Abstract
This study aimed to investigate and compare the voice related quality of life in individuals treated with two dierent modalities for laryngeal cancer: total laryngectomy using tracheoesophageal speech (TES) and chemoradiotherapy using laryngeal speech (CRT). Twenty patients, who were divided into two groups- group I (TES) and group II (CRT) with
ten in each, participated in the study. They autonomously completed the Voice Related Quality Of Life (V-RQOL), a questionnaire with 10-items for quality of life survey. Statistical analysis was performed and results revealed dierences between the groups on domains and total scores of V-RQOL; however, the dierence was not statistically signicant.
Thus, the study concluded that self-assessment is crucial and should be considered as a part of voice evaluation. Also, voice related problems occur not only for TES group but also for CRT patients which indicates the need of voice- and speech rehabilitation in both patient groups.
References
reported measures of voice disability in tracheoe-
sophageal speakers. Journal of Otolaryngology-Head
and Neck Surgery,39 (6), 762-768.
Deshpande, M. S., Kakade, A. C., Chaukar, D. A., Gore, V.
T., Pai, P.S., Chaturvedi, P., & D'Cruz, A. K. (2008).
Validation and assessment of voice-related quality of life
in Indian patients undergoing total laryngectomy and
primary tracheoesophageal puncture. Head and & Neck,
31(1),37-44.
Eadie, T. L., & Doyle, P. C.(2004). Auditory-perceptual
scaling and quality of life in tracheoesophageal speakers.
Laryngoscope,114 (4), 753-759.
Hogikyan, N. D., & Sethuraman, G. (1999). Validation of
an instrument to measure voice-related quality of life
(V-RQOL). Journal of Voice, 13, 557-569.
Kazi, R., Venkitaraman, R., Johnson, C., Prasad, V.,
Clarke, P., Rhys-Evans, P., Nutting, C. M., & Harring-
ton, K. J. (2009). Electroglottographic comparison of
voice outcomes in patients with advanced laryngopha-
ryngeal cancer treated by chemoradiotherapy or total
laryngectomy. International Journal of Radiation On-
cology, Biology, Physics, 70, 344-352
Meyer, T. K., Kuhn, J. C., Campbell, B. H., Marbella, A.
M., Myers, K. B., & Layde, P. M. (2004). Speech intel-
ligibility and quality of life in head and neck survivors.
Laryngoscope, 114(1),1977-81.
Op De Coul, B. M. R., Ackersta , A. H., Van-As-Brooks, C.
J., Can Den Hoogen, F. J. A., Meeuwis, C. A., Manni,
J. J. & Hilgers, F. J. M. (2005). Compliance, quality of
life and quantitative voice quality aspects of hands-free
speech. ActaOto- Laryngologica,125, 629-637.
Oridate, N., Homma, A., Suzuki, S., Nkamaru, Y., Suzuki,
F., Hatakeyama, H., Taki, S., Sakashita, T., Nishizawa,
N., Furuta, Y., & Fakuda, S. (2009). Voice-related qual-
ity of life after treatment of laryngeal cancer. Archives
of Otolaryngology- Head & Neck Surgery,135 (4), 363-
368.
Sayed, S.I., & Kazi, R.A.(2009). Need for a paradigm for
application of outcome measure (QOL scales) in head
and neck cancer patients in India. Journal of Cancer
Research & Therapeutics, 4, 192-204.