Quality of Life in Patients Submitted to Total Laryngectomy

• Published in: Journal of voice Vol. 29; no. 3; pp. 382 - 388
• Main Authors: Pereira da Silva, Ana, Feliciano, Telma, Vaz Freitas, Susana, Esteves, Sara, Almeida e Sousa, Cecília
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01-05-2015; Elsevier Science Ltd
• Subjects: Adult; Aged; Alaryngeal speech; Anxiety; Cancer; Carcinoma - pathology; Carcinoma - surgery; Disability Evaluation; Esophageal speech; Female; Health Care Surveys; Humans; Laryngeal cancer; Laryngeal Neoplasms - pathology; Laryngeal Neoplasms - surgery; Laryngectomy; Laryngectomy - adverse effects; Laryngectomy - psychology; Male; Mental depression; Middle Aged; Otolaryngology; Patients; Polls & surveys; Quality of Life; Risk Factors; Self evaluation; Speech Acoustics; Speech, Alaryngeal - psychology; Stress, Psychological - diagnosis; Stress, Psychological - psychology; Surveys and Questionnaires; Treatment Outcome; Voice Disorders - diagnosis; Voice Disorders - physiopathology; Voice Disorders - psychology; Voice Disorders - rehabilitation; Voice Quality; Laryngectomy; Alaryngeal speech; Quality of life
• ISSN: 0892-1997; 1873-4588
• DOI: 10.1016/j.jvoice.2014.09.002

Summary Background Laryngeal carcinoma accounts for about 80 000 deaths annually worldwide. Despite its aggressiveness, total laryngectomy (TL) is a treatment option with curative intent. This article aims to evaluate its impact on these patients quality of life (QoL). Material and Methods Thirty-four patients who underwent TL with bilateral neck dissection between 2003 and 2012 responded to the European Organization for Research and Treatment of Cancer QoL Core Questionnaire, the Self-Evaluation of Communication Experiences after Laryngeal Cancer Questionnaire, and the Hospital Anxiety and Depression Scale. Results Data revealed that QoL is lower in these patients compared with general population. Regarding alaryngeal speech modalities, esophageal speech is associated with a significantly higher physical functional capacity. Conclusions TL results in a permanent disability with decreased functional capacity and psychological distress. Close monitoring of these patients and investing in speech rehabilitation are essential to preserve their QoL.