24 research outputs found
SaĂșde vocal do professor: intervenção fonoaudiolĂłgica na atenção primĂĄria Ă saĂșde
Evaluation of the association of bruxism, psychosocial and sociodemographic factors in preschoolers
Voice deviation, dysphonia risk screening and quality of life in individuals with various laryngeal diagnoses
Scientific Evidence Regarding the Quality of Life of Total Laryngectomees
Introduction: The loss of laryngeal voice after total laryngectomy can have an impact on the
quality of life and communication of affected individuals. Postoperative phonatory methods may
promote advantages in oral communication and reduce the functional, organic and emotional
changes experienced by the patients. On this basis, the objective of the present study was to review
the literature in order to determine the impact on the quality of life of total laryngectomees according
to the form of rehabilitation chosen after the procedure and to identify the protocols most frequently
used to assess the quality of life of these individuals. Results and Discussion: The application of quality of life protocols reveals that total
laryngectomees face an impact at the social, physical and psychological levels. Regarding the
forms of rehabilitation, success can be achieved with any one of the phonatory methods used
after total laryngectomy as long as the patients are guided by a speech therapist and monitored
by a multidisciplinary team. Users have reported that a tracheoesophageal prosthesis produced
a voice most similar to laryngeal voice, with better scores in the physical and socioemotional
domains compared to other alaryngeal methods. A wide diversity of questionnaires used to assess
quality of life was detected, those most frequently employed being the âVocal Disadvantage Indexâ
(VDI), âQuality of Life and Voice â(QLV) protocol, âQuality Assessment Questionnaire of Life at the
University of Washingtonâ (UW-QOL), âFunctional Assessment of Cancer Therapyâ (FACT-H&N),
âEuropean Organization for Research and Treatment of Cancerâ (EORTC QLQ-C30), and âMedical
Outcomes Study 36-Item ShortâForm Health Surveyâ (SF-36). Despite such diversity of protocols for
assessment, the results demonstrate an increased voice quality (VQ) after alaryngeal rehabilitation. Conclusion: The present review revealed that total laryngectomy has a relevant impact at the
physical, emotional and psychological levels on the patients, as shown by most of the questionnaires
applied. In general, the results of the present study revealed moderate VQ scores after total
laryngectomy. The tracheoesophageal prosthesis yielded a better result in terms of quality of life
because of its closer proximity to laryngeal voice compared to esophageal voice. </p