Voice alterations are frequent after thyroidectomy even with preserved vocal fold mobility. Such alterations were more frequently detected in that group than in patients who underwent breast surgery. Orotracheal intubation is just one of the multiple factors involved.
BRAZ DAS et al. Quality of life and depression in patients undergoing total and partial laryngectomy. CLINICS 60(2):135-142, 2005. PURPOSE: The surgical treatment of head and neck cancer, primarily laryngeal cancer, causes sequelae and can change the patient´s quality of life. The purpose of this study was to investigate the impact of laryngectomy on the quality of life regarding the functional, physical, psychological, and social aspects. METHODS: Fourteen patients underwent total laryngectomy and 16 underwent vertical partial laryngectomy. The Quality of Life Core Questionnaire (QLQ-C30) and Head and Neck (H&N35) questionnaire from the European Organization for Research and Treatment of Cancer (EORTC) were used for quality of life evaluation, while the Beck Depression Inventory questionnaire was used for the depression screen. RESULTS: In the total laryngectomy group, reported adverse effects were worsened, social and emotional function (21.3%), olfaction and taste changes (85.6%), cough (71.3%), speech difficulty (100%), and dysphagia (64.3%). Most of the patients (85.5%) judged their quality of life to be reasonable. In the partial laryngectomy group, reported adverse effects were worsened, emotional function (71.4%), speech difficulty (100%), and dysphagia (31.3%). However, most of the patients judged their quality of life to be above the general average. CONCLUSION: Despite being different surgeries, both groups experienced similar difficulties but at different levels. The quality of life was judged worse in the patients who underwent total laryngectomy.
Laryngeal preservation resulted in voice and swallowing abnormalities, but they tend to be mild to moderate, allowing intelligible communication and efficient swallowing in most patients.
OBJETIVO: Investigar as contribuições da fonoterapia na voz, na deglutição e na qualidade de vida de pacientes com alteração unilateral de mobilidade de prega vocal. MÉTODOS: Os sujeitos foram 13 pacientes, de ambos os sexos, com alteração unilateral de mobilidade de prega vocal. Foi realizado um levantamento da história clínica, dos dados de avaliação pré e pós-fonoterapia e da qualidade de vida dos mesmos a partir dos prontuários, das fitas de exame e das gravações de exames. RESULTADOS: Após a intervenção fonoaudiológica foi possível observar: nove pacientes apresentaram melhora da qualidade vocal após fonoterapia; todos os pacientes apresentaram melhora em pelo menos um parâmetro da avaliação acústica; dez pacientes apresentaram classificação dentro dos limites de normalidade em relação à escala de severidade da disfagia e nove em relação à escala de penetração/aspiração; seis pacientes referiram menor desvantagem vocal; nove pacientes referiram menor impacto da disfagia na qualidade de vida. CONCLUSÃO: Os resultados apontam melhoras na voz, na deglutição, na limitação vocal e na qualidade de vida relacionada à deglutição após fonoterapia. Pode-se dizer que a fonoterapia parece ser efetiva na melhora da voz, da deglutição, do nível de desvantagem vocal e da qualidade de vida em deglutição de pacientes com alterações na mobilidade das pregas vocais.
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