Quality of life and deglutition after total laryngectomy

 

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Summary

Introduction: Total laryngectomy creates deglutition disorders and causes a decrease in quality of life

Aim: To describe the impact of swallowing and quality of life of patients after total laryngectomy.

Method: A case series study. Patients completed a Swallowing and Quality of Life questionnaire composed of 44 questions assessing 11 domains related to quality of life (burden, eating duration, eating desire, frequency of symptoms, food selection, communication, fear, mental health, social functioning, sleep, and fatigue). The analysis was performed using descriptive statistics, including measures of central tendency and variability.

Results: The sample comprised 15 patients who underwent total laryngectomy and adjuvant radiotherapy. Of these, 66.7% classified their health as good and 73% reported no restrictions on food consistency. The domains “communication” and “fear” represented severe impact and “eating duration” represented moderate impact on quality of life. The items with lower scores were: longer time to eat than others (domain “eating duration”), cough and cough to remove the liquid or food of the mouth when they are stopped (domain “symptom frequency”), difficulties in understanding (domain “communication”) and fear of choking and having pneumonia (domain “fear”).

Conclusion: After total laryngectomy, patients report that swallowing issues have moderate to severe impact in “communication,” “fear,” and “eating duration” domains.

Conselho Nacional de Tecnologia e Desenvolvimento Científico (CNPq) - Edital MCT/CNPq/CT-Saúde/MS/SCTIE/DECIT n° 67/2009 - REBRATS

• References

• 1 Genden EM, Ferlito A, Rinaldo A, Silver CE, Fagan JJ, Suárez C , et al. Recent changes in the treatment of patients with advanced laryngeal cancer. Head Neck 2008; 30 (1) 103-10
  CrossrefGoogle Scholar
• 2 Kazi R, Prasad V, Venkitaraman R, Nutting CM, Clarke P, Rhys-Evans P , et al. Questionnaire analysis of the swallowing-related outcomes following total laryngectomy. Clin Otolaryngol 2006; 31 (6) 525-30
  CrossrefGoogle Scholar
• 3 Maclean J, Cotton S, Perry A. Dysphagia following a total laryngectomy: the effect on quality of life, functioning,and psychological well-being. Dysphagia 2009; 24 (3) 314-21
  CrossrefGoogle Scholar
• 4 Schindler A, Favero E, Capaccio P, Albera R, Cavalot AL, Ottaviani F. Supracricoid laryngectomy: age influence on long-term functional results. Laryngoscope 2009; 119 (6) 1218-25
  CrossrefGoogle Scholar
• 5 Ward EC, Bishop B, Frisby J, Stevens M. Swallowing outcomes following total laryngectomy and pharingolaryngectomy. Arch Otolaryngol Head Neck Surg 2002; 128 (2) 181-6
  CrossrefGoogle Scholar
• 6 Maclean J, Cotton S, Perry A. Variation in surgical methods used for total laryngectomy in Australia. 2008; J Laryngol Otol 122 (7) 728-32
  Google Scholar
• 7 Zotti P, Lugli D, Vaccher E, Vidotto G, Franchin G, Barzan L. The EORTC quality of life questionnaire-head and neck 35 in Italian laryngectomized patients. European organization for research and treatment of cancer. Qual Life Res 2000; 9 (10) 1147-53
  Google Scholar
• 8 Vilaseca I, Chen AY, Backscheider AG. Long-term quality of life after total laryngectomy. Head Neck 2006; 28 (4) 313-20
  CrossrefGoogle Scholar
• 9 Chone CT, Spina AL, Barcellos IH, Servin HH, Crespo NA. A prospective study of long-term dysphagia following total laryngectomy. B-ENT 2011; 7 (2) 103-9
  Google Scholar
• 10 Barros APB, Portas JG, Queija DS, Lehn CN, Dedivitis RA. Autopercepção da desvantagem vocal (VHI) e qualidade de vida relacionada à deglutição (SWAL-QOL) de pacientes laringectomizados totais. Rev Bras Cir Cabeça Pescoço 2007; 36 (1) 32-7
  Google Scholar
• 11 Queija DS, Portas JG, Dedivitis RA, Lehn CN, Barros APB. Deglutição e qualidade de vida após laringectomia e faringolaringectomia total. Braz J Otorhinolaryngol 2009; 75 (4) 556-64
  CrossrefGoogle Scholar
• 12 Portas JG. Validação para a língua portuguesa-brasileira dos questionários: qualidade de vida em disfagia (SWAL-QOL) e satisfação do paciente e qualidade do cuidade no tratamento da disfagia (SWAL-CARE) [dissertação]. São Paulo: Fundação Antônio Prudente; 2009
  Google Scholar
• 13 Moukarbel RV, Doyle PC, Yoo JH, Franklin JH, Day AMB, Fung K. Voice-related quality of life (V-RQOL) outcomes in laryngectomees. Head Neck 2011; 33 (1) 31-6
  CrossrefGoogle Scholar
• 14 de Casso C, Slevin NJ, Homer JJ. The impact of radiotherapy on swallowing and speech in patients who undergo total laryngectomy. Otolaryngol Head Neck Surg 2008; 139 (6) 792-7
  CrossrefGoogle Scholar
• 15 Noonan BJ, Hegarty J. The impact of total laryngectomy: the patient's perspective. Oncol Nurs Forum 2010; 37 (3) 293-301
  CrossrefGoogle Scholar