Health and Quality of Life Outcomes

Background: Little has been reported about the impact of tracheoesophageal (TE) speech on individuals in the Middle East where the procedure has been gaining in popularity. After total laryngectomy, individuals in Europe and North America have rated their quality of life as being lower than non-laryngectomized individuals. The purpose of this study was to evaluate changes in quality of life and degree of voice handicap reported by laryngectomized speakers from Jordan before and after establishment of TE speech. Methods: Twelve male Jordanian laryngectomees completed the University of Michigan Head & Neck Quality of Life instrument and the Voice Handicap Index preand post-TE puncture. Results: All subjects showed significant improvements in their quality of life following successful prosthetic voice restoration. In addition, voice handicap scores were significantly reduced from preto post-TE puncture. Conclusion: Tracheoesophageal speech significantly improved the quality of life and limited the voice handicap imposed by total laryngectomy. This method of voice restoration has been used for a number of years in other countries and now appears to be a viable alternative within Jordan. Background Total laryngectomy results in physical and functional changes that can affect the emotional well-being and some of the most basic functions of life, including breathing, swallowing, and communication [1]. Proper education and counseling from health care providers can help patients to adapt to the changes related to the procedure, but, even with strong counseling, the changes to communication and other body functions are often overwhelming for individuals and their families [2]. After total laryngectomy, the person breathes through a stoma in the neck which may elicit a negative reaction from the patient Published: 28 March 2008 Health and Quality of Life Outcomes 2008, 6:26 doi:10.1186/1477-7525-6-26 Received: 5 October 2007 Accepted: 28 March 2008 This article is available from: http://www.hqlo.com/content/6/1/26 © 2008 Attieh et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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