Effect of esophageal voice training on patients’ life quality without laryngeal

Objective To evaluate the curative effects of esophageal voice training on life quality of laryngectomees .Methods Between June 2011 and June 2013 , 46 patients in clinical department who underwent total laryngectomies were trained by esophageal voice rehabilitation successfully .The questionnaires of performance status scale for head and neck cancer patients （ PPS-HN ） and quality of life instruments for cancer patients-head and neck cancer （ PLICP-HN） were answered by them before esophageal voice training and 3 months after successful vocal rehabilitation .Results Total laryngectomy deteriorated the performance status and life quality in laryngectomees , the mean score of PPS-HN scale was （160.76 ±78.05） evidently lower than the standard score of 300,and the difference was statistically significant （t=12.10,P〈0.05）.After successful esophageal speech training , the mean scores of the laryngectomees were significantly improved both in PPS-HN （217.28 ±57.66） and PLICO-HN（143.09 ±22.16） than before , and the differences were statistically significant（t=6.64,7.62,respectively;P〈0.05）.Conclusions The performance status and life quality of laryngectomees decline obviously , which can be improved by esophageal voice training . Key words: Laryngectomy; Esophageal voice training; Quality of life