title: The effects of indwelling voice prosthesis on the quality of life, depressive symptoms, and self-esteem in patients with total laryngectomy.
abstract: This study aims to evaluate the effects of voice rehabilitation with indwelling voice prosthesis on quality of life, depression, anxiety, self-esteem, and sexual functions in laryngectomy patients. Provox-1 was applied to 30 patients who underwent total laryngectomy by opening a tracheoesophageal fistula. WHO Quality of Life-BREF, Beck Depression Inventory, Beck Anxiety Inventory, Rosenberg Self-Esteem Scale, Arizona Sexual Experience Scale forms were asked to be filled out by the patients before voice prosthesis application. These tests were asked to be filled out again 3 months later after the voice prosthesis application. Paired samples and Wilcoxon tests were used to compare before and after operation values. Indwelling voice prosthesis was found to improve quality of life, self-esteem, and sexual function (p < 0.05). Additionally, symptoms of depression and anxiety were regressed (p < 0.05). Indwelling voice prosthesis was found to especially increase the quality of life and decrease depression (p < 0.05). This study is an uncontrolled single-arm study comparing patients' psychosocial statuses pre- and post-voice prosthesis.
authors.affiliation: Department of ORL and Head and Neck Surgery, Istanbul Medical Faculty, University of Istanbul, Fatih, 34270, Istanbul, Turkey. beldanmdpolat@yahoo.com.
authors.forename: Beldan
authors.initials: B
authors.lastname: Polat
authors.affiliation: Department of ORL and Head and Neck Surgery, Istanbul Medical Faculty, University of Istanbul, Fatih, 34270, Istanbul, Turkey.
authors.forename: Kadir Serkan
authors.initials: KS
authors.lastname: Orhan
authors.affiliation: ORL Department, Ministry of Health Agri State Hospital, Agri, Turkey.
authors.forename: Mustafa Caner
authors.initials: MC
authors.lastname: Kesimli
authors.affiliation: Department of Psychiatry, Faculty of Medicine, Trakya University, Edirne, Turkey.
authors.forename: Yasemin
authors.initials: Y
authors.lastname: Gorgulu
authors.affiliation: Department of ORL and Head and Neck Surgery, Istanbul Medical Faculty, University of Istanbul, Fatih, 34270, Istanbul, Turkey.
authors.forename: Murat
authors.initials: M
authors.lastname: Ulusan
authors.affiliation: Department of ORL and Head and Neck Surgery, Istanbul Medical Faculty, University of Istanbul, Fatih, 34270, Istanbul, Turkey.
authors.forename: Kemal
authors.initials: K
authors.lastname: Deger
mesh_terms: D000368:Aged; D003863:Depression / Q000628:therapy*; D006801:Humans; D007825:Laryngectomy / Q000534:rehabilitation*; D007831:Larynx, Artificial; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D012649:Self Concept; D011795:Surveys and Questionnaires
keywords: Anxiety; Quality of life; Self-esteem; Total laryngectomy; Voice prosthesis