Long‐term voice outcomes and quality of life after open partial horizontal laryngectomy type II vs. total laryngectomy: A cross‐sectional study

D’Alatri, Lucia; Longobardi, Ylenia; Parrilla, Claudio; Crudo, Fabrizio; Oliveto, Giuseppe; Mari, Giorgia; Marchese, Maria Raffaella; Passàli, Giulio Cesare; Cefaro, Carolina Ausili; Paludetti, Gaetano; Galli, Jacopo

doi:10.1111/coa.13924

Cited by 3 publications

(1 citation statement)

References 24 publications

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“…Each parameter is scored on a visual analogue scale from 0 (minimally deviant) to 10 (maximally deviant substitution voicing). This validated auditory-perceptual scale, the reliability of which has also been proven in native Italian-speaking patients [ 12 , 13 , 14 , 15 , 16 ], seems to overwhelm the limits of the previously proposed GRBAS perceptual rating scale (grade, roughness, breathiness, asthenia, strain, on a scale of 0–3, where 0 = normal, 1 = mild degree, 2 = moderate degree and 3 = high degree) [ 17 ]. Even if the GRBAS scale presented a positive correlation with acoustic, aerodynamic and voice-related quality of life questionnaires [ 18 , 19 , 20 ], it does not seem to be the best tool for evaluating substitution voices.…”

Section: Introductionmentioning

confidence: 99%

Subjective Perception and Psychoacoustic Aspects of the Laryngectomee Voice: The Impact on Quality of Life

Mesolella

Allosso

D’Aniello

et al. 2023

JPM

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Purpose: A retrospective study is presented to correlate the inter-judge consistency for the different psycho-perceptual parameters of the recently proposed Impression Noise Fluency Voicing (INFVo) perceptual rating scale for substitution voices, and the vocal function as perceived by the patient. Methods: The scale Voice-Related Quality of Life (V-RQoL) and the SECEL (Self Evaluation of Communication Experiences After Laryngectomy) scale—a self-evaluation questionnaire of communicative experience after laryngectomy surgery—were administered to 89 total laryngectomees, subdivided in four groups depending on their type of alaryngeal voice (i.e., tracheoesophageal and esophageal speakers, electro larynx users, voiceless patients), in order to evaluate the impact of the impairment of the phonatory function on the quality of life. Results: No significant differences exist among the various groups on their perception of QoL using subjective questionnaires, whereas the INFVo scale has proven to be a useful tool for the description and analysis of the psychoacoustic characteristics of the vocal signal and a reliable instrument to correctly classify the patients. It is also notable that the judgement of the patients on their own voice and those of the referees are highly significant. Conclusion: Although speech rehabilitation for the acquisition of a substitution voice offers a new way of communication for the laryngectomized patients, nonetheless, their QoL is not significantly related to the type of substitution voice. Therefore, improving the patient’s adaptation to the new phonatory condition is mandatory.

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Section: Introductionmentioning

confidence: 99%

Subjective Perception and Psychoacoustic Aspects of the Laryngectomee Voice: The Impact on Quality of Life

Mesolella

Allosso

D’Aniello

et al. 2023

JPM

View full text Add to dashboard Cite

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Voice quality after open partial horizontal laryngectomy vs. total laryngectomy with voice prosthesis: a comparative study

Botti,

Lotto,

Tesauro

et al. 2024

Eur Arch Otorhinolaryngol

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Objectives The aim of this study is to compare voice outcomes in open partial horizontal laryngectomy vs. total laryngectomy (TL) with voice prosthesis. Methods In this retrospective monocentric study patients undergoing OPHL or TL with voice prosthesis were enrolled during the usual oncological follow-up consultations at the Otolaryngology and Audiology Unit of a University Hospital in the period between July 2022 and June 2023. Acoustic analysis (F0, HNR, NHR), maximum phonation time, I-SECEL and INFV0 scale were used to assess voice outcome. Results Forty-three patients were enrolled. Voices of patients undergoing LT were better in quality of voice (V0) at INFV0 scale. The scores in I-SECEL and acoustic analysis were comparable. Conclusions Voice quality could be slight better in patients undergoing TL with voice prosthesis than those undergoing OPHL.

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Analysis of Tracheoesophageal Voice after Total Laryngectomy: A Single Center Experience

Migliorelli,

Natale,

Manuelli

et al. 2024

JCM

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Background/Objectives: Tracheoesophageal voice is the most commonly used voice rehabilitation technique after a total laryngectomy. The placement of the tracheoesophageal prosthesis can be performed at the same time as the total laryngectomy (primary placement) or in a second procedure after surgery (secondary placement). The purpose of this study is to analyze the substitution voice in patients with a tracheoesophageal prosthesis, considering the influence of radiotherapy and timing of prosthesis placement (primary or secondary) on voice quality. Methods: A retrospective analysis was conducted of all patients who received a tracheoesophageal phonatory prosthesis after a total laryngectomy was performed. We assessed whether patients received radiotherapy and whether they had a primary or secondary tracheoesophageal prosthesis. For the voice analysis, maximum phonation time (MPT), INFVo, SECEL, AVQI, CPPS, harmonic to noise ratio (HNR), unvoiced fraction (UVF), and number of voice breaks (NVB) were evaluated. Results: A total of 15 patients (14 males and 1 female) with a mean age of 71.8 years (SD ± 7.5) were enrolled. Eight had a primary prosthesis placement and five did not receive radiotherapy. INFVo parameters I and Vo were higher in patients with a primary placement of the phonatory prosthesis (p = 0.046 and p = 0.047). Patients who received the prosthesis secondarily had a higher mean CPPS and lower mean AVQI. Conclusions: A secondary placement of the prostheses seems to result in a minimal advantage in voice quality compared to a primary placement. Radiation therapy, on the other hand, has no effect on voice quality, according to these preliminary data.

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Long‐term voice outcomes and quality of life after open partial horizontal laryngectomy type II vs. total laryngectomy: A cross‐sectional study

Cited by 3 publications

References 24 publications

Subjective Perception and Psychoacoustic Aspects of the Laryngectomee Voice: The Impact on Quality of Life

Subjective Perception and Psychoacoustic Aspects of the Laryngectomee Voice: The Impact on Quality of Life

Voice quality after open partial horizontal laryngectomy vs. total laryngectomy with voice prosthesis: a comparative study

Analysis of Tracheoesophageal Voice after Total Laryngectomy: A Single Center Experience

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