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Functional status after total laryngectomy: cross-sectional survey of 79 laryngectomees using the Performance Status Scale for Head and Neck Cancer

Published online by Cambridge University Press:  11 December 2009

N B Oozeer ,
S Owen ,
B Z Perez ,
G Jones ,
A R Welch  and
V Paleri
N B Oozeer*
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, The Newcastle Upon Tyne Hospitals NHS Trust, UK
S Owen
Affiliation:
Department of Speech and Language Therapy, The Newcastle Upon Tyne Hospitals NHS Trust, UK
B Z Perez
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, The Newcastle Upon Tyne Hospitals NHS Trust, UK
G Jones
Affiliation:
Department of Speech and Language Therapy, The Newcastle Upon Tyne Hospitals NHS Trust, UK
A R Welch
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, The Newcastle Upon Tyne Hospitals NHS Trust, UK
V Paleri
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, The Newcastle Upon Tyne Hospitals NHS Trust, UK
*
Address for correspondence: Miss Nashreen Banon Oozeer, Department of Otolaryngology-Head and Neck Surgery, The Newcastle upon Tyne Hospitals NHS Trust, Freeman Hospital, Newcastle Upon Tyne NE7 7DN, UK. E-mail: [email protected]
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Abstract

Introduction:

Total laryngectomy affects patients' post-operative speech and swallowing functions. We aimed to assess these outcomes.

Materials and methods:

Patients' normalcy of diet, ability to eat in public and speech comprehensibility were assessed using the Performance Status Scale for Head and Neck Cancer, in a cross-sectional survey of disease-free laryngectomees.

Results and analysis:

Seventy-nine laryngectomees (72 men and seven women), with a mean age of 64 years (range 37 to 96), were included. Mean scores were 81.6 (standard deviation 29.2) for normalcy of diet, 77.8 (standard deviation 30.2) for eating in public and 65.2 (standard deviation 23.5) for speech. Normalcy of diet achieved higher scores within six months of laryngectomy and remained stable. There was a statistically significant difference between scores for the speech and public eating domains, comparing patients less and more than six months post-laryngectomy. This trend was maintained beyond 12 months.

Conclusions:

In post-laryngectomy patients, Performance Status Scale for Head and Neck Cancer scores improved over time, especially those for the speech and public eating domains, reflecting increasing confidence in social interactions and familiarity with surgical voice restoration.

Keywords

LarynxLaryngeal NeoplasmsLaryngectomySpeechSwallowingOutcome Assessment
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 124 , Issue 4 , April 2010 , pp. 412 - 416
Copyright
Copyright © JLO (1984) Limited 2009

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Footnotes

Presented as a poster at the British Academic Conference in Otolaryngology, 5–7 July 2006, Birmingham, UK.

References

1 McColl, D, Fucci, D, Petrosino, L, Martin, DE, McCaffrey, P. Listener ratings of the intelligibility of tracheoesophageal speech in noise. J Comm Dis 1998;31:279–89CrossRefGoogle ScholarPubMed
2 Clements, KS, Rassekh, CH, Seikaly, H, Hokanson, JA, Calhoun, KH. Communication after laryngectomy: an assessment of patient satisfaction. Arch Otolaryngol Head Neck Surg 1997;123:493–6CrossRefGoogle ScholarPubMed
3 Carr, MM, Schmidbauer, JA, Majaess, L, Smith, RL. Communication after laryngectomy: an assessment of quality of life. Otolaryngol Head Neck Surg 2000;122:39–43CrossRefGoogle ScholarPubMed
4 Kazi, R, Prasad, V, Venkitaraman, R, Nutting, CM, Clarke, P, Rhys-Evans, P et al. Questionnaire analysis of the swallowing-related outcomes following total laryngectomy. Clin Otolaryngol 2006;31:525–30CrossRefGoogle ScholarPubMed
5 Rogers, SN, Ahad, SA, Murphy, AP. A structured review and theme analysis of papers published on ‘quality of life’ in head and neck cancer: 2000–2005. Oral Oncol 2007;43:843–68CrossRefGoogle ScholarPubMed
6 Woodard, TD, Oplatek, A, Petruzzelli, GJ. Life after total laryngectomy: a measure of long-term survival, function, and quality of life. Arch Otolaryngol Head Neck Surg 2007;133:526–32CrossRefGoogle ScholarPubMed
7 Vilaseca, I, Chen, AY, Backscheider, AG. Long-term quality of life after total laryngectomy. Head Neck 2006;28:313–20CrossRefGoogle ScholarPubMed
8 Funk, GF, Karnell, LH, Smith, RB, Christensen, AJ. Clinical significance of health status assessment measures in head and neck cancer: what do quality-of-life scores mean? Arch Otolaryngol Head Neck Surg 2004;130:825–9CrossRefGoogle ScholarPubMed
9 Meyer, TK, Kuhn, JC, Campbell, BH, Marbella, AM, Myers, KB, Layde, PM. Speech intelligibility and quality of life in head and neck cancer survivors. Laryngoscope 2004;114:1977–81CrossRefGoogle ScholarPubMed
10 List, MA, Ritter-Sterr, C, Lansky, SB. A performance status scale for head and neck cancer patients. Cancer 1990;66:564–93.0.CO;2-D>CrossRefGoogle ScholarPubMed
11 List, MA, D'Antonio, LL, Cella, DF, Siston, A, Mumby, P, Haraf, D et al. The performance status scale for head and neck cancer patients and the functional assessment of cancer therapy: head and neck scale. A study of utility and validity. Cancer 1996;77:2294–3013.0.CO;2-S>CrossRefGoogle Scholar
12 Weymuller, EA, Yueh, B, Deleyiannis, FW, Kuntz, AL, Alsarraf, R, Coltrera, MD. Quality of life in patients with head and neck cancer: lessons learned from 549 prospectively evaluated patients. Arch Otolaryngol Head Neck Surg 2000;126:329–35CrossRefGoogle ScholarPubMed
13 Hammerlid, E, Silander, E, Hornestam, L, Sullivan, M. Health-related quality of life three years after diagnosis of head and neck cancer – a longitudinal study. Head Neck 2001;23:113–253.0.CO;2-W>CrossRefGoogle ScholarPubMed
14 Fung, K, Lyden, TH, Lee, J, Urba, SG, Worden, F, Eisbruch, A et al. Voice and swallowing outcomes of an organ-preservation trial for advanced laryngeal cancer. Int J Radiat Oncol Biol Phys 2005;63:1395–99CrossRefGoogle ScholarPubMed
15 List, MA, Ritter-Sterr, CA, Baker, TM, Colangelo, LA, Matz, G, Pauloski, BR et al. Longitudinal assessment of quality of life in laryngeal cancer patients. Head Neck 1996;18:1–103.0.CO;2-7>CrossRefGoogle ScholarPubMed