Head & neck · 2012
Speech rehabilitation during the first year after total laryngectomy.
Сравнительное исследованиеСтатьяМногоцентровое исследованиеПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Singer Susanne, Wollbrück Dorit, Dietz Andreas, Schock Juliane, Pabst Friedemann, Vogel Hans-Joachim, Oeken Jens, Sandner Annett, Koscielny Sven, Hormes Karl, Breitenstein Kerstin, Richter Heike, Deckelmann Andreas, Cook Sarah, Fuchs Michael, Meuret Sylvia
Аннотация
BACKGROUND: Gaining a new voice is one of the major aims after total laryngectomy. The objective of this study was to describe the process and results of speech rehabilitation during the first year after surgery.
METHODS: Speech intelligibility was measured 6 months (n = 273) and 1 year (n = 225) after total laryngectomy.
RESULTS: Objective (23.4 to 47.5 points, p < .0001) and subjective (51.6 to 64.7 points, p < .0001) speech intelligibility improved between 6 months and 1 year after total laryngectomy. Patients who used tracheoesophageal puncture (TEP) had the best results in speech intelligibility 6 months and 1 year after total laryngectomy. In all, 12% of the patients who used TEP initially no longer used it 1 year later. Patients who had received rehabilitation had better objective speech intelligibility than those who did not.
CONCLUSIONS: Speech improves considerably between 6 months and 1 year after total laryngectomy. Nonattendance of rehabilitation is associated with a worse functional outcome in speech rehabilitation.
METHODS: Speech intelligibility was measured 6 months (n = 273) and 1 year (n = 225) after total laryngectomy.
RESULTS: Objective (23.4 to 47.5 points, p < .0001) and subjective (51.6 to 64.7 points, p < .0001) speech intelligibility improved between 6 months and 1 year after total laryngectomy. Patients who used tracheoesophageal puncture (TEP) had the best results in speech intelligibility 6 months and 1 year after total laryngectomy. In all, 12% of the patients who used TEP initially no longer used it 1 year later. Patients who had received rehabilitation had better objective speech intelligibility than those who did not.
CONCLUSIONS: Speech improves considerably between 6 months and 1 year after total laryngectomy. Nonattendance of rehabilitation is associated with a worse functional outcome in speech rehabilitation.
Предметные рубрики MeSH
AdultAgedChi-Square DistributionCohort StudiesFemaleFollow-Up StudiesHumansLaryngeal NeoplasmsLaryngectomyLarynx, ArtificialMaleMiddle AgedPatient SatisfactionProspective StudiesSpeech IntelligibilitySpeech Production MeasurementSpeech TherapySpeech, EsophagealStatistics, NonparametricTime FactorsTreatment OutcomeVoice Quality