title: Objective and perceptual analysis of outcome of voice rehabilitation after laryngectomy in an Indian tertiary referral cancer centre.
abstract: Post laryngectomy voice rehabilitation is very challenging in centres with limited resources because of cost concerns and morbidity. A study of laryngectomised voice rehabilitated patients on follow up was performed to look into overall quality of life (QOL), morbidity and voice quality. Those patients who had visited head and neck surgical outpatient department during the period of January 2008 to October 2009 were evaluated for their QOL, morbidity and voice quality, objectively and subjectively. Voice rating and QOL rating showed a distinct discrepancy which could be explained by the morbidity recorded for surgical voice restoration in the present study. Voice rehabilitation strategy after laryngectomy in a low resource setting has to take in account financial social educational background of the patient besides technical issues.
authors.affiliation: Division of Surgical Oncology (Head and Neck Service), Regional Cancer Centre, Trivandrum, India.
authors.forename: B T
authors.initials: BT
authors.lastname: Varghese
authors.affiliation: Division of Clinical Epidemiology, Regional Cancer Centre, Trivandrum, India.
authors.forename: A
authors.initials: A
authors.lastname: Mathew
authors.affiliation: Department of Speech and Language Pathology, Mar Thoma College of Speech and Language, Kasargod, India.
authors.forename: S
authors.initials: S
authors.lastname: Sebastian
authors.affiliation: Division of Surgical Oncology (Head and Neck Service), Regional Cancer Centre, Trivandrum, India.
authors.forename: E M
authors.initials: EM
authors.lastname: Iype
authors.affiliation: Division of Surgical Oncology (Head and Neck Service), Regional Cancer Centre, Trivandrum, India.
authors.forename: P
authors.initials: P
authors.lastname: Sebastian
authors.affiliation: Department of Oncology, National Oncology Centre, Royal Hospital, Muscat, Oman.
authors.forename: B
authors.initials: B
authors.lastname: Rajan
keywords: Morbidity; Outcome; Post laryngectomy voice rehabilitation; QOL; Speech