Long-term effects of voice training and swallowing function exercises on postoperative functional recovery in laryngeal cancer patients: a retrospective cohort study.
- 1Department of Gynecology, Shanxi Province Cancer Hospital, Shanxi Hospital Affiliated to Cancer Hospital, Chinese Academy of Medical Sciences, Cancer Hospital Affiliated to Shanxi Medical University, Taiyuan City, Shanxi Province, 030013, China.
- 2Department of Head and Neck Surgery, Shanxi Province Cancer Hospital, Shanxi Hospital Affiliated to Cancer Hospital, Chinese Academy of Medical Sciences, Cancer Hospital Affiliated to Shanxi Medical University, Taiyuan City, Shanxi Province, 030013, China.
- 3Department of Intensive Care Unit, Shanxi Province Cancer Hospital, Shanxi Hospital Affiliated to Cancer Hospital, Chinese Academy of Medical Sciences, Cancer Hospital Affiliated to Shanxi Medical University, Taiyuan City, Shanxi Province, 030013, China. [email protected].
Abstract
Objective
To investigate the long-term effects of combined voice training and swallowing function exercises on functional recovery, quality of life, and complications in patients after laryngeal cancer surgery.Methods
In this retrospective cohort study, 120 patients who underwent laryngeal cancer surgery between June 2019 and June 2023 were divided into a rehabilitation group (n = 60, receiving systematic voice and swallowing training) and a routine care group (n = 60). Voice Handicap Index (VHI), Swallowing Function Scale (SFS), and EQ-5D were used to assess outcomes at 6, 12, and 24 months postoperatively. Complications were also recorded. RESULTS : At 12 months postoperatively, the rehabilitation group showed significantly better outcomes than the routine care group: lower VHI score (35.25 ± 5.12 vs. 58.70 ± 6.84, P < 0.001), lower dysphagia incidence (10.00% vs. 30.00%, P = 0.008), higher EQ-5D index (0.82 ± 0.09 vs. 0.68 ± 0.11, P < 0.001), lower total complication rate (11.67% vs. 26.67%, P = 0.032), and higher satisfaction score (87.80 ± 7.93 vs. 72.21 ± 9.22, P < 0.001). Multivariate analysis confirmed comprehensive rehabilitation as an independent protective factor for voice function (β = -9.215, P < 0.001), swallowing function (β = -3.268, P < 0.001), and complication reduction (OR = 0.218, P < 0.001).Conclusion
Systematic combined voice and swallowing rehabilitation training can effectively promote functional recovery, significantly improve long-term quality of life, and reduce the risk of postoperative complications in laryngeal cancer patients.
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BibTeX
@article{liu2026longterm,
title = {{Long-term effects of voice training and swallowing function exercises on postoperative functional recovery in laryngeal cancer patients: a retrospective cohort study.}},
author = {Jing Liu and Gaiping Fan and Wenjuan Li},
journal = {Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer},
year = {2026},
month = oct,
doi = {10.1007/s00520-026-11302-9},
url = {https://europepmc.org/article/MED/42886344},
note = {CC BY-NC-ND},
}
RIS
TY - JOUR
TI - Long-term effects of voice training and swallowing function exercises on postoperative functional recovery in laryngeal cancer patients: a retrospective cohort study.
AU - Jing Liu
AU - Gaiping Fan
AU - Wenjuan Li
PY - 2026
DA - 2026/10/16
JO - Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer
DO - 10.1007/s00520-026-11302-9
UR - https://europepmc.org/article/MED/42886344
AB - Objective To investigate the long-term effects of combined voice training and swallowing function exercises on functional recovery, quality of life, and complications in patients after laryngeal cancer surgery.Methods In this retrospective cohort study, 120 patients who underwent laryngeal cancer surgery between June 2019 and June 2023 were divided into a rehabilitation group (n = 60, receiving systematic voice and swallowing training) and a routine care group (n = 60). Voice Handicap Index (VHI), Swallowing Function Scale (SFS), and EQ-5D were used to assess outcomes at 6, 12, and 24 months postoperatively. Complications were also recorded. RESULTS : At 12 months postoperatively, the rehabilitation group showed significantly better outcomes than the routine care group: lower VHI score (35.25 ± 5.12 vs. 58.70 ± 6.84, P < 0.001), lower dysphagia incidence (10.00% vs. 30.00%, P = 0.008), higher EQ-5D index (0.82 ± 0.09 vs. 0.68 ± 0.11, P < 0.001), lower total complication rate (11.67% vs. 26.67%, P = 0.032), and higher satisfaction score (87.80 ± 7.93 vs. 72.21 ± 9.22, P < 0.001). Multivariate analysis confirmed comprehensive rehabilitation as an independent protective factor for voice function (β = -9.215, P < 0.001), swallowing function (β = -3.268, P < 0.001), and complication reduction (OR = 0.218, P < 0.001).Conclusion Systematic combined voice and swallowing rehabilitation training can effectively promote functional recovery, significantly improve long-term quality of life, and reduce the risk of postoperative complications in laryngeal cancer patients.
SN - 0941-4355
SN - 1433-7339
ER -