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The effects of indwelling voice prosthesis on the quality of life, depressive symptoms, and self-esteem in patients with total laryngectomy

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Abstract

This study aims to evaluate the effects of voice rehabilitation with indwelling voice prosthesis on quality of life, depression, anxiety, self-esteem, and sexual functions in laryngectomy patients. Provox-1™ was applied to 30 patients who underwent total laryngectomy by opening a tracheoesophageal fistula. WHO Quality of Life-BREF, Beck Depression Inventory, Beck Anxiety Inventory, Rosenberg Self-Esteem Scale, Arizona Sexual Experience Scale forms were asked to be filled out by the patients before voice prosthesis application. These tests were asked to be filled out again 3 months later after the voice prosthesis application. Paired samples and Wilcoxon tests were used to compare before and after operation values. Indwelling voice prosthesis was found to improve quality of life, self-esteem, and sexual function (p < 0.05). Additionally, symptoms of depression and anxiety were regressed (p < 0.05). Indwelling voice prosthesis was found to especially increase the quality of life and decrease depression (p < 0.05). This study is an uncontrolled single-arm study comparing patients’ psychosocial statuses pre- and post-voice prosthesis.

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References

  1. Singer MI, Blom ED (1980) An endoscopic technique for restoration of voice after laryngectomy. Ann Otol Rhinol Laryngol 89:529–533

    Article  CAS  PubMed  Google Scholar 

  2. Gates GA, Hearne EM (1993) Predicting esophageal speech. Ann Otol Rhinol Laryngol 91:454–457

    Article  Google Scholar 

  3. Blom ED, Singer MI, Hamaker RC (1986) A prospective study of tracheoesopheal speech. Arch Otolaryngol Head Neck Surg 112:440–447

    Article  CAS  PubMed  Google Scholar 

  4. Hilgers FJM, Schouwenburg PF (1990) A new low-resistance, self-retaining prosthesis (Provox™) for voice rehabilitation after total laryngectomy. Laryngoscope 100(11):1202–1207

    Article  CAS  PubMed  Google Scholar 

  5. Op de Coul BMR, Hilgers FJM, Balm AJM, Tan IB, van den Hoogen FJA, van Tinteren H (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. doi:10.1001/archotol.126.11.1320

    Article  Google Scholar 

  6. Schuster M, Lohscheller J, Kummer P (2003) Quality of life in laryngectomees after prosthetic voice restoration. Folia Phoniatr Logop 55:211–219

    Article  PubMed  Google Scholar 

  7. Trzcieniecka-Green A, Bargiel-Matusiewicz K, Borczyk J (2007) Quality of life of patients after laryngectomy. J Physiol Pharmacol 58(Suppl 5):699–704

    PubMed  Google Scholar 

  8. Jastrzêbski D, Kozielski J, Bana A, Cebula T, Gumola A, Ziora D, Krzywicki A (2005) Quality of life during one-year observation of patients with idiopathic pulmonary fibrosis awaiting lung transplantation. J Physiol Pharmacol 56(Suppl 4):99–105

    PubMed  Google Scholar 

  9. Murphy BA, Ridner S, Wells N, Dietrich M (2007) Quality of life research in head and neck cancer: a review of the current state of the science. Crit Rev Oncol Hematol 62(3):251–267

    Article  PubMed  Google Scholar 

  10. Holloway RL, Hellewell JL, Marbella AM, Layde PM, Myers KB, Campbell BH (2005) Psychological effects in long-term head and neck cancer survivors. Head Neck 27:281–288

    Article  PubMed  Google Scholar 

  11. Weymuller EA, Yueh B, Deleyiannis FW, Kunz AL, Alsarraf R, Coltera MD (2000) Quality of life in head and neck cancer. Laryngoscope 110(3):4–7

    Article  PubMed  Google Scholar 

  12. The WHOQOL Group (1994) The development of the World Health Organisation quality of life assessment instrument (the WHOQOL). In: Orley J, Kuyken W (eds) Quality of life assessment: international perspectives. Springer Verlag, Heidelberg, pp 41–57

    Chapter  Google Scholar 

  13. The WHOQOL Group (1995) The World Health Organization quality of life assessment (WHOQOL): position paper from the World Health Organization’. Special issue on health-related quality of life: what is it and how should we measure it? Soc Sci Med 41:1403–1409

    Article  Google Scholar 

  14. World Health Organization (1996) WHOQOL-BREF: introduction, administration, scoring and generic version of the assessment: field trial version

  15. Yaşlılar İçin Dünya Sağlık Örgütü Yaşam Kalitesi Modülü WHOQOL-OLD: Türkiye Alan Çalışması Türkçe Sürüm Geçerlilik ve Güvenilirlik Sonuçları; Türk Psikiyatri Dergisi 2010; 21(1): 37-48

  16. Beck AT (1961) An inventory for measuring depression. Arch Gen Psychiatry 4:561–571

    Article  CAS  PubMed  Google Scholar 

  17. Hisli N (1989) Beck Depresyon Envanterinin üniversite öğrencileri için geçerliği, güvenirliği. Psikoloji Dergisi 7:3–13

    Google Scholar 

  18. Beck AT, Epstein N, Brown G (1988) An Inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol 56:893–897

    Article  CAS  PubMed  Google Scholar 

  19. Ulusoy M, Şahin NH, Erkmen H (1998) Turkish version of the beck anxiety inventory: psychometric properties. J Cognit Psychother 12:153–172

    Google Scholar 

  20. Rosenberg M (1965) Society and adolescent self-image. Princeton University Press, New Jersey

    Google Scholar 

  21. Çuhadaroğlu F (1986) Adolesanlarda Benlik Saygısı. Uzmanlık Tezi. Hacettepe Üniversitesi Tıp Fakültesi, Ankara

    Google Scholar 

  22. McGahuey Cynthia A, Gelenberg Alan J, Laukes Cindi A, Moreno Francisco A, Delgado Pedro L, McKnight Kathy M, Manber Rachel (2000) The Arizona Sexual Experience Scale (ASEX): reliability and validity. J Sex Marital Ther 26(1):25–40

    Article  CAS  PubMed  Google Scholar 

  23. Soykan A (2004) The reliability and validity of Arizona Sexual Experiences Scale in Turkish ESRD patients undergoing hemodialysis. Int J Impot Res 16:531–534

    Article  CAS  PubMed  Google Scholar 

  24. Nalbadian Mary, Nikolaou A, Nikolaidis V, Petridis D, Themelis C, Daniilidis I (2001) Factors influencing quality of life in laryngectomized patients. Eur Arch Otorhinolaryngol 258(7):336–340

    Article  CAS  PubMed  Google Scholar 

  25. McNeil BJ, Weichselbaum R, Pauker SG (1981) Speech and survival: tradeoffs between quality and quantity of life in laryngeal cancer. N Engl J Med 305:982–987

    Article  PubMed  Google Scholar 

  26. Karnell LH, Funk GF, Hoffman HT (2000) Assessing head and neck cancer patient outcome domains. Head Neck 22:6–11

    Article  CAS  PubMed  Google Scholar 

  27. Gates GA, Ryan W, Cooper JC (1982) Current status of laryngectomy rehabilitation result of therapy. Am J Otolaryngol 3:1–14

    Article  CAS  PubMed  Google Scholar 

  28. Singer MI (1983) Tracheoesophageal speech; vocal rehabilitation after laryngectomy. Laryngoscope 93:1454–1464

    Article  CAS  PubMed  Google Scholar 

  29. Robbins J, Fisher HB, Blom ED (1984) Selective acoustic features of tracheoesophageal, esophageal and laryngeal speech. Arch Otolaryngol Head Neck Surg 110:670–672

    Article  CAS  Google Scholar 

  30. Andrews JC, Mickel RA, Monahan GP, Hanson DG, Ward PH (1987) Major complications following tracheoesophageal puncture for voice rehabilitation. Laryngoscope 97(5):562–567

    Article  CAS  PubMed  Google Scholar 

  31. de Graeff A, de Leeuw RJ, Ros WJG, Hordijk GJ, Battermann JJ, Blijham GH, Winnubst JAM (1999) A prospective study on quality of life of laryngeal cancer patients treated with radiotherapy. Head Neck 21(4):291–296

    Article  PubMed  Google Scholar 

  32. Gerwin John M, Culton Gerald L (2005) Quality of life in prosthetic voice users. Otolaryngol Head and Neck Surgery 133:685–688

    Article  Google Scholar 

  33. Singer S, Danker H, Dietz A, Kienast U, Pabst F, Meister EF, Oeken J, Thiele A, Schwarz R (2008) Sexual problems after total or partial laryngectomy. Laryngoscope 118:2218–2224

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of ORL and Head and Neck Surgery, Istanbul Medical Faculty, University of Istanbul, Fatih, 34270, Istanbul, Turkey

    Beldan Polat, Kadir Serkan Orhan, Murat Ulusan & Kemal Deger

  2. ORL Department, Ministry of Health Agri State Hospital, Agri, Turkey

    Mustafa Caner Kesimli

  3. Department of Psychiatry, Faculty of Medicine, Trakya University, Edirne, Turkey

    Yasemin Gorgulu

Authors
  1. Beldan Polat
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  2. Kadir Serkan Orhan
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  3. Mustafa Caner Kesimli
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  4. Yasemin Gorgulu
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  5. Murat Ulusan
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  6. Kemal Deger
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Correspondence to Beldan Polat.

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Polat, B., Orhan, K.S., Kesimli, M.C. et al. The effects of indwelling voice prosthesis on the quality of life, depressive symptoms, and self-esteem in patients with total laryngectomy. Eur Arch Otorhinolaryngol 272, 3431–3437 (2015). https://doi.org/10.1007/s00405-014-3335-5

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  • DOI: https://doi.org/10.1007/s00405-014-3335-5

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