Giordano Leone, Toma Salvatore, Teggi Roberto, Palonta Francesca, Ferrario Fabrizio, Bondi Stefano, Bussi Mario
ENT Department, San Raffaele Hospital, Vita e Salute University, Milan, Italy.
Folia Phoniatr Logop. 2011;63(5):231-6. doi: 10.1159/000323185. Epub 2011 Jan 18.
OBJECTIVE/HYPOTHESIS: The purpose of the study was to assess the satisfaction and quality of life in laryngectomees after vocal rehabilitation using voice prostheses. We evaluated the impact on quality of life between laryngectomees with voice prostheses, laryngectomees without them and healthy controls.
This was a prospective study on a sample of laryngectomees in an Italian university hospital. Our study population was composed of 42 patients who had previously undergone a total laryngectomy; in 24 of them, voice rehabilitation was obtained with a voice prosthesis device (group A), while 18 of them learned oesophageal voice (group B). The results were compared with a group of 25 healthy controls (group C). In order to investigate the quality of life, we administered the Short Form 36-Item Health Survey (SF-36) to the 3 groups. Moreover, self-satisfaction of the subjects in group A was assessed by single questions regarding their use of the voice prosthesis.
A statistical difference in the SF-36 was detected for social functioning (SF) between groups A and B. Role physical, SF and role emotional were significantly better in group C than in group A. Group A stated they were very satisfied with voice quality while there were still some problems regarding prosthesis lifetime and communication at the telephone or in noisy environments.
Voice prosthesis implantation in laryngectomees showed positive effects on patients' quality of life; however, there are still some negative aspects. At present, an early diagnosis of larynx cancer with a partial laryngectomy in order to preserve phonatory function is the gold standard.
目的/假设：本研究旨在评估喉切除术后使用发音假体进行嗓音康复的患者的满意度和生活质量。我们评估了使用发音假体的喉切除患者、未使用发音假体的喉切除患者和健康对照者对生活质量的影响。
这是一项针对意大利一家大学医院的喉切除患者样本的前瞻性研究。我们的研究对象包括42例先前接受全喉切除术的患者；其中24例通过发音假体装置实现了嗓音康复（A组），而另外18例学会了食管发音（B组）。将结果与25名健康对照者组成的一组（C组）进行比较。为了调查生活质量，我们对这三组患者进行了36项简短健康调查（SF-36）。此外，通过关于发音假体使用情况的单项问题评估A组受试者的自我满意度。
检测到A组和B组在社会功能（SF）方面的SF-36存在统计学差异。C组在角色功能-身体、社会功能和角色功能-情感方面明显优于A组。A组表示他们对嗓音质量非常满意，但在假体使用寿命以及电话交流或嘈杂环境中的交流方面仍存在一些问题。
喉切除患者植入发音假体对患者的生活质量显示出积极影响；然而，仍存在一些消极方面。目前，早期诊断喉癌并进行部分喉切除术以保留发声功能是金标准。
