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Published on: December 1, 2023
Postlaryngectomy vocal rehabilitation: assessment using a validated questionnaire in 51 patients
R Kazi1, A Singh, J De Cordova
1Royal Marsden Hospital and Institute of Cancer Research, London, UK. rehan.kazi@rmh.nhs.uk
Summary
The Voice Prosthesis Questionnaire (VPQ) effectively assessed speech and issues in total laryngectomy patients. Many patients lacked full valve knowledge, and women reported lower voice tone scores.
Area of Science:
- Otolaryngology
- Speech-Language Pathology
- Rehabilitation Medicine
Background:
- Total laryngectomy necessitates surgical voice restoration.
- Voice prostheses are commonly used for alaryngeal speech.
- Patient-reported outcomes are crucial for evaluating voice restoration effectiveness.
Purpose of the Study:
- To assess valved speech and related issues in total laryngectomy patients.
- To evaluate the utility of the Voice Prosthesis Questionnaire (VPQ) in this population.
- To identify factors influencing patient perception of voice quality.
Main Methods:
- A cohort of 61 total laryngectomy patients with voice prostheses were surveyed.
- The validated Voice Prosthesis Questionnaire (VPQ) was administered via mail.
- Statistical analysis included Mann-Whitney test for gender comparison.
Main Results:
- A response rate of 83.6% (51 patients) was achieved.
- Only 53% of patients were fully aware of their voice prosthesis dimensions.
- Women reported significantly lower voice tone scores compared to men (p=0.04).
- 19.6% of patients experienced leakage issues in the preceding week.
Conclusions:
- The VPQ is a valuable tool for gathering data on voice prosthesis use.
- The questionnaire facilitates serial monitoring and auditing of total laryngectomy patients.
- Patient education regarding voice prosthesis dimensions and function may be beneficial.
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