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Author
K.E. van Sluis
L. van der Molen
R.J.J.H. van Son
F.J.M. Hilgers
P.A. Bhairosing
M.W.M. van den Brekel
Date
1-2018
Title
Objective and subjective voice outcomes after total laryngectomy
Subtitle
a systematic review
Journal
European Archives of Oto-Rhino-Laryngology
Volume | Issue number
275 | 1
Pages (from-to)
11-26
Document type
Review article
Faculty
Faculty of Humanities (FGw)
Faculty of Dentistry (ACTA)
Institute
Amsterdam Center for Language and Communication (ACLC)
Amsterdam Institute for Humanities Research (AIHR)
Abstract
Background
Esophageal speech (ES), tracheoesophageal speech (TES) and/or electrolarynx speech (ELS) are three speech rehabilitation methods which are commonly provided after total laryngectomy (TL).

Methods
A systematic review of the literature was conducted to evaluate comparative acoustic, perceptual, and patient-reported outcomes for ES, TES, ELS and healthy speakers.

Results
Twenty-six articles could be included. In most studies, methodological quality was low. It is likely that an inclusion bias exists, many studies only included exceptional speakers. Significant better outcomes are reported for TES compared to ES for the acoustic parameters, fundamental frequency, maximum phonation time and intensity. Perceptually, TES is rated with a significant better voice quality and intelligibility than ES and ELS. None of the speech rehabilitation groups reported clearly better outcomes in patient-reported outcomes.

Conclusions
Studies on speech outcomes after TL are flawed in design and represent weak levels of evidence. There is an urge for standardized measurement tools for evaluations of substitute voice speakers. TES is the favorable speech rehabilitation method according to acoustic and perceptual outcomes. All speaker groups after TL report a degree of voice handicap. Knowledge of caretakers and differences in health care and insurance systems play a role in the speech rehabilitation options that can be offered.
URL
go to publisher's site
Language
English
Note
With supplementary material
Permalink
http://hdl.handle.net/11245.1/653e8841-bc4f-480a-966c-9c8183973183
Downloads
  • Objective and subjective voice outcomes after total laryngectomy

  • 405_2017_4790_MOESM1_ESM

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