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Voice, swallowing, and quality of life after total laryngectomy—Results of the west of Scotland laryngectomy audit
Author(s) -
Robertson Stuart M.,
Yeo Justin C. L.,
Dunnet Catherine,
Young David,
MacKenzie Kenneth
Publication year - 2012
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.21692
Subject(s) - laryngectomy , medicine , swallowing , quality of life (healthcare) , dysphagia , voice prosthesis , audit , surgery , radiation therapy , larynx , nursing , management , economics
Background The purpose of this study was to determine the effects of radiotherapy and surgical voice restoration on functional outcome after total laryngectomy. Methods Questionnaire packs were posted to all 258 laryngectomy patients in the West of Scotland Managed Clinical Network. Packs contained the Voice Symptom Scale (VoiSS), MD Anderson Dysphagia Inventory (MDADI), and University of Washington Quality of Life Questionnaire (UW‐QOL). Results Significantly better VoiSS and MDADI scores were reported by patients undergoing laryngectomy alone in comparison with patients receiving adjuvant radiotherapy and patients undergoing salvage laryngectomy ( p < .02). Patients using tracheoesophageal voice reported significantly better VoiSS scores than patients using other communication methods ( p < .005). Conclusion Radiotherapy has a highly significant and detrimental effect on voice and swallowing outcome after total laryngectomy. Surgical voice restoration confers significant benefit in terms of self‐reported voice outcome. These findings have implications for patients with advanced laryngeal cancer considering laryngectomy and organ preservation. © 2011 Wiley Periodicals, Inc. Head Neck, 2012