Voice-Related Quality of Life After Total Laryngectomy: Systematic Review and Meta-Analysis

Maniaci, Antonino; Lechien, J; Caruso, Sebastiano; Nocera, Francesco; Ferlito, S; Iannella, Giannicola; Grillo, Caterina; Magliulo, Giuseppe; Pace, Annalisa; Vicini, Claudio; Mantia, Ignazio La

doi:10.1016/j.jvoice.2021.09.040

Cited by 28 publications

(28 citation statements)

References 26 publications

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“…Despite the overall improvement in voice rehabilitation, the presence of a permanent tracheostomy after total laryngectomy has a negative impact on a patient’s postoperative quality of life [ 20 , 21 ]. There has therefore been an increasing emphasis on laryngeal conservation in the development of new treatment strategies for patients with laryngeal cancer.…”

Section: Discussionmentioning

confidence: 99%

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Quality-of-Life Assessment after Head and Neck Oncological Surgery for Advanced-Stage Tumours

Bejenaru

Popescu

Oancea

et al. 2022

JCM

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Squamous cell carcinoma of the head and neck (HNSCC) is a common malignancy often diagnosed in the advanced stage with a complex negative influence on the patient’s quality of life (QoL). Given its multi-modal treatment, the first step is to adequately balance the needs of the patient, and the second step includes the consultations, interventions, and care provided by the medical team, with the purpose of improving the overall management of the HNSCC. Current attempts to develop and validate quality-of-life instruments specific to cancers of the head and neck have been reported, and certain questionnaires are now available. We performed a retrospective study in a tertiary centre, involving 89 patients who survived 3 years after HNSCC surgery. A patient-related outcome measurement was made using the European Organization for Research and Treatment of Cancer (EORTC) QLQ-C30 and QLQ-H&N35 instruments to assess QoL at admission and 3 years after treatment. The 3-year survivors reported an overall improvement in QoL compared with those in the pre-treatment period. The unique details of head and neck cancer treatments outline the importance of considering the characteristics of the patient population in quality-of-life research and also identify how quality-of-life data can contribute to the care provided by the multi-disciplinary team involved in a patient’s follow-up.

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Section: Discussionmentioning

confidence: 99%

“…There has therefore been an increasing emphasis on laryngeal conservation in the development of new treatment strategies for patients with laryngeal cancer. Rather than focusing on the conservation of the larynx as an organ, the preservation of its function is the ultimate challenge in these procedures [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

Quality-of-Life Assessment after Head and Neck Oncological Surgery for Advanced-Stage Tumours

Bejenaru

Popescu

Oancea

et al. 2022

JCM

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“…Voice rehabilitation after TL is an important postoperative issue for the patient quality of life [4,5]. In practice, the VP change is a simple procedure that is usually performed by residents or board-certified physicians.…”

Section: Discussionmentioning

confidence: 99%

Post-Laryngectomy Voice Prosthesis Changes by Speech-Language-Pathologists: Preliminary results.

Hans¹,

Pemille²,

Baudouin³

et al. 2022

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Background: In the present study, we assessed the feasibility and success outcomes of voice prosthesis (VP) changes when performed by speech-language pathologist (SLP). Methods: Patients treated with total laryngectomy (TL) from January 2020 to December 2020 were prospectively recruited from our medical center. Patients benefited from tracheoesophageal puncture. The VP changes were performed by the senior SLP and the following data were collected for each VP change: date of placement; change or removal; VP type and size; reason for change or removal; and use of a washer for periprosthetic leakage. A patient-reported outcome questionnaire including 6 items was proposed to patients at each VP change (Appendix 1). Items were assessed with a 10-point Likert-scale. Results: Fifty-two VP changes were performed by the senior SLP during the study period. The mean duration of the SLP consultation, including patient history, examination and VP change procedure was 20 min (range: 15-30). The median prosthesis lifetime was 88 days. The main reasons for VP changes were transprosthetic (N=34; 79%) and periprosthetic (N=7; 21%) leakages, respectively. SLP successfully performed all VP changes. He did not change one VP but used a periprosthetic silastic to stop the periprosthetic leakages. In two cases, SLP needed the surgeon examination to discuss about the following indication: implant mucosa inclusion and autologous fat injection. The patient satisfaction was high according to the speed and the quality of care by the SLP. Conclusion: The delegation of VP change from the otolaryngologist-head and neck sur-geon to the speech-language pathologist (SLP) may be done without significant complications. The delegation of VP change procedure to SLP may be interesting in some rural regions with otolaryngologist shortage.

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“…Voice rehabilitation after TL is an important postoperative issue for the patient quality of life [ 3 , 4 , 5 ]. In practice, the VP change is a simple procedure that is usually performed by residents or board-certified physicians.…”

Section: Discussionmentioning

confidence: 99%

“…First, it is commonly accepted that the development of post-TL tracheoesophageal speech involves important speech rehabilitation work and adequate follow-up for the management of VP leakage, which may be time-consuming for the physician [ 4 ]. Currently, the number and the availability of otolaryngologists in rural areas may be limited in some European regions regarding some government hospital reforms that led to significant reductions in medical centers and physicians [ 6 , 7 ].…”

Section: Discussionmentioning

confidence: 99%

Post-Laryngectomy Voice Prosthesis Changes by Speech-Language Pathologists: Preliminary Results

Hans

Pemille

Baudouin

et al. 2022

JCM

View full text Add to dashboard Cite

Background: In the present study, we assess the feasibility and success outcomes of voice prosthesis (VP) changes when performed by a speech-language pathologist (SLP). Methods: Patients treated with total laryngectomy (TL) from January 2020 to December 2020 were prospectively recruited from our medical center. Patients benefited from tracheoesophageal puncture. The VP changes were performed by the senior SLP and the following data were collected for each VP change: date of placement; change or removal; VP type and size; reason for change or removal; and use of a washer for periprosthetic leakage. A patient-reported outcome questionnaire including six items was proposed to patients at each VP change. Items were assessed with a 10-point Likert-scale. Results: Fifty-two VP changes were performed by the senior SLP during the study period. The mean duration of the SLP consultation, including patient history, examination and VP change procedure, was 20 min (range: 15–30). The median prosthesis lifetime was 88 days. The main reasons for VP changes were transprosthetic (n = 34; 79%) and periprosthetic (n = 7; 21%) leakages. SLP successfully performed all VP changes. He did not change one VP, but used a periprosthetic silastic to stop the periprosthetic leakages. In two cases, SLP needed the surgeon’s examination to discuss the following indication: implant mucosa inclusion and autologous fat injection. The patient satisfaction was high according to the speed and the quality of care by the SLP. Conclusions: The delegation of VP change from the otolaryngologist–head and neck surgeon to the speech-language pathologist (SLP) may be achieved without significant complications. The delegation of VP change procedure to SLP may be interesting in some rural regions with otolaryngologist shortages.

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Voice-Related Quality of Life After Total Laryngectomy: Systematic Review and Meta-Analysis

Cited by 28 publications

References 26 publications

Quality-of-Life Assessment after Head and Neck Oncological Surgery for Advanced-Stage Tumours

Quality-of-Life Assessment after Head and Neck Oncological Surgery for Advanced-Stage Tumours

Post-Laryngectomy Voice Prosthesis Changes by Speech-Language-Pathologists: Preliminary results.

Post-Laryngectomy Voice Prosthesis Changes by Speech-Language Pathologists: Preliminary Results

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