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

Robertson, Stuart M and Yeo, Justin C L and Dunnet, Catherine and Young, David and Mackenzie, Kenneth (2011) Voice, swallowing, and quality of life after total laryngectomy - results of the west of Scotland laryngectomy audit. Head and Neck. ISSN 1097-0347

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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.

Item type: Article
ID code: 31464
Notes: Copyright © 2011 Wiley Periodicals, Inc.
Keywords: laryngectomy, voice, quality of life, swallowing, Otorhinolaryngology
Subjects: UNSPECIFIED
Department: Faculty of Science > Mathematics and Statistics
Related URLs:
Depositing user: Pure Administrator
Date Deposited: 06 Jun 2011 16:16
Last modified: 27 Mar 2014 09:23
URI: http://strathprints.strath.ac.uk/id/eprint/31464

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