Relationship between quality of life instruments and phonatory function in tracheoesophageal speech with voice prosthesis.

Abstract

BACKGROUND:

The use of tracheoesophageal speech with voice prosthesis (T-E speech) after total laryngectomy has increased recently as a method of vocalization following laryngeal cancer. Previous research has not investigated the relationship between quality of life (QOL) and phonatory function in those using T-E speech. This study aimed to demonstrate the relationship between phonatory function and both comprehensive health-related QOL and QOL related to speech in people using T-E speech.

METHODS:

The subjects of the study were 20 male patients using T-E speech after total laryngectomy. At a visit to our clinic, the subjects underwent a phonatory function test and completed three questionnaires: the MOS 8-Item Short-Form Health Survey (SF-8), the Voice Handicap Index-10 (VHI-10), and the Voice-Related Quality of Life (V-RQOL) Measure.

RESULTS:

A significant correlation was observed between the physical component summary (PCS), a summary score of SF-8, and VHI-10. Additionally, a significant correlation was observed between the SF-8 mental component summary (MCS) and both VHI-10 and VRQOL. Significant correlations were also observed between voice intensity in the phonatory function test and both VHI-10 and V-RQOL. Finally, voice intensity was significantly correlated with the SF-8 PCS.

CONCLUSIONS:

QOL questionnaires and phonatory function tests showed that, in people using T-E speech after total laryngectomy, voice intensity was correlated with comprehensive QOL, including physical and mental health. This finding suggests that voice intensity can be used as a performance index for speech rehabilitation.

• Authors: Masayuki Miyoshi, Takahiro Fukuhara, Hideyuki Kataoka, Hiroshi Hagino
• Journal: International journal of clinical oncology (Int J Clin Oncol) Vol. 21 Issue 2 Pg. 402-408 (Apr 2016) ISSN: 1437-7772 [Electronic] Japan
• PMID: 26266642 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)

Topics

• Aged
• Aged, 80 and over
• Dysphonia (prevention & control)
• Health Surveys
• Humans
• Laryngeal Neoplasms (pathology, surgery)
• Laryngectomy (adverse effects)
• Larynx, Artificial (statistics & numerical data)
• Male
• Middle Aged
• Neoplasm Staging
• Postoperative Complications
• Prognosis
• Quality of Life
• Speech (physiology)
• Surveys and Questionnaires
• Voice Quality