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Speech rehabilitation during the first year after total laryngectomy.
MedLine Citation:
PMID:  23169434     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: Gaining a new voice is one of the major aims after total laryngectomy. The objective of this study was to describe the process and results of speech rehabilitation during the first year after surgery. METHODS: Speech intelligibility was measured 6 months (n = 273) and 1 year (n = 225) after total laryngectomy. RESULTS: Objective (23.4 to 47.5 points, p < .0001) and subjective (51.6 to 64.7 points, p < .0001) speech intelligibility improved between 6 months and 1 year after total laryngectomy. Patients who used tracheoesophageal puncture (TEP) had the best results in speech intelligibility 6 months and 1 year after total laryngectomy. In all, 12% of the patients who used TEP initially no longer used it 1 year later. Patients who had received rehabilitation had better objective speech intelligibility than those who did not. CONCLUSIONS: Speech improves considerably between 6 months and 1 year after total laryngectomy. Nonattendance of rehabilitation is associated with a worse functional outcome in speech rehabilitation. Head Neck, 2012.
Authors:
Susanne Singer; Dorit Wollbrück; Andreas Dietz; Juliane Schock; Friedemann Pabst; Hans-Joachim Vogel; Jens Oeken; Annett Sandner; Sven Koscielny; Karl Hormes; Kerstin Breitenstein; Heike Richter; Andreas Deckelmann; Sarah Cook; Michael Fuchs; Sylvia Meuret
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-11-20
Journal Detail:
Title:  Head & neck     Volume:  -     ISSN:  1097-0347     ISO Abbreviation:  Head Neck     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-11-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8902541     Medline TA:  Head Neck     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 Wiley Periodicals, Inc.
Affiliation:
University of Leipzig, Department of Medical Psychology and Medical Sociology, Leipzig, Germany; University of Mainz, Division of Epidemiology and Health Services Research, Germany. susanne.singer@unimedizin-mainz.de.
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