Ida K-Y Law1, Estella P-M Ma, Edwin M-L Yiu. 1. Voice Research Laboratory, Division of Speech and Hearing Sciences, University of Hong Kong, 5/F Prince Philip Dental Hospital, 34 Hospital Rd, Hong Kong.
Abstract
OBJECTIVE: To investigate (1) speech intelligibility and acceptability in using 4 different alaryngeal speech methods: esophageal (ES), electrolaryngeal (EL), pneumatic device (PD), and tracheosophageal (TE) speech; and (2) communication-related quality of life (QOL) in the alaryngeal speakers who used these 4 alaryngeal speech methods. DESIGN: Survey. PARTICIPANTS: Alaryngeal speakers who had undergone speech rehabilitation and were recruited from the New Voice Club of Hong Kong. MAIN OUTCOME MEASURES: Speech samples collected from 49 alaryngeal speakers were rated by 6 judges for speech intelligibility and acceptability. The speakers also completed a communication-related QOL questionnaire called the Communication Activity and Participation After Laryngectomy. RESULTS: We found that the ES and EL speakers showed considerably poorer speech intelligibility and communication-related QOL. The PD speakers demonstrated notably better speech intelligibility and acceptability ratings. However, high intelligibility and acceptability do not necessarily mean better QOL. The TE speakers, who demonstrated only the second highest speech intelligibility and acceptability, showed the best functional QOL. CONCLUSION: In speech rehabilitation after laryngectomy, QOL and speech intelligibility and acceptability should be considered together to find a balance that is acceptable to the patient.
RCT Entities:
OBJECTIVE: To investigate (1) speech intelligibility and acceptability in using 4 different alaryngeal speech methods: esophageal (ES), electrolaryngeal (EL), pneumatic device (PD), and tracheosophageal (TE) speech; and (2) communication-related quality of life (QOL) in the alaryngeal speakers who used these 4 alaryngeal speech methods. DESIGN: Survey. PARTICIPANTS: Alaryngeal speakers who had undergone speech rehabilitation and were recruited from the New Voice Club of Hong Kong. MAIN OUTCOME MEASURES: Speech samples collected from 49 alaryngeal speakers were rated by 6 judges for speech intelligibility and acceptability. The speakers also completed a communication-related QOL questionnaire called the Communication Activity and Participation After Laryngectomy. RESULTS: We found that the ES and EL speakers showed considerably poorer speech intelligibility and communication-related QOL. The PD speakers demonstrated notably better speech intelligibility and acceptability ratings. However, high intelligibility and acceptability do not necessarily mean better QOL. The TE speakers, who demonstrated only the second highest speech intelligibility and acceptability, showed the best functional QOL. CONCLUSION: In speech rehabilitation after laryngectomy, QOL and speech intelligibility and acceptability should be considered together to find a balance that is acceptable to the patient.
Authors: Tanya L Eadie; Devon Sawin Otero; Susan Bolt; Mara Kapsner-Smith; Jessica R Sullivan Journal: Am J Speech Lang Pathol Date: 2016-08-01 Impact factor: 2.408
Authors: Tanya L Eadie; Devon Otero; Steven Cox; Jordan Johnson; Carolyn R Baylor; Kathryn M Yorkston; Philip C Doyle Journal: Head Neck Date: 2015-12-29 Impact factor: 3.147
Authors: Tanya L Eadie; Adam M B Day; Devon E Sawin; Kristin Lamvik; Philip C Doyle Journal: Otolaryngol Head Neck Surg Date: 2012-09-24 Impact factor: 3.497
Authors: Jennifer M Vojtech; Michael D Chan; Bhawna Shiwani; Serge H Roy; James T Heaton; Geoffrey S Meltzner; Paola Contessa; Gianluca De Luca; Rupal Patel; Joshua C Kline Journal: J Speech Lang Hear Res Date: 2021-05-12 Impact factor: 2.297
Authors: Klaske E van Sluis; Lisette van der Molen; Rob J J H van Son; Frans J M Hilgers; Patrick A Bhairosing; Michiel W M van den Brekel Journal: Eur Arch Otorhinolaryngol Date: 2017-10-31 Impact factor: 2.503