Communication adjustment of patients with a laryngectomy in Turkey: Analysis by type of surgery and mode of speech

dc.contributor.authorEvitts, Paul M.
dc.contributor.authorMiller, Julia Sterne
dc.contributor.buuauthorKasapoğlu, Fikret
dc.contributor.buuauthorDemirci, Uğur
dc.contributor.departmentUludağ Üniversitesi/Tıp Fakültesi/Kulak Burun Boğaz Anabilim Dalı.tr_TR
dc.contributor.researcheridAAI-3877-2021tr_TR
dc.contributor.scopusid56254721200tr_TR
dc.contributor.scopusid48161059700tr_TR
dc.date.accessioned2022-01-10T08:12:12Z
dc.date.available2022-01-10T08:12:12Z
dc.date.issued2011
dc.description.abstractPrevious studies have routinely shown that individuals with a laryngectomy (IWL) have a decreased quality of life (QoL). However, the questionnaires frequently used are not specifically designed for persons with laryngeal cancer and may not reflect the issues of most concern to IWL. The purpose of this study was to investigate (1) the overall communication adjustment of IWL in Turkey, (2) the differences in communication adjustment among types of surgery for the treatment of laryngeal cancer, and (3) the differences in communication adjustment among types of speech following treatment for laryngeal cancer. Fifty-two patients (50 males and two females) who underwent surgical treatment for laryngeal cancer (i.e. total, supraglottic, frontolateral, vertical, supracricoid) and were being seen for follow-up care were recruited from an ENT clinic in Bursa, Turkey. Patients were provided with a written translation of the Self-Evaluation of Communication Experiences after Laryngectomy (SECEL) which yielded information on three subscales (General, Environment, and Attitude) and a Total score. Kruskall-Wallis and Wilcoxon signed ranks nonparametric tests of significance showed that overall adjustment was within the well-adjusted range for all types of surgery and modes of speech with two exceptions: Mean scores for supracricoid laryngectomy with cricohyoidopexy (28.5) and esophageal speech (29.3) were both within the poorly adjusted range on the Environment subscale [lowest mean score = 8.7 (supraglottic)]. Total mean scores ranged from 19.8 (supraglottic) to 49.9 (esophageal speech). Mean scores of the General subscale ranged from 4.0 (electrolaryngeal speech) to 7.7 (tracheoesophageal speech). Mean scores of the Attitude subscale ranged from 6.2 (supraglottic) to 19 (electrolaryngeal). Results of the Kruskall-Wallis test also showed a significant difference between type of surgery for the Environment subscale (p = 0.003), the Attitude subscale (p = 0.039), and the Total score (p = 0.007). The results suggest that overall, IWL in Turkey are well-adjusted to their new voice. However, results also showed that certain conservation surgeries (i.e. supraglottic, frontolateral, vertical) yielded more favorable outcomes than either supracricoid laryngectomy or speech following total laryngectomy. This finding is most likely related to the amount of tissue preserved following conservation surgery, in particular the preservation of the vocal folds.en_US
dc.identifier.citationEvitts, P. M. vd. (2011). ''Communication adjustment of patients with a laryngectomy in Turkey: Analysis by type of surgery and mode of speech''. Psychology, Health and Medicine, 16(6), 650-660.en_US
dc.identifier.endpage660tr_TR
dc.identifier.issn1354-8506
dc.identifier.issn1465-3966
dc.identifier.issue6tr_TR
dc.identifier.pubmed21749223tr_TR
dc.identifier.scopus2-s2.0-84863177896tr_TR
dc.identifier.startpage650tr_TR
dc.identifier.urihttps://doi.org/10.1080/13548506.2011.575167
dc.identifier.urihttps://www.tandfonline.com/doi/full/10.1080/13548506.2011.575167
dc.identifier.urihttp://hdl.handle.net/11452/23958
dc.identifier.volume16tr_TR
dc.identifier.wos000299626500003tr_TR
dc.indexed.pubmedPubmeden_US
dc.indexed.scopusScopusen_US
dc.indexed.wosSCIEen_US
dc.indexed.wosSSCIen_US
dc.language.isoenen_US
dc.publisherRoutledge Journalsen_US
dc.relation.collaborationYurt dışıtr_TR
dc.relation.journalPsychology, Health and Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergitr_TR
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectPublic, environmental & occupational healthen_US
dc.subjectQuality of lifeen_US
dc.subjectLaryngectomyen_US
dc.subjectAlaryngeal speechen_US
dc.subjectPsychosocialen_US
dc.subjectConservation surgeryen_US
dc.subjectQuality-of-lifeen_US
dc.subjectSupracricoid partial laryngectomyen_US
dc.subjectSelf-evaluationen_US
dc.subjectGlottic carcinomaen_US
dc.subjectCanceren_US
dc.subjectVoiceen_US
dc.subjectQuestionnaireen_US
dc.subjectRadiotherapyen_US
dc.subjectExperiencesen_US
dc.subjectInstrumenten_US
dc.subject.emtreeAdaptive behavioren_US
dc.subject.emtreeAgeden_US
dc.subject.emtreeArticleen_US
dc.subject.emtreeCricoiden_US
dc.subject.emtreeDysphoniaen_US
dc.subject.emtreeEsophagus speechen_US
dc.subject.emtreeFemaleen_US
dc.subject.emtreeGlottisen_US
dc.subject.emtreeHumanen_US
dc.subject.emtreeInterpersonal communicationen_US
dc.subject.emtreeLaryngectomyen_US
dc.subject.emtreeLarynx tumoren_US
dc.subject.emtreeMaleen_US
dc.subject.emtreeMethodologyen_US
dc.subject.emtreeMiddle ageden_US
dc.subject.emtreeNonparametric testen_US
dc.subject.emtreePsychological aspecten_US
dc.subject.emtreeQuality of lifeen_US
dc.subject.emtreeQuestionnaireen_US
dc.subject.emtreeSelf evaluationen_US
dc.subject.emtreeStatisticsen_US
dc.subject.emtreeTreatment outcomeen_US
dc.subject.emtreeTurkey (republic)en_US
dc.subject.meshAdaptation, psychologicalen_US
dc.subject.meshAgeden_US
dc.subject.meshCommunicationen_US
dc.subject.meshCricoid cartilageen_US
dc.subject.meshDiagnostic self evaluationen_US
dc.subject.meshFemaleen_US
dc.subject.meshGlottisen_US
dc.subject.meshHumansen_US
dc.subject.meshLaryngeal neoplasmsen_US
dc.subject.meshLaryngectomyen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle ageden_US
dc.subject.meshQuality of lifeen_US
dc.subject.meshQuestionnairesen_US
dc.subject.meshSpeech, alaryngealen_US
dc.subject.meshStatistics, nonparametricen_US
dc.subject.meshTreatment outcomeen_US
dc.subject.meshTurkeyen_US
dc.subject.meshVoice disordersen_US
dc.subject.scopusXerostomia; Head and Neck Neoplasms; Swallowingen_US
dc.subject.wosPublic, environmental & occupational healthen_US
dc.titleCommunication adjustment of patients with a laryngectomy in Turkey: Analysis by type of surgery and mode of speechen_US
dc.typeArticle
dc.wos.quartileQ3en_US

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