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European Archives of Oto-Rhino-Laryngology

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Open Access 01-01-2018 | Review Article

Objective and subjective voice outcomes after total laryngectomy: a systematic review

Authors: Klaske E. van Sluis, Lisette van der Molen, Rob J. J. H. van Son, Frans J. M. Hilgers, Patrick A. Bhairosing, Michiel W. M. van den Brekel

Published in: European Archives of Oto-Rhino-Laryngology | Issue 1/2018

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.

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Title: Objective and subjective voice outcomes after total laryngectomy: a systematic review
Authors: Klaske E. van Sluis
Lisette van der Molen
Rob J. J. H. van Son
Frans J. M. Hilgers
Patrick A. Bhairosing
Michiel W. M. van den Brekel
Publication date: 01-01-2018
Publisher: Springer Berlin Heidelberg
Published in: European Archives of Oto-Rhino-Laryngology / Issue 1/2018
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-017-4790-6

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Objective and subjective voice outcomes after total laryngectomy: a systematic review

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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