10.1007/s00405-024-09023-y}},
doi = {{10.1007/s00405-024-09023-y}},
year = {{2024}},
}