Tracheoesophageal Prosthesis Use Is Associated With Improved Overall Quality of Life in Veterans With Laryngeal Cancer

The Annals of Otology, Rhinology, and Laryngology
Ramya S PatelVlad C Sandulache

Abstract

Veterans have an increased risk of laryngeal cancer, yet their oncologic and functional outcomes remain understudied. We sought to determine the longitudinal impact of tracheoesophageal puncture and voice prosthesis on quality-of-life measures in veterans following total laryngectomy (TL). We performed a cross-sectional analysis of TL patients (n = 68) treated at the Michael E. DeBakey Veterans Affairs Medical Center using the Voice Handicap Index (VHI), MD Anderson Dysphagia Index (MDADI), and University of Washington Quality of Life Index (UW-QOL). Using tracheoesophageal (TE) speech was associated with significantly better VHI, MDADI, and UW-QOL scores compared to other forms of communication. The association between TE speech use on VHI, MDADI, and UQ-QOL persisted even when the analysis was limited to patients with >5-year follow-up and was maintained on multivariate analysis that accounted for a history of radiation and laryngectomy for recurrent laryngeal cancer. Using tracheoesophageal speech after total laryngectomy is associated with durable improvements in quality of life and functional outcomes in veterans. Tracheoesophageal voice restoration should be attempted whenever technically feasible in patients that meet th...Continue Reading

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Citations

Mar 7, 2020·Cancers·Alexandre BozecOlivier Dassonville
Aug 17, 2020·Current Opinion in Otolaryngology & Head and Neck Surgery·Nora C ElsonBrian P Cervenka
Sep 1, 2020·The Laryngoscope·Nille B WulffPreben Homøe
Jun 12, 2020·American Journal of Speech-language Pathology·Charissa J ZagaMichael J Brenner
Nov 28, 2020·The Annals of Otology, Rhinology, and Laryngology·Christopher BoydShannon Kraft
Apr 4, 2021·Cancers·Thomas K Hoffmann

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