Skip to main content
SpringerLink
Log in

Objective and Perceptual Analysis of Outcome of Voice Rehabilitation after Laryngectomy in an Indian Tertiary Referral Cancer Centre

  • Original Article
  • Published:
Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

Post laryngectomy voice rehabilitation is very challenging in centres with limited resources because of cost concerns and morbidity. A study of laryngectomised voice rehabilitated patients on follow up was performed to look into overall quality of life (QOL), morbidity and voice quality. Those patients who had visited head and neck surgical outpatient department during the period of January 2008 to October 2009 were evaluated for their QOL, morbidity and voice quality, objectively and subjectively. Voice rating and QOL rating showed a distinct discrepancy which could be explained by the morbidity recorded for surgical voice restoration in the present study. Voice rehabilitation strategy after laryngectomy in a low resource setting has to take in account financial social educational background of the patient besides technical issues.

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

Access this article

Log in via an institution

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

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Varghese BT, Mathew A, Sebastian P, Iype EM, Vijay A (2011) Comparison of quality of life between voice rehabilitated and nonrehabilitated laryngectomies in a developing world community. Acta Otolaryngol 131(3):310–315

    Article  PubMed  Google Scholar 

  2. Hirano M (1981) Clinical examination of voice. Springer, New York, pp 81–84

    Google Scholar 

  3. Debruyne F, Delaere P, Wouters J, Uwents P (1994) Acoustic analysis of tracheo-oesophageal versus esophageal speech. J Laryngol Otol 108(4):325–328

    Article  PubMed  CAS  Google Scholar 

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

    PubMed  Google Scholar 

  5. Fukutake T, Yamashita T (1993) Speech rehabilitation and complications of primary tracheoesophageal puncture. Acta Otolaryngol Suppl 500:117–120

    Article  PubMed  CAS  Google Scholar 

  6. Fagan JJ, Lentin R, Oyarzabal MF, Isaacs S, Sellars SL (2002) Tracheoesophageal speech in a developing world community. Arch Otolaryngol Head Neck Surg 128(1):50–53

    Article  PubMed  Google Scholar 

  7. Mehta SA, Bachher GK (1995) The Indian experience with immediate tracheoesophageal puncture for voice restoration. Eur Arch Otorhinolaryngol 252(4):209–214

    Article  PubMed  CAS  Google Scholar 

  8. Varghese BT, Sebastian P, Mathew A (2009) Treatment outcome in patients undergoing surgery for carcinoma larynx and hypopharynx—a follow-up study. Acta Otolaryngol 129(12):1480–1485

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

We wish to thank Kerala State Council for Science Technology and Environment (KSCSTE) for the financial grant extended to the study and Ms Rekha for secretarial assistance in the preparation of this manuscript and the European Organisation for Research and Training in Cancer (EORTC) for permitting us to use the QOL Questionnaire.

Conflict of interest

  None.

Author information

Authors and Affiliations

  1. Division of Surgical Oncology (Head and Neck Service), Regional Cancer Centre, Trivandrum, India

    B. T. Varghese, E. M. Iype & P. Sebastian

  2. Division of Clinical Epidemiology, Regional Cancer Centre, Trivandrum, India

    A. Mathew

  3. Department of Speech and Language Pathology, Mar Thoma College of Speech and Language, Kasargod, India

    S. Sebastian

  4. Department of Oncology, National Oncology Centre, Royal Hospital, Muscat, Oman

    B. Rajan

Authors
  1. B. T. Varghese
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. A. Mathew
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. S. Sebastian
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. E. M. Iype
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. P. Sebastian
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. B. Rajan
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to B. T. Varghese.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Varghese, B.T., Mathew, A., Sebastian, S. et al. Objective and Perceptual Analysis of Outcome of Voice Rehabilitation after Laryngectomy in an Indian Tertiary Referral Cancer Centre. Indian J Otolaryngol Head Neck Surg 65 (Suppl 1), 150–154 (2013). https://doi.org/10.1007/s12070-013-0647-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12070-013-0647-5

Keywords

Search

Navigation