Comprehensive Rehabilitation after Total Laryngectomy Is More than Voice Alone

Hilgers, Frans J. M.; Ackerstaff, Annemieke H.

doi:10.1159/000021514

Cited by 42 publications

(33 citation statements)

References 43 publications

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“…Most studies focussed on the functional outcomes after CRT, but not on possible rehabilitation options. The tradition of evidence-based rehabilitation after organ sacriWcing therapies, such as total laryngectomy, has been well-established and the time has now come to invest in evidence-based rehabilitation after CRT [105].…”

Section: Limitations Of Current Studiesmentioning

confidence: 99%

Functional outcomes and rehabilitation strategies in patients treated with chemoradiotherapy for advanced head and neck cancer: a systematic review

Molen

Rossum

Burkhead

et al. 2008

Eur Arch Otorhinolaryngol

110

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Organ preservation with radiotherapy and concomitant chemotherapy has become an accepted treatment modality in advanced head and neck cancer. Unfortunately, organ preservation is not synonymous with function preservation. The aim of this review was to systematically assess the eVects of the disease and chemoradiotherapy (CRT) on functions such as swallowing, mouth opening, nutrition, pain and quality of life in patients with head and neck cancer. Another aim was to search for (evidence-based) techniques or strategies known to alleviate or rehabilitate the loss of function(s) associated with CRT. Two databases were searched (time period, January 1997 to August 2007) for the terms head and neck cancer, chemotherapy or cisplatin and radiotherapy, and the functional outcomes swallowing, trismus, nutrition, pain and quality of life or a variation of those words. In total, 15 relevant articles were identiWed that met the inclusion criteria. The majority of the studies that met the criteria focused on the outcomes swallowing, quality of life, and nutrition. Two studies reported on the outcome pain, but no paper reported on the outcome trismus. Only two papers mentioned rehabilitation options, but speciWc information was lacking. Further long-term prospective research is essential, not only to determine the function impairment caused by the tumor and CRT, but also to assess the eVects of known and newly developed rehabilitation measures. Therefore, in September 2006, the Netherlands Cancer Institute started a randomised clinical trial (RCT): Prevention of trismus, swallowing and speech problems in patients treated with chemoradiotherapy for advanced head and neck cancer. This systematic review was carried out to collect the baseline information for the future outcomes of this RCT.

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Section: Limitations Of Current Studiesmentioning

confidence: 99%

Functional outcomes and rehabilitation strategies in patients treated with chemoradiotherapy for advanced head and neck cancer: a systematic review

Molen

Rossum

Burkhead

et al. 2008

Eur Arch Otorhinolaryngol

110

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“…We assessed fundamental frequency, range of fundamental frequency, maximal phonation time, jitter, shimmer and noise to harmonic ratio (6,7). Intensity was measured with the SpectraLAB Ver.…”

Section: Methodsmentioning

confidence: 99%

Speech and voice analysis after near-total laryngectomy and tracheoesophageal puncture with implantation of Provox 2 prosthesis

Globlek¹,

Šimunjak²,

Ivkić³

et al. 2004

Logopedics Phoniatrics Vocology

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Vocal characteristics were compared in two groups of patients who were operated on due to laryngeal cancer. One group was composed of patients after near-total laryngectomy and the other after total laryngectomy followed by tracheoesophageal puncture with implantation of Provox 2 prosthesis. Acoustic analysis was carried out using the EZ Voice Plus program and included the following parameters: fundamental frequency, jitter, shimmer, harmonic to noise ratio, range of fundamental frequency, maximal phonation time and intensity.

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“…In particular laryngectomy affects crucial functions such as breathing, swallowing and speaking [10]. Experience suggests that reactions to illness and treatment not only depend on the patient's physical situation but also vary according to factors such as personality, profession, age, cultural environment and social status, even when patients undergo the same therapeutic procedures and gain a similar functional outcome [3].…”

Section: Introductionmentioning

confidence: 99%

Investigating quality of life and coping resources after laryngectomy

Relic¹,

Mazemda²,

Arens³

et al. 2001

European Archives of Oto-Rhino-Laryngology

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Surgical procedures and in particular laryngectomy can become a life-saving treatment for patients with laryngeal or hypopharyngeal cancer, but can result in permanent damage. Clinical observation suggests that patients vary considerably in their ways of dealing with this new situation and in their ability to cope. The aim of our interdisciplinary group was to investigate the quality of life of laryngectomy patients and learn about their perceptions, situation and coping mechanisms. The development of an appropriate study design and a measurement strategy is presented. We investigated 29 laryngectomized patients who had joined the local self-help group. The patients were free from tumour disease and were mostly married with children, retired from work and had not graduated from high school. Assessment of the quality of life was performed with the European Organization for Research on Treatment of Cancer questionnaires QLQ-C30 and H+N35 and additional open questions. Analysis of the acquired data showed that family support was judged most important for overcoming the problems of disease and treatment. Deficits in this area were highly correlated with a low overall quality of life. Financial problems resulted because of the high percentage of retirement before or after therapy. We suggest that perioperative support taking these facts into consideration can result in an improved coping process. Further prospective studies are needed to reveal the effect of such measures.

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Comprehensive Rehabilitation after Total Laryngectomy Is More than Voice Alone

Cited by 42 publications

References 43 publications

Functional outcomes and rehabilitation strategies in patients treated with chemoradiotherapy for advanced head and neck cancer: a systematic review

Functional outcomes and rehabilitation strategies in patients treated with chemoradiotherapy for advanced head and neck cancer: a systematic review

Speech and voice analysis after near-total laryngectomy and tracheoesophageal puncture with implantation of Provox 2 prosthesis

Investigating quality of life and coping resources after laryngectomy

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