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Documenting Voice and Speech Outcomes in Alaryngeal Speakers

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Clinical Care and Rehabilitation in Head and Neck Cancer

Abstract

Documenting changes secondary to the treatment of any medical condition or assessing the efficacy of posttreatment rehabilitation forms an essential aspect of health care. Clearly the ability to accurately determine “what works” and “what doesn’t” offers valuable and essential information to patient care and service delivery. Concerns of this type have led to an ever-increasing awareness of “outcomes” as an important and necessary health-care metric. Interest in outcomes research is not a new area of inquiry, and it has expanded significantly over the past 20 years. Understandably, speech-language pathology as a profession has long centered its focus on verbal communication. Despite the obvious relevance of gathering objective voice and speech measures in those treated for laryngeal cancer, such measures may be inadequate in documenting rehabilitation success. That is, measures of voice and speech must be viewed within a larger context of postlaryngectomy communicative functioning. Therefore, this chapter provides an overview of issues specific to the continued need to document outcomes in postlaryngectomy voice and speech production.

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Notes

  1. 1.

    In order to appreciate the complexities of the biopsychosocial model in relationship to laryngeal cancer, the reader is encouraged to read the excellent review by Eadie (2003) concerning the application of the International Classification of Functioning (ICF, World Health Organization, 2001) in this population.

  2. 2.

    Computer based online technology also provides an excellent vehicle for regular data collection and monitoring, however, privacy concerns must be considered.

  3. 3.

    The author acknowledges that eating and swallowing changes in this population are common, and intervention in this area is also within the professional purview of the SLP.

  4. 4.

    http://www.fon.hum.uva.nl/praat/download_win.html

  5. 5.

    The conceptual concerns relating to auditory-perceptual scaling of voice and speech quality or inherent features that culminate in the listener’s characterization of quality also apply to measures of speech intelligibility.

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  1. Voice Production and Perception Laboratory & Laboratory for Well-Being and Quality of Life, Department of Otolaryngology – Head and Neck Surgery and School of Communication Sciences and Disorders, Western University, Elborn College, London, ON, Canada

    Philip C. Doyle

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  1. Department of Otolaryngology Head and Neck Surgery and School of Communication Sciences & Disorders , Western University, London, ON, Canada

    Philip C. Doyle

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Doyle, P.C. (2019). Documenting Voice and Speech Outcomes in Alaryngeal Speakers. In: Doyle, P. (eds) Clinical Care and Rehabilitation in Head and Neck Cancer. Springer, Cham. https://doi.org/10.1007/978-3-030-04702-3_17

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