Voice, swallowing, and quality of life after total laryngectomy - results of the west of Scotland laryngectomy audit

Stuart M Robertson, Justin C L Yeo, Catherine Dunnet, David Young, Kenneth Mackenzie

Research output: Contribution to journalArticle

49 Citations (Scopus)

Abstract

The purpose of this study was to determine the effects of radiotherapy and surgical voice restoration on functional outcome after total laryngectomy.
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).
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, 2011.

Fingerprint

Voice Quality
Laryngectomy
Scotland
Deglutition
Quality of Life
Deglutition Disorders
Radiotherapy
Organ Preservation
Equipment and Supplies
Adjuvant Radiotherapy
Laryngeal Neoplasms
Communication
Head

Keywords

  • laryngectomy
  • voice
  • quality of life
  • swallowing

Cite this

@article{99252b2af99f4d38af4353ab05e82169,
title = "Voice, swallowing, and quality of life after total laryngectomy - results of the west of Scotland laryngectomy audit",
abstract = "The purpose of this study was to determine the effects of radiotherapy and surgical voice restoration on functional outcome after total laryngectomy. 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). 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. {\circledC} 2011 Wiley Periodicals, Inc. Head Neck, 2011.",
keywords = "laryngectomy, voice, quality of life, swallowing",
author = "Robertson, {Stuart M} and Yeo, {Justin C L} and Catherine Dunnet and David Young and Kenneth Mackenzie",
note = "Copyright {\circledC} 2011 Wiley Periodicals, Inc.",
year = "2011",
doi = "10.1002/hed.21692",
language = "English",
journal = "Head and Neck",
issn = "1043-3074",

}

Voice, swallowing, and quality of life after total laryngectomy - results of the west of Scotland laryngectomy audit. / Robertson, Stuart M; Yeo, Justin C L; Dunnet, Catherine; Young, David; Mackenzie, Kenneth.

In: Head and Neck, 2011.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Voice, swallowing, and quality of life after total laryngectomy - results of the west of Scotland laryngectomy audit

AU - Robertson, Stuart M

AU - Yeo, Justin C L

AU - Dunnet, Catherine

AU - Young, David

AU - Mackenzie, Kenneth

N1 - Copyright © 2011 Wiley Periodicals, Inc.

PY - 2011

Y1 - 2011

N2 - The purpose of this study was to determine the effects of radiotherapy and surgical voice restoration on functional outcome after total laryngectomy. 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). 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, 2011.

AB - The purpose of this study was to determine the effects of radiotherapy and surgical voice restoration on functional outcome after total laryngectomy. 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). 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, 2011.

KW - laryngectomy

KW - voice

KW - quality of life

KW - swallowing

UR - http://www.scopus.com/inward/record.url?scp=83455163294&partnerID=8YFLogxK

UR - http://www.asohns.org.au/events/asohns-asm-agm-2010

U2 - 10.1002/hed.21692

DO - 10.1002/hed.21692

M3 - Article

JO - Head and Neck

T2 - Head and Neck

JF - Head and Neck

SN - 1043-3074

ER -