• Rev Assoc Med Bras (1992) · Jan 2024

    Observational Study

    Evolution of the quality of life of total laryngectomy patients using electrolarynx.

    • Larissa Emilly Fiusa do Monte, Isabela Coelho Simão, Jodimar Ribeiro Dos Reis Junior, LealPlínio da CunhaPDC0000-0003-1336-8528Universidade Federal do Maranhão - São Luís (MA), Brazil., Almir Vieira Dibai Filho, Caio Márcio Barros Oliveira, and MouraEd Carlos ReyECR0000-0002-7752-0683Universidade Federal do Maranhão - São Luís (MA), Brazil..
    • Universidade Federal do Maranhão - São Luís (MA), Brazil.
    • Rev Assoc Med Bras (1992). 2024 Jan 1; 70 (4): e20231146e20231146.

    ObjectiveTherapy and vocal rehabilitation in laryngeal cancer impact patients' quality of life. The objective of this study was to evaluate the evolution of the quality of life of patients with laryngeal cancer submitted to total laryngectomy and using electrolarynx.MethodsThis is an observational study with a cross-sectional design and a quantitative approach. It was conducted between April 2022 and January 2023 in a Brazilian cancer hospital. For data collection, a quality of life questionnaire, validated for patients with head and neck cancer at the University of Washington, was applied in two phases: from 7 days after total laryngectomy and, subsequently, from 70 days after surgery using electronic larynx for at least 60 days. The inclusion criteria were patients undergoing total laryngectomy included on the Aldenora Bello Cancer Hospital's election list to receive the electronic larynx. Patients who did not sign the informed consent form were not included.ResultsThe sample consisted of 31 patients, of which approximately 84% were men and approximately 93% at the age of 50 years or older. When comparing the phases, it is possible to observe that the item speech had the greatest progress, while chewing had the least. Only the item recreation, swallowing, taste, and saliva did not show any statistical significance. The score for the general quality of life questions increased.ConclusionElectronic larynx is a viable and useful method of voice rehabilitation. Our data suggest that the use of the electrolarynx as a postlaryngectomy method of verbal communication is responsible for positive effects on patients' quality of life.

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