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Master Thesis

Parler après une cordectomie : intelligibilité et qualité de vie

Abstract : The ENT surgery impedes patients' communication. Extensive surgery as total laryngectomy changes drastically life of operated patients. But cordectomy, less visible, affects patients too. We wanted to understand patients' feelings after cordectomy. From the hearer with intelligibility assessment, then from the patient himself with self-assessment. Aims: assess intelligibility and speech related quality of life in patients after cordectomy and determine relation between both. Method: We assessed 17 patients with laser endoscopic cordectomy in the otolaryngology services of the " CHU Pellegrin " , Bordeaux. The survey consists in filming intelligibility assessment. The video was shown to voice experts and non-specialists. Then patients assessed their own quality of life with Speech Handicap Index. The survey was made at least 6 month after surgery. Results: Patients suffer from speech impairments which impede their social and familial life. Intelligibility assessment has shown phonemes alterations. Intelligibility changes with listener's expertise and is correlated with speech related quality of life. Conclusion: Speech self-assessment showed communication difficulties. It is interesting to work intelligibility in speech-therapy to improve communication and quality of life. Nevertheless, intelligibility assessment is difficult because it depends on hearer's expertise.
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Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Thursday, July 18, 2013 - 4:38:44 PM
Last modification on : Wednesday, August 23, 2017 - 4:41:30 PM
Long-term archiving on: : Saturday, October 19, 2013 - 7:25:47 AM


  • HAL Id : dumas-00846202, version 1



Anne Tribout. Parler après une cordectomie : intelligibilité et qualité de vie. Sciences cognitives. 2013. ⟨dumas-00846202⟩



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