Skip to main content

Advertisement

Log in

Relationship between quality of life instruments and phonatory function in tracheoesophageal speech with voice prosthesis

  • Original Article
  • Published:
International Journal of Clinical Oncology Aims and scope Submit manuscript

Abstract

Background

The use of tracheoesophageal speech with voice prosthesis (T-E speech) after total laryngectomy has increased recently as a method of vocalization following laryngeal cancer. Previous research has not investigated the relationship between quality of life (QOL) and phonatory function in those using T-E speech. This study aimed to demonstrate the relationship between phonatory function and both comprehensive health-related QOL and QOL related to speech in people using T-E speech.

Methods

The subjects of the study were 20 male patients using T-E speech after total laryngectomy. At a visit to our clinic, the subjects underwent a phonatory function test and completed three questionnaires: the MOS 8-Item Short-Form Health Survey (SF-8), the Voice Handicap Index-10 (VHI-10), and the Voice-Related Quality of Life (V-RQOL) Measure.

Results

A significant correlation was observed between the physical component summary (PCS), a summary score of SF-8, and VHI-10. Additionally, a significant correlation was observed between the SF-8 mental component summary (MCS) and both VHI-10 and VRQOL. Significant correlations were also observed between voice intensity in the phonatory function test and both VHI-10 and V-RQOL. Finally, voice intensity was significantly correlated with the SF-8 PCS.

Conclusions

QOL questionnaires and phonatory function tests showed that, in people using T-E speech after total laryngectomy, voice intensity was correlated with comprehensive QOL, including physical and mental health. This finding suggests that voice intensity can be used as a performance index for speech rehabilitation.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Aronson AE, Bless DM (2009) Clinical voice disorders. Thieme, New York, p 37

    Google Scholar 

  2. Clements KS, Rassekh CH, Seikaly H et al (1997) Communication after laryngectomy. An assessment of patient satisfaction. Arch Otolaryngol Head Neck Surg 123(5):493–496

    Article  CAS  PubMed  Google Scholar 

  3. Hilgers FJ, Schouwenburg PF (1990) A new low-resistance, self-retaining prosthesis (Provox) for voice rehabilitation after total laryngectomy. Laryngoscope 100(11):1202–1207. doi:10.1288/00005537-199011000-00014

    Article  CAS  PubMed  Google Scholar 

  4. Op de Coul BM, Hilgers FJ, Balm AJ et al (2000) A decade of postlaryngectomy vocal rehabilitation in 318 patients: a single institution’s experience with consistent application of Provox indwelling voice prostheses. Arch Otolaryngol Head Neck Surg 126(11):1320–1328

    Article  CAS  PubMed  Google Scholar 

  5. Eadie TL, Doyle PC (2005) Quality of life in male tracheoesophageal (TE) speakers. J Rehabil Res Dev 42(1):115–124

    PubMed  Google Scholar 

  6. Rossi VC, Fernandes FL, Ferreira MA et al (2014) Larynx cancer: quality of life and voice after treatment. Braz J Otorhinolaryngol 80(5):403–408. doi:10.1016/j.bjorl.2014.07.005

    Article  PubMed  Google Scholar 

  7. Rosen CA, Lee AS, Osborne J et al (2004) Development and validation of the Voice Handicap Index-10. Laryngoscope 114(9):1549–1556. doi:10.1097/00005537-200409000-00009

    Article  PubMed  Google Scholar 

  8. Hogikyan ND, Sethuraman G (1999) Validation of an instrument to measure Voice-Related Quality of Life (V-RQOL). J Voice 13(4):557–569

    Article  CAS  PubMed  Google Scholar 

  9. Portone CR, Hapner ER, McGregor L et al (2007) Correlation of the Voice Handicap Index (VHI) and the Voice-Related Quality of Life Measure (V-RQOL). J Voice 21(6):723–727. doi:10.1016/j.jvoice.2006.06.001

    Article  PubMed  Google Scholar 

  10. WHO (World Health Organization) (1997) Measuring quality of life––the World Health Organization quality of life instruments. WHO, Geneva, pp 1–15

    Google Scholar 

  11. Kaji M, Fujiwara Y, Shiba M et al (2010) Prevalence of overlaps between GERD, FD and IBS and impact on health-related quality of life. J Gastroenterol Hepatol 25(6):1151–1156. doi:10.1111/j.1440-1746.2010.06249.x

    Article  PubMed  Google Scholar 

  12. Shim EJ, Mehnert A, Koyama A et al (2006) Health-related quality of life in breast cancer: a cross-cultural survey of German, Japanese, and South Korean patients. Breast Cancer Res Treat 99(3):341–350. doi:10.1007/s10549-006-9216-x

    Article  PubMed  Google Scholar 

  13. Bozec A, Poissonnet G, Chamorey E et al (2010) Results of vocal rehabilitation using tracheoesophageal voice prosthesis after total laryngectomy and their predictive factors. Eur Arch Otorhinolaryngol 267(5):751–758. doi:10.1007/s00405-009-1138-x

    Article  PubMed  Google Scholar 

  14. Fukuhara T, Fujiwara K, Nomura K et al (2013) New method for in-office secondary voice prosthesis insertion under local anesthesia by reverse puncture from esophageal lumen. Ann Otol Rhinol Laryngol 122(3):163–168

    Article  PubMed  Google Scholar 

  15. Ware JE, Kosinski M, Dewey JE et al (2001) How to score and interpret single-item health status measures: a manual for users of the SF-8 health survey. Quality Metric Inc., Lincoln, RI

    Google Scholar 

  16. Wu C, Volk RJ, Steinbauer JR et al. (2003) A wireless mobile health-related quality of life assessment. AMIA Annu Symp Proc 1:1054

  17. Shanafelt TD, West C, Zhao X et al (2005) Relationship between increased personal well-being and enhanced empathy among internal medicine residents. J Gen Intern Med 20(7):559–564. doi:10.1111/j.1525-1497.2005.0108.x

    Article  PubMed  PubMed Central  Google Scholar 

  18. Lefante JJ Jr, Harmon GN, Ashby KM et al (2005) Use of the SF-8 to assess health-related quality of life for a chronically ill, low-income population participating in the Central Louisiana Medication Access Program (CMAP). Qual Life Res 14(3):665–673

    Article  PubMed  Google Scholar 

  19. Fukuhara S, Suzukamo Y (2004) Manual of the SF-8 Japanese Version (in Japanese). Institute for Health Outcomes and Process Evaluation Research, Kyoto

    Google Scholar 

  20. Shiozaki M, Hirai K, Dohke R et al (2008) Measuring the regret of bereaved family members regarding the decision to admit cancer patients to palliative care units. Psychooncology 17(9):926–931. doi:10.1002/pon.1312

    Article  CAS  PubMed  Google Scholar 

  21. Shibata A, Oka K, Nakamura Y et al (2007) Recommended level of physical activity and health-related quality of life among Japanese adults. Health Qual Life Outcomes 5:64. doi:10.1186/1477-7525-5-64

    Article  PubMed  PubMed Central  Google Scholar 

  22. Uramoto H, Kagami S, Iwashige A et al (2007) Evaluation of the quality of life between inpatients and outpatients receiving cancer chemotherapy in Japan. Anticancer Res 27(2):1127–1132

    PubMed  Google Scholar 

  23. Jacobson B, Johnson A, Grywalski C et al (1997) The Voice Handicap Index (VHI): development and validation. Am J Speech Lang Pathol 6:66–70

    Article  Google Scholar 

  24. Shiromoto O, Ikenaga E (2011) Reliability and validity of VHI (Voice Handicap Index) and V-RQOL (Voice-Related Quality Of Life): Japanese versions. Jpn J Logop Phoniatr 52(3):254–262

    Article  Google Scholar 

  25. Kimura K, Kiyokawa H, Yonaiyama C et al (1989) Psychological condition followed by phonatory dysfunction. J Jpn Soc Nurs Res 12(4):9–14

    Google Scholar 

  26. Kawamura Y, Okamura H, Yumoto E (1986) Multiparametric display of vocal dysfunction: use of radar chart. J Otolaryngol Jpn 89(4):448–454

    CAS  Google Scholar 

  27. Fujimoto T, Kinishi M, Mohri M et al (1994) Mechanism of neoglottic adjustment for voice variation in tracheoesophageal speech. J Otolaryngol Jpn 97:1009–1018

    CAS  Google Scholar 

  28. Kinishi M, Amatsu M (1986) Aerodynamic studies of laryngectomees after the Amatsu tracheoesophageal shunt operation. Ann Otol Rhinol Laryngol 95(2 pt 1):181–184

    Article  CAS  PubMed  Google Scholar 

  29. Hasegawa T, Kinishi M, Mohri M et al (2001) Vibratory source and mechanism in tracheojejunal phonation. J Jpn Bronchoesophagol Soc 52:17–23

    Article  Google Scholar 

  30. Cohen SM, Dupont WD, Courey MS (2006) Quality-of-life impact of non-neoplastic voice disorders: a meta-analysis. Ann Otol Rhinol Laryngol 115(2):128–134

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

This work was supported by JSPS KAKENHI Grant Number 26861888.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Masayuki Miyoshi.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Miyoshi, M., Fukuhara, T., Kataoka, H. et al. Relationship between quality of life instruments and phonatory function in tracheoesophageal speech with voice prosthesis. Int J Clin Oncol 21, 402–408 (2016). https://doi.org/10.1007/s10147-015-0886-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10147-015-0886-4

Keywords

Navigation