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Int Arch Otorhinolaryngol 2012; 16(04): 460-465
DOI: 10.7162/S1809-97772012000400006
Original Article
Thieme Publicações Ltda Rio de Janeiro, Brazil

Quality of life and deglutition after total laryngectomy

Leandro de Araújo Pernambuco
1   Master in Health Sciences - Federal University of Pernambuco. Professor - Speech, Language and Hearing Sciences Department - Federal University of Rio Grande do Norte.
,
Jabson Herber Profiro de Oliveira
2   Graduated in Speech, Language and Hearing Science - Federal University of Pernambuco.Speech and Language Pathologist.
,
Renata Milena Freitas Lima Régis
3   Specialist in Orofacial Miology. Speech and Language Pathologist.
,
Leilane Maria de Lima
2   Graduated in Speech, Language and Hearing Science - Federal University of Pernambuco.Speech and Language Pathologist.
,
Ana Maria Bezerra de Araújo
4   Specialist in Dysphagia - Federal Council of Speech, Language and Hearing Sciences. Speech and Language Pathologist - Cancer Hospital of Pernambuco.
,
Patrícia Maria Mendes Balata
5   Master of Science in Adolescent Health - Pernambuco University. Speech and Language Pathologist. Institute of Human Resources of Pernambuco State.
,
Daniele Andrade da Cunha
6   Ph.D in Nutrition - Federal University of Pernambuco. Professor - Estacio Recife.
,
Hilton Justino da Silva
7   Ph.D in Nutrition - Federal University of Pernambuco. Professor - Speech, Language and Hearing Science Department - Federal University of Pernambuco.
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Publikationsverlauf

08. April 2012

10. August 2012

Publikationsdatum:
10. Dezember 2013 (online)

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Summary

Introduction: Total laryngectomy creates deglutition disorders and causes a decrease in quality of life

Aim: To describe the impact of swallowing and quality of life of patients after total laryngectomy.

Method: A case series study. Patients completed a Swallowing and Quality of Life questionnaire composed of 44 questions assessing 11 domains related to quality of life (burden, eating duration, eating desire, frequency of symptoms, food selection, communication, fear, mental health, social functioning, sleep, and fatigue). The analysis was performed using descriptive statistics, including measures of central tendency and variability.

Results: The sample comprised 15 patients who underwent total laryngectomy and adjuvant radiotherapy. Of these, 66.7% classified their health as good and 73% reported no restrictions on food consistency. The domains “communication” and “fear” represented severe impact and “eating duration” represented moderate impact on quality of life. The items with lower scores were: longer time to eat than others (domain “eating duration”), cough and cough to remove the liquid or food of the mouth when they are stopped (domain “symptom frequency”), difficulties in understanding (domain “communication”) and fear of choking and having pneumonia (domain “fear”).

Conclusion: After total laryngectomy, patients report that swallowing issues have moderate to severe impact in “communication,” “fear,” and “eating duration” domains.

Keywords

quality of life - laryngeal neoplasms - laryngectomy - deglutition - deglutition disorders

Conselho Nacional de Tecnologia e Desenvolvimento Científico (CNPq) - Edital MCT/CNPq/CT-Saúde/MS/SCTIE/DECIT n° 67/2009 - REBRATS


 

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