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Article Dans Une Revue Prosthesis Année : 2023

Vocal Rehabilitation and Quality of Life after Total Laryngectomy: State-of-the-Art and Systematic Review

Antonino Maniaci
Ignazio La Mantia
  • Fonction : Auteur
Miguel Mayo-Yáñez
Carlos Miguel Chiesa-Estomba
  • Fonction : Auteur
  • PersonId : 1083617
Jérôme Rene Lechien
  • Fonction : Auteur
  • PersonId : 1073493
Giannicola Iannella
Luca Giovanni Locatello
Giuditta Mannelli
Eleonora M C Trecca
Maria Rosaria Barillari
Laura Grau de Diego
  • Fonction : Auteur
Francesco Nocera
  • Fonction : Auteur
Gloria Spadaro
  • Fonction : Auteur
Alexia Mattei
  • Fonction : Auteur
  • PersonId : 1069042
Ralph Haddad
Nicolas Fakhry
  • Fonction : Auteur
Salvatore Cocuzza

Résumé

The objective of this study was to meticulously examine the diverse vocal rehabilitation techniques that are employed following total laryngectomy, with emphasis on their implications on patients' quality of life and on the determinants influencing the selection of one technique over another. We embarked on a comprehensive literature review, which concentrated on three primary rehabilitation approaches: tracheoesophageal puncture (TEP) accompanied by a vocal prosthesis, esophageal speech acquisition, and electrolarynx utilization. The outcomes assessed included quality of life, functional performance, communication effectiveness, patient satisfaction, and factors governing the choice of technique, such as patient demographics, disease stage, and treatment history. Our findings demonstrated that TEP with vocal prosthesis yielded the most favorable overall quality of life and patient satisfaction. Individuals who underwent TEP exhibited superior speech intelligibility, voice quality, and communication ease compared with those who employed esophageal speech acquisition or electrolarynx utilization. While esophageal speech learning exhibited inferior speech quality and functional performance, it offered cost-effectiveness and diminished maintenance advantages. Electrolarynx utilization emerged as the least preferred approach due to suboptimal speech intelligibility and voice quality. The determinants influencing the choice of vocal rehabilitation technique included patient age, sex, disease stage, and previous treatment history. Patient preferences also substantially contributed to the selection of a specific technique. It is essential for clinicians to consider individual factors and patient inclinations when
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Dates et versions

hal-04293614 , version 1 (18-11-2023)

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Antonino Maniaci, Ignazio La Mantia, Miguel Mayo-Yáñez, Carlos Miguel Chiesa-Estomba, Jérôme Rene Lechien, et al.. Vocal Rehabilitation and Quality of Life after Total Laryngectomy: State-of-the-Art and Systematic Review. Prosthesis, 2023, 5 (3), pp.587 - 601. ⟨10.3390/prosthesis5030041⟩. ⟨hal-04293614⟩
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