Profile and speech-language rehabilitation of patients with laryngeal cancer

Figueiredo, Isabel Cristina; Vendramini, Silvia Helena Figueiredo; Lourenção, Luciano Garcia; Sasaki, Natália Sperli Geraldes Marin dos Santos; Maniglia, José Vitor; Padovani Junior, João Armando; Raposo, Luiz Sergio; Santos, Maria de Lourdes Sperli Geraldes

Isabel Cristina Figueiredo

Faculdade de Medicina de São José do Rio Preto – FAMERP - São José do Rio Preto (SP), Brasil.

http://orcid.org/0000-0003-0717-3361

Silvia Helena Figueiredo Vendramini

Faculdade de Medicina de São José do Rio Preto – FAMERP - São José do Rio Preto (SP), Brasil.

http://orcid.org/0000-0001-7519-1735

Luciano Garcia Lourenção

Universidade Federal do Rio Grande – FURG - Rio Grande (RS), Brasil.

http://orcid.org/0000-0002-1240-4702

Natália Sperli Geraldes Marin dos Santos Sasaki

União das Faculdades dos Grandes Lagos – UNILAGO - São José do Rio Preto (SP), Brasil.

http://orcid.org/0000-0002-8627-9713

José Vitor Maniglia

Faculdade de Medicina de São José do Rio Preto – FAMERP - São José do Rio Preto (SP), Brasil.

http://orcid.org/0000-0002-9765-2659

João Armando Padovani Junior

Faculdade de Medicina de São José do Rio Preto – FAMERP - São José do Rio Preto (SP), Brasil.

http://orcid.org/0000-0002-2706-4579

Luiz Sergio Raposo

Faculdade de Medicina de São José do Rio Preto – FAMERP - São José do Rio Preto (SP), Brasil.

http://orcid.org/0000-0002-1594-961X

Maria de Lourdes Sperli Geraldes Santos

Faculdade de Medicina de São José do Rio Preto – FAMERP - São José do Rio Preto (SP), Brasil.

http://orcid.org/0000-0001-6110-619X

Conflict of interests: nothing to declare.

Correspondence address: Isabel Cristina Figueiredo Departamento de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, Faculdade de Medicina de São José do Rio Preto – FAMERP Av. Brigadeiro Faria Lima, 5416, Vila São Pedro, São José do Rio Preto (SP), Brasil, CEP: 15090-000. E-mail: belfigueiredo1@hotmail.com

Author contributions ICF and SHFV participated in the idealization of the study, data collection, analysis and interpretation, and article writing; LGL, NSGMSS, JVM, JAPJ, and LSR participated in the article writing and critical review of the intellectual content; MLSGS participated in the idealization of the study, analysis, data interpretation, and article writing, in the condition of guide.

Socio-demographic variables	n	%
Gender	204	100
Female	10	4.90
Male	194	95.10
Age range	204	100
20 to 59 years old	95	46.57
Above 60 years old	109	53.43
Education ^* * The n presented differs from the total due to unanswered variables	137	100
No education	16	11.68
Elementary school	106	77.37
High school	13	9.49
College degree	2	1.46
Occupation (industries)	204	100
Agriculture	34	16.67
Commerce	17	8.33
Services	90	44.12
Others	63	30.88
Habits*	196	100
None	4	2.04
Smoking	32	16.33
Smoking/alcohol consumption	160	81.63

Clinical variables	n	%
Tumor stage ^* * The n presented differs from the total due to unanswered variables	125	100
T1	35	28.00
T2	16	12.80
T3	38	30.40
T4	36	28.80
Presence of nodes^*	125	100
No	90	72.00
Yes	35	28.00
Metastasis*	125	100
No	107	85.60
Yes	18	14.40
Therapeutic procedure*	204	100
Partial laryngectomy	21	10.29
Complete laryngectomy	139	68.14
Chemotherapy/radiotherapy	44	21.57

Speech-language rehabilitation variables	n	%
Alterations in stomatognathic system function	204	100
Alterations in the tongue	47	23.04
No alterations	157	76.96
Alterations in neurovegetative system function	204	100
Speech/voice	154	75.49
Speech/voice/swallowing	50	24.51
Development of oral communication	204	100
No	73	35.78
Yes	131	64.22
Speech-language therapy outcome	204	100
Development of written and gestural communication	44	21.57
Development of gestural communication	29	14.22
Improvement of dysphagia/dysphonia	33	16.18
Improvement of dysphonia	32	15.69
Development of oral communication with electrolarynx	20	9.80
Development of oral communication with esophageal voice	46	22.55

Socio-demographic and clinical variables	Speech-language therapy outcome
	Written and gestural communication		Gestural communication		Improvement of dysphagia and dysphonia		Improvement of dysphonia		Electrolarynx		Esophageal voice
	n	%	n	%	n	%	n	%	n	%	n	%
Age range (p=0.445) ¹ 1 Valor p referente ao teste quiquadrado;
20 to 59 years old	22	23.16	9	9.47	16	16.84	13	13.68	11	11.58	24	25.26
Above 60 years old	22	20.18	20	18.35	17	15.60	19	17.43	9	8.26	22	20.18
Education ² 2 Dois doentes que apresentaram nível superior foram retirados da análise associativa por falta de representatividade amostral; (p<0.001)¹
No education	0	0.00	9	56.25	2	12.50	3	18.75	1	6.25	1	6.25
Elementary school	23	21.70	7	6.60	21	19.81	24	22.64	10	9.43	21	19.81
High school	2	15.38	1	7.69	4	30.77	0	0.00	4	30.77	2	15.38
Occupation (p=0.801)¹
Agriculture	8	23.53	6	17.65	4	11.76	5	14.71	2	5.88	9	26.47
Commerce	4	23.53	2	11.76	3	17.65	1	5.88	1	5.88	6	35.29
Services	22	24.44	9	10.00	17	18.89	15	16.67	11	12.22	16	17.78
Other	10	15.87	12	19.05	9	14.29	11	17.46	6	9.52	15	23.81
Tumor stage (p<0.001)¹
Grade I tumor - T1	2	5.71	1	2.86	12	34.29	17	48.57	2	5.71	1	2.86
Grade II tumor - T2	1	6.25	3	18.75	7	43.75	2	12.50	2	12.50	1	6.25
Grade III tumor - T3	12	31.58	6	15.79	1	2.63	2	5.26	3	7.89	14	36.84
Grade IV tumor - T4	6	16.67	6	16.67	10	27.78	3	8.33	7	19.44	4	11.11
Presence of nodes (p=0.274)¹
No	12	13.33	11	12.22	23	25.56	21	23.33	10	11.11	13	14.44
Yes	9	25.71	5	14.29	7	20.00	3	8.57	4	11.43	7	20.00
Metastasis (p=0.137)¹
No	18	16.82	11	10.28	28	26.17	23	21.50	11	10.28	16	14.95
Yes	3	16.67	5	27.78	2	11.11	1	5.56	3	16.67	4	22.22
Habits ³ 3 Quatro doentes que não apresentaram nenhum dos hábitos mencionados foram retirados da análise associativa por falta de representatividade amostral (p=0.019)¹
Smoking	6	18.75	2	6.25	9	28.13	8	25.00	4	12.50	3	9.38
Smoking/alcohol consumption	38	23.75	26	16.25	21	13.13	17	10.63	16	10.00	42	26.25
Therapeutic procedure (p<0.001)¹
Partial laryngectomy	0	0.00	0	0.00	7	38.89	11	61.11	0	0.00	0	0.00
Complete laryngectomy	44	30.99	29	20.42	1	0.70	2	1.41	20	14.08	46	32.39
Chemo- and radiotherapy	0	0.00	0	0.00	25	56.82	19	43.18	0	0.00	0	0.00

[1] Conflict of interests: nothing to declare.

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Profile and speech-language rehabilitation of patients with laryngeal cancer

ABSTRACT

Purpose

Methods

Results

Conclusion