Comparison of functional aspects and quality of life before and after using the heat and moisture exchange in total laryngectomy patients.

IF 0.8 Q4 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

CoDAS Pub Date : 2025-10-17 eCollection Date: 2025-01-01 DOI:10.1590/2317-1782/e20240282pt

Romulo da Silva Rodrigues, Victória Paes Leme da Silva, Leticia Cristina de Jesus Dos Santos, Guilherme Maia Zica, Mariana Pinheiro Brendim

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Abstract

Purpose: To compare self-assessment of voice handicap, sleep quality, and quality of life related to coughing and swallowing before and after using a heat and moisture exchange filter in total laryngectomized patients.

Methods: This was a prospective longitudinal study whose participants completed the Voice Handicap Index (VHI), Pittsburgh Sleep Quality Index (PSQI), Leicester Cough Questionnaire (LCQ), and MD Anderson Dysphagia Inventory (MDADI) at three times: (T1) before starting to use the heat and moisture exchange filter, (T2) 2 weeks after using it, and (T3) 4 weeks after using it.

Results: 14 participants (12 men) with a mean age of 66.4 ± 5.8 years. The medians of the total VHI score at T1, T2, and T3 were, respectively, 65.5 (47.5-86.3), 55.5 (39.5-71.3), and 44.5 (39-72), p=0.085. The medians of the PSQI score at T1, T2, and T3 were, respectively, 6.5 (4.25-11.8), 4.5 (2.25-10.8), and 3.0 (2.0-5.75), p=0.010. The medians of the total MDADI score at T1, T2, and T3 were, respectively, 78.6 (69.1-92.7), 76.3 (73.3-92.6), and 85.7 (72.7-94), p=0.571. The medians of the total LCQ score at T1, T2, and T3 were, respectively, 16.7 (13.1-18.5), 19.1 (17.4-19.4), and 19.0 (17.3-19.9), p=0.002.

Conclusion: The total laryngectomized patients participating in this study self-assessed an improvement in the emotional domain of voice handicap, sleep quality, and cough-related quality of life after 2 weeks of using a heat and moisture exchange filter. They also maintained the perception of improvement after 4 weeks of using the device.

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全喉切除术患者使用湿热交换术前后功能方面和生活质量的比较。

目的：比较全喉切除术患者使用热湿交换过滤器前后与咳嗽和吞咽相关的语音障碍、睡眠质量和生活质量的自我评估。方法：本研究为前瞻性纵向研究，受试者分别在使用热湿交换过滤器前（T1）、使用后2周（T2）和使用后4周（T3）三次完成语音障碍指数（VHI）、匹兹堡睡眠质量指数（PSQI）、莱斯特咳嗽问卷（LCQ）和MD安德森吞咽困难量表（MDADI）。结果：14例患者（男性12例），平均年龄66.4±5.8岁。T1、T2、T3时VHI总分中位数分别为65.5（47.5-86.3）、55.5（39.5-71.3）、44.5 (39-72),p=0.085。T1、T2、T3时PSQI评分中位数分别为6.5（4.25 ~ 11.8）、4.5（2.25 ~ 10.8）、3.0 (2.0 ~ 5.75),p=0.010。T1、T2、T3时mddi总分中位数分别为78.6（69.1-92.7）、76.3（73.3-92.6）、85.7 (72.7-94),p=0.571。T1、T2、T3时LCQ总分中位数分别为16.7（13.1-18.5）、19.1（17.4-19.4）、19.0 (17.3-19.9),p=0.002。结论：参与本研究的全喉切除患者在使用热湿交换过滤器2周后，自我评估语音障碍情绪领域、睡眠质量和咳嗽相关生活质量的改善。在使用该设备4周后，他们也保持了改善的感觉。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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