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Communication changes with laryngectomy and impact on quality of life: a review

  • Gabriella Sharpe
  • Vera Camoes Costa
  • Wendy Doubé
  • Jodi Sita
  • Chris McCarthy
  • Paul Carding
Review

Abstract

Purpose

Patients with throat cancer at later stages often undergo total laryngectomy, a procedure that removes the larynx (voice box) and directly impacts the patient’s ability to produce natural voice and communication. This narrative review aimed to explore how changes to communication following laryngectomy may impact quality of life (QoL) for patients.

Methods

Literature searches were conducted using CINAHL, MEDLINE and PsychInfo databases for studies published between 2007 and 2018. The search terms (and derivatives) of laryngectomy AND communication AND quality of life were used. A synthesis and appraisal of the studies was conducted.

Results

Twelve studies met the inclusion criteria and were included in this review. The two main themes identified relating to changes in communication and impact on QoL were changes in communication competency (immediate changes and communication option used) and adaptation to change (e.g. self-related factors and relationships with others). Regardless of the type of communication option used, participants in all studies reported negative changes in their communication competency and QoL post-laryngectomy. Voice-related factors and aesthetics of the communication option used were noted to influence self-ratings of QoL for the participants, rather than how well others understood them. Participants using tracheoesophageal speech (TES) consistently showed the highest self-reported QoL across the majority of studies. A model incorporating the findings from this review has been proposed which outlines how changes in communication post-laryngectomy may lead to an impact on QoL. Here, the factors of changes in communication competency, self-perception and social engagement impact each other and are also influenced by adaptation to change.

Conclusion

This review has highlighted the complex nature of changes faced by patients following laryngectomy in relation to communication and QoL. The model linking communication changes to QoL may become a useful tool for researchers and clinicians in supporting the management of patients post-laryngectomy.

Keywords

Quality of life Communication Laryngectomy Voice Review 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflicts of interest.

Research involving human participants and/or animals

This article does not contain any studies with human participants performed by any of the authors.

References

  1. 1.
    Fogle, P. T. (2013). Essentials of communication sciences & disorders. Clifton Park: Delmar, Cengage Learning.Google Scholar
  2. 2.
    World Health Organisation. (1997). Programme on mental health: WHOQOL measuring quality of life. http://www.who.int/mental_health/media/en/68.pdf. Accessed 10 January 2018.
  3. 3.
    Wilson, I. B., & Cleary, P. D. (1995). Linking clinical variables with health-related quality of life: A conceptual model of patient outcomes. JAMA, 273(1), 59–65.CrossRefGoogle Scholar
  4. 4.
    Badr, H., Herbert, K., Reckson, B., Rainey, H., Sallam, A., & Gupta, V. (2016). Unmet needs and relationship challenges of head and neck cancer patients and their spouses. Journal of Psychosocial Oncology.  https://doi.org/10.1080/07347332.2016.1195901.CrossRefPubMedPubMedCentralGoogle Scholar
  5. 5.
    Balm, A. J. M. (2014). Laryngeal and hypopharyngeal cancer: Intervention approaches. In E. Ward & C. As-Brooks (Eds.), Head and neck cancer: Treatment, rehabilitation, and outcomes (2nd ed., pp. 123–143). San Diego: Plural Publishing.Google Scholar
  6. 6.
    Brunner, T. H., DiFortuna, K., LeTang, M., Murphy, J., Stemplewicz, K., Kovacs, M., et al. (2016). Using technology to give patients a voice after surgery for head and neck cancer. Clinical Journal of Oncology Nursing.  https://doi.org/10.1188/16.CJON.474-476.CrossRefPubMedGoogle Scholar
  7. 7.
    Kapila, M., Deore, N., Palav, R. S., Kazi, R. A., Shah, R. P., & Jagade, M. V. (2011). A brief review of voice restoration following total laryngectomy. Indian Journal of Cancer, 48(1), 99–104.CrossRefGoogle Scholar
  8. 8.
    Searl, J. P., & Reeves, S. I. (2014). Nonsurgical voice restoration following total laryngectomy. In E. Ward & C. As-Brooks (Eds.), Head and neck cancer: Treatment, rehabilitation, and outcomes (2nd ed., pp. 193–227). San Diego: Plural Publishing.Google Scholar
  9. 9.
    Carr, M., Schmidbauer, J. A., Majaess, L., & Smith, R. L. (2000). Communication after laryngectomy: an assessment of quality of life. Otolaryngology-Head and Neck Surgery.  https://doi.org/10.1016/S0194-5998(00)70141-0.CrossRefPubMedGoogle Scholar
  10. 10.
    Chen, H.-C., Mardini, S., & Yang, C.-W. (2006). Voice reconstruction using the free ileocolon flap versus the pneumatic artificial larynx: A comparison of patients’ preference and experience following laryngectomy. Journal of Plastic, Reconstructive & Aesthetic Surgery.  https://doi.org/10.1016/j.bjps.2006.06.005.CrossRefGoogle Scholar
  11. 11.
    Morton, R. P., & Izzard, M. E. (2003). Quality-of-life outcomes in head and neck cancer patients. World Journal of Surgery, 27, 884–889.CrossRefGoogle Scholar
  12. 12.
    Summers, L. (2017). Social and quality of life impact using a voice prosthesis after laryngectomy. Current Opinion in Otolaryngology & Head and Neck Surgery.  https://doi.org/10.1097/MOO.0000000000000361.CrossRefGoogle Scholar
  13. 13.
    Green, B. N., Johnson, C. D., & Adams, A. (2006). Writing narrative literature reviews for peer-reviewed journals: Secrets of the trade. Journal of Chiropractic Medicine.  https://doi.org/10.1016/S0899-3467(07)60142-6.CrossRefPubMedPubMedCentralGoogle Scholar
  14. 14.
    CASP Checklists. Retrieved January 2, 2018 from https://casp-uk.net/casp-tools-checklists/.
  15. 15.
    Dooks, P., McQuestion, M., Goldstein, D., & Molassiotis, A. (2012). Experiences of patients with laryngectomies as they reintegrate into their community. Supportive Care in Cancer.  https://doi.org/10.1007/s00520-011-1101-4.CrossRefPubMedGoogle Scholar
  16. 16.
    Bickford, J., Coveney, J., & Hersh, D. (2013). Living with the altered self: A qualitative study of life after total laryngectomy. International Journal of Speech-Language Pathology.  https://doi.org/10.3109/17549507.2013.785591.CrossRefPubMedGoogle Scholar
  17. 17.
    Cox, S., & Doyle, P. (2014). The influence of electrolarynx use on postlaryngectomy voice-related quality of life. Otolaryngology Head and Neck Surgery.  https://doi.org/10.1177/0194599814524704.CrossRefPubMedGoogle Scholar
  18. 18.
    de Araújo Pernambuco, L., de Oliveira, J., Regis, R., de Lima, R., de Lima, L., de Araújo, A., et al. (2012). Quality of life and deglutition after total laryngectomy. International Archives of Otorhinolaryngology.  https://doi.org/10.7162/S1809-97772012000400006.CrossRefGoogle Scholar
  19. 19.
    Pereira da Silva, A., Feliciano, T., Freitas, S., & Esteves, S. & Almeida e Sousa, C. (2015). Quality of life in patients submitted to total laryngectomy. Journal of Voice.  https://doi.org/10.1016/j.jvoice.2014.09.002.CrossRefPubMedGoogle Scholar
  20. 20.
    Law, I., Estella, P., & Yiu, E. (2009). Speech intelligibility, acceptability, and communication-related quality of life in Chinese alaryngeal speakers. Archives of Otolaryngology, Head and Neck Surgery.  https://doi.org/10.1001/archoto.2009.71.CrossRefGoogle Scholar
  21. 21.
    Robertson, S. M., Yeo, J. C., Dunnet, C., Young, D., & MacKenzie, K. (2012). Voice, swallowing, and quality of life after total laryngectomy: Results of the west of Scotland laryngectomy audit. Head & Neck.  https://doi.org/10.1002/hed.21692.CrossRefGoogle Scholar
  22. 22.
    Eadie, T. L., Day, A. M. B., Sawin, D. E., Lamvik, K., & Doyle, P. C. (2013). Auditory-perceptual speech outcomes and quality of life after laryngectomy. Otolaryngology Head and Neck Surgery.  https://doi.org/10.1177/0194599812461755.CrossRefPubMedGoogle Scholar
  23. 23.
    Kazi, R., de Cordova, J., Singh, A., Venkitaraman, R., Nutting, C., Clarke, P., et al. (2007). Voice-related quality of life in laryngectomees: Assessment using the VHI and V-RQOL Symptom Scales. Journal of Voice.  https://doi.org/10.1016/j.jvoice.2006.05.008.CrossRefPubMedGoogle Scholar
  24. 24.
    Marcovitz, S., Schrooten, W., Arntz, A., & Peters, M. (2015). Resilience as a predictor for emotional response to the diagnosis and surgery in breast cancer patients. Psych-Oncology.  https://doi.org/10.1002/pon.3834.CrossRefGoogle Scholar
  25. 25.
    Evans, E., Carding, P., & Drinnan, M. (2009). The Voice Handicap Index with post-laryngectomy male voices. International Journal of Language and Communication Disorders.  https://doi.org/10.1080/13682820902928729.CrossRefPubMedGoogle Scholar
  26. 26.
    Chaves, A., de Araújo Pernanbuco, L., Balata, P., Santos, V., Lima, L., Souza, S., et al. (2012). Limits on quality of life in communication after total laryngectomy. International Archives of Otorhinolaryngology.  https://doi.org/10.7162/S1809-97772012000400009.CrossRefPubMedPubMedCentralGoogle Scholar
  27. 27.
    Babin, E., Beynier, D., Le Gall, D., & Hiticr, M. (2009). Psychosocial quality of life in patients after total laryngectomy. Revue De Laryngologie Otologie Rhinologie, 130(1), 29–34.PubMedGoogle Scholar
  28. 28.
    Kelly, L. E. (2014). Radiation and chemotherapy. In E. Ward & C. As-Brooks (Eds.), Head and neck cancer: Treatment, rehabilitation, and outcomes (2nd ed., pp. 57–86). San Diego: Plural Publishing.Google Scholar
  29. 29.
    The WHOQOL Group. (1994). The development of the World Health Organization quality of life assessment instrument (the WHOQOL). In J. Orley & W. Kuyken (Eds.), Quality of life assessment: International perspectives. Heidelberg: Springer.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2018

Authors and Affiliations

  • Gabriella Sharpe
    • 1
  • Vera Camoes Costa
    • 2
  • Wendy Doubé
    • 3
  • Jodi Sita
    • 4
  • Chris McCarthy
    • 5
  • Paul Carding
    • 1
  1. 1.School of Allied Health, Faculty of Health SciencesAustralian Catholic UniversityMelbourneAustralia
  2. 2.Faculty of Arts, Health and DesignSwinburne University of TechnologyMelbourneAustralia
  3. 3.School of Arts, Social Sciences and Humanities, Faculty of Health, Arts and DesignSwinburne University of TechnologyMelbourneAustralia
  4. 4.School of Science, Faculty of Health SciencesAustralian Catholic UniversityMelbourneAustralia
  5. 5.School of Software and Electrical Engineering, Faculty of Science, Engineering and TechnologySwinburne University of TechnologyMelbourneAustralia

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