title: Postlaryngectomy vocal rehabilitation: assessment using a validated questionnaire in 51 patients.
abstract: BACKGROUND
  This study aimed to assess valved speech and related issues in total laryngectomy patients with the help of the validated Voice Prosthesis Questionnaire (VPQ).
  
  
  METHODS
  We identified 61 patients who had undergone a surgical voice restoration with a valve following total laryngectomy and who were sent the VPQ by mail.
  
  
  RESULTS
  Fifty-one patients (37 males) completed the questionnaire giving a response rate of 83.6%. Fifty-three percent of the patients (n = 27) were fully aware of the dimensions of their valve including the length and diameter, whilst 25% (n = 13) were aware of only one of the two. There was a strong correlation between the patient's perception of tone and their gender with the tone scores significantly lower in women as compared to men (Mann-Whitney test, p = 0.04). Ten patients (19.6%) had had leakage-related issues during the previous 7 days.
  
  
  CONCLUSIONS
  This questionnaire provided a significant amount of valuable data. Based on our experience, we recommend the VPQ for prospective use in the serial monitoring and audit of total laryngectomy patients.
authors.affiliation: Royal Marsden Hospital and Institute of Cancer Research, London, UK. rehan.kazi@rmh.nhs.uk
authors.forename: R
authors.initials: R
authors.lastname: Kazi
authors.forename: A
authors.initials: A
authors.lastname: Singh
authors.forename: J
authors.initials: J
authors.lastname: De Cordova
authors.forename: A
authors.initials: A
authors.lastname: Al-Mutairy
authors.forename: L
authors.initials: L
authors.lastname: O'Leary
authors.forename: C M
authors.initials: CM
authors.lastname: Nutting
authors.forename: P
authors.initials: P
authors.lastname: Clarke
authors.forename: P
authors.initials: P
authors.lastname: Rhys-Evans
authors.forename: K J
authors.initials: KJ
authors.lastname: Harrington
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007825:Laryngectomy / Q000009:adverse effects*; D007831:Larynx, Artificial; D008297:Male; D011182:Postoperative Care; D011446:Prospective Studies; D011795:Surveys and Questionnaires; D014832:Voice Disorders / Q000209:etiology* / Q000601:surgery / Q000628:therapy*; D014834:Voice Training