Multidimensional evaluation of voice outcomes following total laryngectomy: a prospective multicenter cohort study.
Klaske E van SluisRob J J H van SonLisette van der MolenAnthony John MCGuinnessCarsten E PalmeDaniel NovakovicDanielle StoneLydia NatsisEmma ChartersKelly JonesRichard DirvenMichiel W M van den BrekelPublished in: European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery (2020)
Successful TE-speech was achieved in most participants, some had to rely on augmentative alternative communication methods. Patient-reported outcomes indicate acceptance of the condition and sufficient coping in the long term. However, acoustic rated voice quality is abnormal at all post-surgery time-points. AVQI proved to be a useful instrument to evaluate TE-speech. There is a need for validation and determination of cut-off values for VHI-10 and AVQI for use in TE-speech.