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Updated: Jan 9, 2026

Minimally Invasive Murine Laryngoscopy for Close-Up Imaging of Laryngeal Motion During Breathing and Swallowing
Published on: December 1, 2023
Italian multicentre study to validate the Swallowing Outcome After Laryngectomy (SOAL) questionnaire
Pietro De Luca1, Arianna Di Stadio2, Gerardo Petruzzi3
1Otolaryngology Department, Isola Tiberina-Gemelli Isola Hospital, Rome, Italy.
The Italian Swallowing Outcomes After Laryngectomy (SOAL) questionnaire is validated for assessing swallowing difficulties in patients treated for laryngeal cancer. This tool aids in understanding patient concerns and improving quality of life.
Area of Science:
- Otolaryngology
- Oncology
- Quality of Life Research
Background:
- Laryngectomy significantly impacts swallowing function.
- Validated tools are essential for assessing post-laryngectomy swallowing outcomes.
- The Swallowing Outcomes After Laryngectomy (SOAL) questionnaire requires translation and validation for Italian-speaking populations.
Purpose of the Study:
- To translate and validate the Swallowing Outcomes After Laryngectomy (SOAL) questionnaire into Italian.
- To provide a reliable tool for assessing swallowing difficulties in Italian patients post-laryngectomy.
- To facilitate better management of swallowing concerns and improve patient quality of life.
Main Methods:
- A multicentre case-control study was conducted.
- 494 patients with laryngeal squamous cell carcinoma were included.
- Comparison groups included healthy controls and patients who received radiotherapy or chemotherapy.
Main Results:
- Statistically significant differences in SOAL scores were found among the three groups (ANOVA: p < 0.0001).
- Significant differences were observed between the laryngectomy group and both radiotherapy (BH p < 0.01) and chemotherapy (BH p < 0.01) groups.
- Significant differences were also identified between the radiotherapy and chemotherapy groups (BH p < 0.01).
Conclusions:
- The validated Italian SOAL questionnaire is a useful tool for assessing swallowing concerns.
- Prompt management of swallowing issues can be facilitated by the SOAL questionnaire.
- Improved understanding of patient concerns can lead to enhanced quality of life.
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