Voice-Related Quality of Life in Post-Laryngectomy Rehabilitation: Tracheoesophageal Fistula’s Wellness
| Autor: | Federico Merlino, Calogero Grillo, Giovanna Stilo, Giovanni Paolo Santoro, Antonino Maniaci, Ignazio La Mantia, Salvatore Cocuzza, Salvatore Coco, Claudio Vicini, Giannicola Iannella, Giacomo Spinato, Salvatore Ferlito |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Voice Quality quality of life assessment Health Toxicology and Mutagenesis medicine.medical_treatment Fistula tracheo-esophageal puncture tracheoesophageal speech Outpatient surgery lcsh:Medicine Laryngectomy Tracheoesophageal fistula Article 03 medical and health sciences 0302 clinical medicine Quality of life medicine Humans Voice Handicap Index 030223 otorhinolaryngology Laryngeal Neoplasms Aged Retrospective Studies Rehabilitation business.industry lcsh:R Public Health Environmental and Occupational Health Retrospective cohort study Middle Aged medicine.disease 030220 oncology & carcinogenesis Quality of Life Physical therapy Female Larynx Artificial business Tracheoesophageal Fistula |
| Zdroj: | International Journal of Environmental Research and Public Health Volume 17 Issue 12 International Journal of Environmental Research and Public Health, Vol 17, Iss 4605, p 4605 (2020) |
| ISSN: | 1660-4601 |
| DOI: | 10.3390/ijerph17124605 |
| Popis: | (1) Introduction: Laryngeal cancer is one of the most common types of cancer affecting the upper aerodigestive tract. Despite ensuring good oncological outcome in many locoregionally advanced cases, total laryngectomy is associated with relevant physical and psychological sequelae. Treatment through tracheo-esophageal speech, if promising, can lead to very variable outcomes. Not all laryngectomee patients with vocal prosthesis benefit from the same level of rehabilitation mainly due to the development of prosthetic or fistula related problems. The relating sequelae in some cases are even more decisive in the patient quality of life, having a higher impact than communicational or verbal skills. (2) Material and Methods: A retrospective study was conducted on 63 patients initially enrolled with a history of total laryngectomy and voice rehabilitation, treated at the University Hospital of Catania from 1 January 2010 to 31 December 2018. Quality of life (QoL) evaluation through validated self-administrated questionnaires was performed. (3) Results: The Voice-Related Quality of Life questionnaire revealed significantly better outcomes in both socio-emotional and functional domains of the tracheoesophageal patient group compared to the esophageal group (p = 0.01 p = 0.01, respectively), whereas in the Voice Handicap Index assessment, statistically significant scores were not achieved (p = 0.33). (4) Discussion: The significant differences reported through the V-RQOL and Voice Handicap Index scales in the presence of fistula related problems and device lifetime reduction when compared to the oesophageal speech group have demonstrated, as supported by the literature, a crucial role in the rehabilitative prognosis. (5) Conclusions: The criteria of low resistance to airflow, optimal tracheoesophageal retention, prolonged device life, simple patient maintenance, and comfortable outpatient surgery are the reference standard for obtaining good QoL results, especially over time. Furthermore, the correct phenotyping of the patient based on the main outcomes achieved at clinical follow-up guarantees the primary objective of the identification of a better quality of life. |
| Databáze: | OpenAIRE |
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