Larynx cancer: quality of life and voice after treatment

Rossi, Vaneli Colombo; Fernandes, Fernando Antônio da Silva; Ferreira, Maria Augusta Aliperti; Bento, Lucas Ricci; Pereira, Paulo Roberto Mendes; Chone, Carlos Takahiro

doi:10.1016/j.bjorl.2014.07.005

Cited by 29 publications

(38 citation statements)

References 21 publications

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“…Thus, it may be said that the better the patient's satisfaction with his/her communication, the higher V-RQOL global scores. This result is in accordance with the findings of another study 17 that observed that, in spite of the irreplaceable quality of the larynx, most individuals using a tracheoesophageal prosthesis for rehabilitation have better quality of life levels and are therefore more satisfied with their communication. This is also suggested in the present study that shows statistically significant association between time since surgery and satisfaction with communication, even with only three patients using a tracheoesophageal prosthesis.…”

Section: Discussionsupporting

confidence: 92%

“…Mourning the loss of laryngeal voice takes time. In addition, there is also mourning regarding the loss of the other functions of the larynx (sphincter, respiration, deglutition) and the needed adaptations in order to cope with the loss of this organ 17 . Furthermore, there may be pain and psychological conditions such as fear of death and coping with cancer that take time to be overcome 18 .…”

Section: Discussionmentioning

confidence: 99%

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Voz e qualidade de vida de laringectomizados totais: um estudo comparativo

2016

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Voz e qualidade de vida de laringectomizados totais: um estudo comparativo

2016

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“…Uključivanje pacijenata nakon totalne laringektomije u proces vokalne rehabilitacije i ovladavanje govorom jedan je od bitnih faktora poboljšanja kvaliteta života koji omogućava povratak normalnim životnim aktivnostima i pozitivno utiče na poboljšanje emocionalnog stanja ovih pacijenata [32,1,33]. Kazi et al [34] kod pacijenata nakon tretmana nije uočio probleme kada je u pitanju gutanje/žvakanje hrane, kao i poboljšanje čula mirisa što je u skladu sa našim istraživanjem.…”

Section: Diskusijaunclassified

The influence of radiotherapy on the quality of life of laringectomated patients before and after vocal rehabilitation

Bunijevac¹,

Petrović-Lazić²,

Jovanović-Simić³

et al. 2018

Timočki medicinski glasnik

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(1) JZU BOLNICA ,,SVETI VRAČEVI" BIJELJINA, REPUBLIKA SRPSKA, BIH, (2) KLINIKA ZA OTORINOLARINGOLOGIJU KLINIČKO-BOLNIČKOG CENTARA "ZVEZDARA", BEOGRAD, (3) FAKULTET ZA SPECIJALNU EDUKACIJU I REHABILITACIJU, BEOGRAD Sažetak:Uvod: Jedan od najčešćih malignih tumora glave i vrata jeste karcinom larinksa. Totalna laringektomija dovodi do trajnog gubitka larinksa čime se narušavaju normalni anatomski odnosi u vratu, što izaziva poremećaj komunikacije i socijalne interakcije pacijenta. Cilj: Cilj ovog istraživanja je da se utvrdi koliki uticaj ima radioterapija na kvalitet života laringektomiranih pacijenata nakon vokalne rehabilitacije. Metod rada: U istraživanju je učestvovalo 50 pacijenata nakon totalne laringektomije. Starost ispitanika kretala se od 51 do 83 godine. Jednofaktorskom analizom varijanse (ANOVA) izvršeno je testiranje razlika između prosečnih postignuća na VHI i HNQOL skali pre i posle vokalne rehabilitacije. Ovim skalama možemo doći do informacije o stepenu govorne invalidnosti koju doživljava sam pacijent, zatim zadovoljstvom pacijenta primenjenim lečenjem ili tretmanom i uticaju koji ima vokalna rehabilitacija na kvaliteta njegovog života pre i nakon tretmana. Rezultati: U našoj studiji pacijenti koji su podvrgnuti radikalnoj hirurškoj intervenciji prijavili su bolji kvalitet života u poređenju sa pacijentima koji su bili podvrgnuti drugim kombinovanim modalitetima lečenja. Ustanovljeno je da statistički značajne razlike postoje na svim supskalama obe skale. Statistička značajnost definisana je na nivou verovatnoće nulte hipoteze od p ≤ 0,05 do p < 0,001. Zaključak: Uspešna vokalna rehabilitacija je važan faktor kvalitetnog života pacijenata nakon totalne laringektomije i predstavlja izlaz iz društvene izolacije. Ključne reči: tumori larinksa, laringektomija, vokalna rehabilitacija, kvalitet života, VHI skala, HNQOL skala Summary:Introduction: One of the most common malignant tumors of the head and neck is laryngeal cancer. Total laryngectomy leads to sustained loss of larynx, which disrupts normal anatomical relationships in the neck, causing a disorder of communication and social interaction of the patient. Objective: The aim of this research is to determine the impact of radiotherapy on the quality of life of laryngectomized patients after vocal rehabilitation. Method: The study involved 50 patients after total laryngectomy. The age of the subjects ranged from 51 to 83 years. One-factor variance analysis (ANOVA) tested the differences between the average achievements on VHI and HNQOL scales before and after vocal rehabilitation. This scale can provide information about the degree of speech disability experienced by the patient himself, then the patient's satisfaction with treatment or treatment and the impact that he has vocal rehabilitation on the quality of his life before and after treatment. Results: In our study, patients who underwent radical surgical intervention reported better quality of life compared to patients who underwent other combined treatment modalities. It was found that stati...

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“…People after laryngeal cancer surgery oftenly experience loss or impairment of the voice which results in diminsihed social integration and general socialization. Also people after total laryngectomy are in danger of stigmatization and social exclusion [8,9]. …”

Section: Treatment Options For Laryngeal Cancermentioning

confidence: 99%