title: [Larynx cancer: quality of life and voice after treatment].
abstract: BACKGROUND
  Treatments for patients with laryngeal cancer often have an impact on physical, social, and psychological functions.
  
  
  OBJECTIVE
  To evaluate quality of life and voice in patients treated for advanced laryngeal cancer through surgery or exclusive chemoradiation.
  
  
  METHODS
  Retrospective cohort study with 30 patients free from disease: ten total laryngectomy patients without production of esophageal speech (ES); ten total laryngectomy patients with tracheoesophageal speech (TES), and ten with laryngeal speech. Quality of life was measured by SF-36, Voice-Related Quality of Life (V-RQOL), and Voice Handicap Index (VHI) protocols, applied on the same day.
  
  
  RESULTS
  The SF-36 showed that patients who received exclusive chemoradiotherapy had better quality of life than the TES and ES groups. The V-RQOL showed that the voice-related quality of life was lower in the ES group. In the VHI, the ES group showed higher scores for overall, emotional, functional, and organic VHI.
  
  
  CONCLUSIONS
  Quality of life and voice in patients treated with chemoradiotherapy was better than in patients treated surgically.
  
  
  CONCLUSIONS
  The type of medical treatment used in patients with laryngeal cancer can bring changes in quality of life and voice.
authors.affiliation: Speech Therapy Rehabilitation after Head and Neck Surgery, Universidade Estadual de Campinas (UNICAMP), Campinas, SP, Brazil. Electronic address: vanelicolombo@ig.com.br.
authors.forename: Vaneli Colombo
authors.initials: VC
authors.lastname: Rossi
authors.affiliation: Discipline of Otorhinolaryngology, Head and Neck, Universidade Estadual de Campinas (UNICAMP), Campinas, SP, Brazil.
authors.forename: Fernando Laffitte
authors.initials: FL
authors.lastname: Fernandes
authors.affiliation: Discipline of Otorhinolaryngology, Head and Neck, Universidade Estadual de Campinas (UNICAMP), Campinas, SP, Brazil.
authors.forename: Maria Augusta Aliperti
authors.initials: MA
authors.lastname: Ferreira
authors.affiliation: Discipline of Otorhinolaryngology, Head and Neck, Universidade Estadual de Campinas (UNICAMP), Campinas, SP, Brazil.
authors.forename: Lucas Ricci
authors.initials: LR
authors.lastname: Bento
authors.affiliation: Discipline of Otorhinolaryngology, Head and Neck, Universidade Estadual de Campinas (UNICAMP), Campinas, SP, Brazil.
authors.forename: Pablo Soares Gomes
authors.initials: PS
authors.lastname: Pereira
authors.affiliation: Discipline of Otorhinolaryngology, Head and Neck, Universidade Estadual de Campinas (UNICAMP), Campinas, SP, Brazil.
authors.forename: Carlos Takahiro
authors.initials: CT
authors.lastname: Chone
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D015331:Cohort Studies; D005260:Female; D006801:Humans; D007822:Laryngeal Neoplasms / Q000523:psychology* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D011788:Quality of Life / Q000523:psychology*; D012189:Retrospective Studies; D013072:Speech, Esophageal / Q000523:psychology; D011795:Surveys and Questionnaires; D014833:Voice Quality
keywords: Carcinoma de células escamosas; Laryngeal neoplasms; Neoplasias laríngeas; Squamous cell carcinoma; Voice; Voz