Repository logo
 
Publication

Laryngectomy: Phonation Alternatives and Their Impact on the Quality of Life

2023-05Journal article Open access
Simple item page
dc.contributor.authorRodrigues, Ana
dc.contributor.authorSousa, Francisco Alves De
dc.contributor.authorCasanova, Maria J
dc.contributor.authorSilva, Ana
dc.contributor.authorFeliciano, Telma
dc.contributor.authorFreitas, Susana Vaz
dc.contributor.authorPinto, Ricardo
dc.contributor.authorLino, João
dc.date.accessioned2024-07-02T12:39:29Z
dc.date.available2024-07-02T12:39:29Z
dc.date.issued2023-05
dc.description.abstractBackground The decision to consent to surgery is a life-changing moment. This study addresses the impact of total laryngectomy (TL) on phonation and its effect on the quality of life (QoL) of patients. The primary objective of this cohort study is to compare the alternatives in phonation rehabilitation, and the secondary objective is to identify concurrent predictors of vocal outcomes. Methodology To perform a comprehensive analysis, we reviewed data from patients who underwent TL with bilateral radical neck dissection in the Department of Otolaryngology, Head and Neck Surgery at Centro Hospitalar Universitário de Santo António between January 2010 and October 2022. Adult patients who consented to participate in the study and underwent subjective evaluation were included in this study. Data regarding clinical history was primarily collected. Statistical analysis was performed using SPSS version 26 (IBM Corp., Armonk, NY, USA). Different types of vocal rehabilitation formed the subgroups to be compared. An additional analysis was performed for baseline variables collected in the clinical records, and vocal outcomes were measured using the Self-Evaluation of Communication Experiences After Laryngectomy (SECEL) questionnaire. Furthermore, linear models taking SECEL scores as the outcome were developed. Results The first search identified a total of 124 patients operated during the study period. In total, 63 patients were alive at the time of the current follow-up, with 61 deaths (49%). Overall, 26 of the 63 alive patients completed the SECEL questionnaire. All patients were male. The mean age at diagnosis was 62.2 ± 10.6 years. The mean age at the time of subjective vocal assessment with the SECEL questionnaire was 66.3 ± 10.4 years. The mean time of follow-up after the initial diagnosis was 4 ± 3.8 years. A statistically significant difference was observed in esophageal speech (ES), which was inferior to other modalities (mean SECEL total score for ES: 46.6 ± 12.2 vs. mean SECEL total score for all other modalities: 33 ± 15.1; p = 0.03). The follow-up time correlated significantly with vocal function, as measured by the SECEL questionnaire (p = 0.013). Conclusions The SECEL questionnaire can be a valuable tool to evaluate QoL in laryngectomy patients, given its usefulness in assessing the psychological impact derived from vocal functionality in this group. ES appears inferior to other modalities regarding voice-related QoL.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationRodrigues A, Alves de Sousa F, Casanova MJ, et al. Laryngectomy: Phonation Alternatives and Their Impact on the Quality of Life. Cureus. 2023;15(5):e39093.doi:10.7759/cureus.39093pt_PT
dc.identifier.doi10.7759/cureus.39093pt_PT
dc.identifier.issn2168-8184
dc.identifier.urihttp://hdl.handle.net/10400.16/2975
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherCureus, Inc.pt_PT
dc.relation.publisherversionhttps://www.cureus.com/articles/150425-laryngectomy-phonation-alternatives-and-their-impact-on-the-quality-of-life#!/pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectcarcinoma of larynxpt_PT
dc.subjectelectronic larynxpt_PT
dc.subjectesophageal speechpt_PT
dc.subjectphonationpt_PT
dc.subjectquality of lifept_PT
dc.subjectrehabilitationpt_PT
dc.subjectsecelpt_PT
dc.subjecttotal laryngectomypt_PT
dc.subjecttracheoesophageal speechpt_PT
dc.subjectvoice rehabilitationpt_PT
dc.titleLaryngectomy: Phonation Alternatives and Their Impact on the Quality of Lifept_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceUnited States of Americapt_PT
oaire.citation.issue5pt_PT
oaire.citation.startPagee39093pt_PT
oaire.citation.titleCureuspt_PT
oaire.citation.volume15pt_PT
person.familyNameSousa
person.familyNameVaz Freitas
person.givenNameFrancisco Alves de
person.givenNameSusana
person.identifierhttps://scholar.google.pt/citations?hl=pt-PT&user=pPPCqbAAAAAJ&view_op=list_works&gmla=AJsN-F4130_aPo2sx_xsSQ0Wyj-bCTKlHUWgisamo31ZYQPrQh54wY78YcB38QSlzer8sog0ORw81DPiKvDd-Rk6Fvp1s0bCBg
person.identifier.ciencia-id1E10-59C7-8086
person.identifier.orcid0000-0003-4113-3259
person.identifier.orcid0000-0002-0667-7632
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication6d0cf218-638a-4b17-8bdf-30203de52429
relation.isAuthorOfPublicatione868f804-eeba-4471-b1c6-00d7585b664a
relation.isAuthorOfPublication.latestForDiscovery6d0cf218-638a-4b17-8bdf-30203de52429

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Rodrigues-2023-Laryngectomy-phonation-alternatives.pdf
Size:
877.13 KB
Format:
Adobe Portable Document Format
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.44 KB
Format:
Item-specific license agreed upon to submission
Description:
Download

Collections

SORL - Artigos publicados em revistas indexadas na Pubmed/Medline