| Differential modes of alaryngeal communication and long-term voice outcomes following pharyngolaryngectomy and laryngectomy. | |
| | |
MedLine Citation:
|
PMID: 12566765 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Patterns of vocal rehabilitation for 37 pharyngolaryngectomy patients and 55 total laryngectomy patients over a 5-year period were compared. An electrolarynx (EL) was introduced as the initial communication mode immediately after surgery for 98% of patients, with 30% of pharyngolaryngectomy and 74% of laryngectomy patients subsequently developing tracheoesophageal speech (TES) as their primary mode of communication. Follow-up with 14 of 37 pharyngolaryngectomy patients and 36 of 55 laryngectomy patients was conducted 1-6 years following surgery and revealed that 90% of the pharyngolaryngectomy patients maintained the use of TES in the long term compared to 69% of the laryngectomy group. Long-term outcomes relating to communication disability and handicap did not differ significantly between the two surgical groups, however the laryngectomy patients had significantly higher levels of wellbeing. Across the whole group of patients, statistical comparison revealed that patients using TES had significantly lower levels of disability, handicap and distress than EL users. Considering that lower levels of disability, handicap and distress are associated with TES, and the data supports that suitably selected patients can maintain functional TES in the long term, increased application of this form of communication rehabilitation should be encouraged where viable for the pharyngolaryngectomy population. |
| | |
Authors:
|
E C Ward; S K Koh; J Frisby; R Hodge |
Related Documents
:
|
18361215 - Application of the general perceived self-efficacy scale in cardiovascular rehabilitation. 10956575 - Agitated symptom response to divalproex following acute brain injury. 22018605 - A novel method for inferring rfid tag reader recordings into clinical events. 17873825 - Modifications of the fim instrument under the inpatient rehabilitation facility prospec... 10654175 - Subretinal fibrosis and choroidal neovascularization in vogt-koyanagi-harada syndrome. 16091575 - Prognosis and decision making in severe stroke. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP) Volume: 55 ISSN: 1021-7762 ISO Abbreviation: Folia Phoniatr Logop Publication Date: 2003 Jan-Feb |
Date Detail:
|
Created Date: 2003-02-04 Completed Date: 2003-05-14 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 9422792 Medline TA: Folia Phoniatr Logop Country: Switzerland |
Other Details:
|
Languages: eng Pagination: 39-49 Citation Subset: IM |
Copyright Information:
|
Copyright 2003 S. Karger AG, Basel |
Affiliation:
|
Department of Speech Pathology and Audiology, University of Queensland, St. Lucia, Queensland 4072, Australia. Liz.Ward@mailbox.uq.edu.au |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Communication* Female Follow-Up Studies Humans Laryngectomy* Male Middle Aged Pharyngectomy* Postoperative Period Speech, Alaryngeal* Time Factors Voice Disorders / diagnosis*, rehabilitation Voice Training |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Separate detection of vocal fold vibration by optoreflectometry: a study of biphonation on excised p...
Next Document: Heterotopic pregnancy: successful management with aspiration of cornual/interstitial gestational sac...