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2016, vol. 15, iss. 4, pp. 379-393
Early vocal rehabilitation and its impact on the quality of life of laryngectomized patients
aJZU Bolnica 'Sveti Vračevi' Bijeljina, Bosna i Hercegovina + University of Belgrade, Faculty for Special Education and Rehabilitation, Serbia
bUniversity of Belgrade, Faculty for Special Education and Rehabilitation, Serbia
Laryngeal carcinoma is the most common malignant tumor of the head and neck, which leads to changes in the normal anatomical relationships in the neck, causing a communication disorder and changes in the patient's psychosocial status. The aim of this paper was to examine the quality of life of laryngectomized patients before and after vocal rehabilitation, and the importance of early intervention. The sample consisted of 50 patients who underwent total laryngectomy, aged 51 to 83. The survey was conducted at the Clinical Hospital 'Sveti Vračevi' in Bijeljina and Military Medical Academy in Belgrade, from April 2014 to November 2015. A subjective assessment of voice was conducted by means of Voice Handicap Index (VHI). Patients filled in a questionnaire for the first time when they registered with the speech therapy clinic before vocal rehabilitation, and for the second time after the end of the vocal rehabilitation. Statistical analysis was performed using the arithmetic mean of the corresponding standard deviation, minimum and maximum, frequency, percentages and t-test. The difference between groups was determined by single-factor analysis of variance (ANOVA). With regard to data obtained before vocal rehabilitation, all participants belonged to the group with severe speech disorder. After vocal rehabilitation, there was an improvement in all subsets of the scale and the total score. Vocal rehabilitation had a positive impact on physical, emotional and functional status of patients who underwent total laryngectomy, which resulted in the improvement of their life quality.
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article language: Serbian
document type: Original Scientific Paper
DOI: 10.5937/specedreh15-11697
published in SCIndeks: 02/02/2017
peer review method: double-blind
Creative Commons License 4.0

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