TY  - JOUR
AU  - Bunijevac, Mila
AU  - Petrović-Lazić, Mirjana
AU  - Maksimović, Siniša
PY  - 2019
UR  - http://rfasper.fasper.bg.ac.rs/handle/123456789/1331
AB  - Introduction. Larynx carcinoma is one of the most common malignant tumors of the upper aerodigestive tract that causes the change in normal anatomical relationships in the neck, which leads to communication and social interaction disorders. The aim of the paper is to examine the impact of education on the quality of life of laryngectomized patients. Methods.The study included 50 laryngectomized patients, aged 51 to 83 years. The subjective voice assessment was carried out using the Voice Handicap Index (VHI) and the University of Michigan Head & Neck Quality of Life Instrument (HNQOL). The patients filled in the questionnaires before and after vocal rehabilitation. Results. The comparison of average scores of all examined laryngectomized patients before and after vocal rehabilitiation showed a statistically significant difference in the total score on VHI scale (107.20 ± 8.46 vs. 21.32 ± 13.29; p   lt 0.001), HNQO scale (52.50 ± 17.71 vs. 93.57 ± 6.36; p   lt 0.001), as well as on all subscales. Prior to vocal rehabilitation, there was no statistically significant difference between the scores on these two scales in patients with different level of education. After vocal rehabilitation, there was a statistically significant difference between the patients with secondary education and the ones with tertiary education in the scores on all VHI subscales, and total VHI score (23.60 ± 13.54 vs. 18.83 ± 11.59; p = 0.012), as well as in the scores for individual domains and the total score of HNQOL instrument (88.90 ± 6.58 vs. 99.80 ± 4.25; p = 0.048). Conclusion. Vocal rehabilitation after total laryngectomy had a positive effect on patients' quality of life, and patients with higher education showed a tendency towards better quality of life compared to the ones with lower education.
AB  - Uvod. Karcinom larinksa je jedan od najčešćih malignih tumora gornjeg aerodigestivnog trakta, koji dovodi do promene normalnih anatomskih odnosa u vratu, što izaziva poremećaj komunikacije i socijalne interakcije. Cilj rada je ispitati uticaj obrazovanja na kvalitet života laringektomisanih bolesnika. Metode. Istraživanje je obuhvatilo 50 bolesnika kojima je urađena totalna laringektomija, starosne dobi od 51 do 83 godine. Sprovedena je subjektivna procena glasa instrumentima Indeks glasovnog oštećenja (Voice Handicap Index - VHI) i Kvalitet života pacijenata sa karcinomom glave i vrata Univerziteta u Michigan-u (University of Michigan Head & Neck Quality of Life instrument-HNQOL). Pacijenti su upitnike popunjavali pre i posle vokalne rehabilitacije. Rezultati. Poređenje prosečnih vrednosti skorova svih ispitivanih laringektomisanih bolesnika pre i posle vokalne rehabilitacije pokazalo je značajnu razliku u ukupnom skoru na VHI skali (107,20 ± 8,46 vs. 21,32 ± 13,29; p   lt 0,001) i na HNQO skali (52,50 ± 17,71 vs. 93,57 ± 6,36; p   lt 0,001) kao i na svim subskalama. Između skorova dobijenih pomoću obe skale kod bolesnika sa različitim stepenom obrazovanja nije bilo razlike pre vokalne rehabilitacije. Posle vokalne rehabilatacije dokazana je statistički značajna razlika između bolesnika sa srednjim u odnosu na one sa višim/visokim obrazovanjem kako u skrovim svih VHI subskala i ukupnom VHI skoru (23,60 ± 13,54 vs. 18,83 ± 11,59; p = 0,012), tako i u skorovima pojedinih domena i ukupnom skoru HNQOL instrumenta (88,90 ± 6,58 vs. 99,80 ± 4,25; p= 0,048). Zaključak. Vokalna rehabilitacija nakon totalne laringektomije pozitivno je uticala na kvalitet života bolesnika, a bolesnici sa višim obrazovanjem imali su tendenciju ka boljem kvalitetu života u odnosu na one sa nižim obrazovanjem.
PB  - University of East Sarajevo
T2  - Biomedicinska istraživanja
T1  - Impact of education on quality of life of laryngectomized patients before and after vocal rehabilitation
T1  - Uticaj obrazovanja na kvalitet života laringektomisanih bolesnika pre i posle vokalne rehabilitacije
EP  - 37
IS  - 1
SP  - 30
VL  - 10
DO  - 10.7251/BII1901030B
ER  - 

@article{
author = "Bunijevac, Mila and Petrović-Lazić, Mirjana and Maksimović, Siniša",
year = "2019",
abstract = "Introduction. Larynx carcinoma is one of the most common malignant tumors of the upper aerodigestive tract that causes the change in normal anatomical relationships in the neck, which leads to communication and social interaction disorders. The aim of the paper is to examine the impact of education on the quality of life of laryngectomized patients. Methods.The study included 50 laryngectomized patients, aged 51 to 83 years. The subjective voice assessment was carried out using the Voice Handicap Index (VHI) and the University of Michigan Head & Neck Quality of Life Instrument (HNQOL). The patients filled in the questionnaires before and after vocal rehabilitation. Results. The comparison of average scores of all examined laryngectomized patients before and after vocal rehabilitiation showed a statistically significant difference in the total score on VHI scale (107.20 ± 8.46 vs. 21.32 ± 13.29; p   lt 0.001), HNQO scale (52.50 ± 17.71 vs. 93.57 ± 6.36; p   lt 0.001), as well as on all subscales. Prior to vocal rehabilitation, there was no statistically significant difference between the scores on these two scales in patients with different level of education. After vocal rehabilitation, there was a statistically significant difference between the patients with secondary education and the ones with tertiary education in the scores on all VHI subscales, and total VHI score (23.60 ± 13.54 vs. 18.83 ± 11.59; p = 0.012), as well as in the scores for individual domains and the total score of HNQOL instrument (88.90 ± 6.58 vs. 99.80 ± 4.25; p = 0.048). Conclusion. Vocal rehabilitation after total laryngectomy had a positive effect on patients' quality of life, and patients with higher education showed a tendency towards better quality of life compared to the ones with lower education., Uvod. Karcinom larinksa je jedan od najčešćih malignih tumora gornjeg aerodigestivnog trakta, koji dovodi do promene normalnih anatomskih odnosa u vratu, što izaziva poremećaj komunikacije i socijalne interakcije. Cilj rada je ispitati uticaj obrazovanja na kvalitet života laringektomisanih bolesnika. Metode. Istraživanje je obuhvatilo 50 bolesnika kojima je urađena totalna laringektomija, starosne dobi od 51 do 83 godine. Sprovedena je subjektivna procena glasa instrumentima Indeks glasovnog oštećenja (Voice Handicap Index - VHI) i Kvalitet života pacijenata sa karcinomom glave i vrata Univerziteta u Michigan-u (University of Michigan Head & Neck Quality of Life instrument-HNQOL). Pacijenti su upitnike popunjavali pre i posle vokalne rehabilitacije. Rezultati. Poređenje prosečnih vrednosti skorova svih ispitivanih laringektomisanih bolesnika pre i posle vokalne rehabilitacije pokazalo je značajnu razliku u ukupnom skoru na VHI skali (107,20 ± 8,46 vs. 21,32 ± 13,29; p   lt 0,001) i na HNQO skali (52,50 ± 17,71 vs. 93,57 ± 6,36; p   lt 0,001) kao i na svim subskalama. Između skorova dobijenih pomoću obe skale kod bolesnika sa različitim stepenom obrazovanja nije bilo razlike pre vokalne rehabilitacije. Posle vokalne rehabilatacije dokazana je statistički značajna razlika između bolesnika sa srednjim u odnosu na one sa višim/visokim obrazovanjem kako u skrovim svih VHI subskala i ukupnom VHI skoru (23,60 ± 13,54 vs. 18,83 ± 11,59; p = 0,012), tako i u skorovima pojedinih domena i ukupnom skoru HNQOL instrumenta (88,90 ± 6,58 vs. 99,80 ± 4,25; p= 0,048). Zaključak. Vokalna rehabilitacija nakon totalne laringektomije pozitivno je uticala na kvalitet života bolesnika, a bolesnici sa višim obrazovanjem imali su tendenciju ka boljem kvalitetu života u odnosu na one sa nižim obrazovanjem.",
publisher = "University of East Sarajevo",
journal = "Biomedicinska istraživanja",
title = "Impact of education on quality of life of laryngectomized patients before and after vocal rehabilitation, Uticaj obrazovanja na kvalitet života laringektomisanih bolesnika pre i posle vokalne rehabilitacije",
pages = "37-30",
number = "1",
volume = "10",
doi = "10.7251/BII1901030B"
}

Bunijevac, M., Petrović-Lazić, M.,& Maksimović, S.. (2019). Impact of education on quality of life of laryngectomized patients before and after vocal rehabilitation. in Biomedicinska istraživanja
University of East Sarajevo., 10(1), 30-37.
https://doi.org/10.7251/BII1901030B

Bunijevac M, Petrović-Lazić M, Maksimović S. Impact of education on quality of life of laryngectomized patients before and after vocal rehabilitation. in Biomedicinska istraživanja. 2019;10(1):30-37.
doi:10.7251/BII1901030B .

Bunijevac, Mila, Petrović-Lazić, Mirjana, Maksimović, Siniša, "Impact of education on quality of life of laryngectomized patients before and after vocal rehabilitation" in Biomedicinska istraživanja, 10, no. 1 (2019):30-37,
https://doi.org/10.7251/BII1901030B . .

TY  - JOUR
AU  - Bunijevac, Mila
AU  - Petrović-Lazić, Mirjana
AU  - Jovanović-Simić, Nadica
AU  - Maksimović, Siniša
PY  - 2018
UR  - http://rfasper.fasper.bg.ac.rs/handle/123456789/2897
T2  - IJMAMR
T1  - Quality of life of patients with vocal fold nodules before and after vocal therapy
EP  - 16
IS  - 6
SP  - 12
UR  - https://hdl.handle.net/21.15107/rcub_rfasper_2897
ER  - 

@article{
author = "Bunijevac, Mila and Petrović-Lazić, Mirjana and Jovanović-Simić, Nadica and Maksimović, Siniša",
year = "2018",
journal = "IJMAMR",
title = "Quality of life of patients with vocal fold nodules before and after vocal therapy",
pages = "16-12",
number = "6",
url = "https://hdl.handle.net/21.15107/rcub_rfasper_2897"
}

Bunijevac, M., Petrović-Lazić, M., Jovanović-Simić, N.,& Maksimović, S.. (2018). Quality of life of patients with vocal fold nodules before and after vocal therapy. in IJMAMR(6), 12-16.
https://hdl.handle.net/21.15107/rcub_rfasper_2897

Bunijevac M, Petrović-Lazić M, Jovanović-Simić N, Maksimović S. Quality of life of patients with vocal fold nodules before and after vocal therapy. in IJMAMR. 2018;(6):12-16.
https://hdl.handle.net/21.15107/rcub_rfasper_2897 .

Bunijevac, Mila, Petrović-Lazić, Mirjana, Jovanović-Simić, Nadica, Maksimović, Siniša, "Quality of life of patients with vocal fold nodules before and after vocal therapy" in IJMAMR, no. 6 (2018):12-16,
https://hdl.handle.net/21.15107/rcub_rfasper_2897 .

TY  - JOUR
AU  - Bunijevac, Mila
AU  - Petrović-Lazić, Mirjana
AU  - Jovanović-Simić, Nadica
AU  - Maksimović, Siniša
PY  - 2018
UR  - http://rfasper.fasper.bg.ac.rs/handle/123456789/1154
AB  - Introduction: One of the most common malignant tumors of the head and neck is laryngeal cancer. Total laryngectomy leads to sustained loss of larynx, which disrupts normal anatomical relationships in the neck, causing a disorder of communication and social interaction of the patient. Objective: The aim of this research is to determine the impact of radiotherapy on the quality of life of laryngectomized patients after vocal rehabilitation. Method: The study involved 50 patients after total laryngectomy. The age of the subjects ranged from 51 to 83 years. One-factor variance analysis (ANOVA) tested the differences between the average achievements on VHI and HNQOL scales before and after vocal rehabilitation. This scale can provide information about the degree of speech disability experienced by the patient himself, then the patient's satisfaction with treatment or treatment and the impact that he has vocal rehabilitation on the quality of his life before and after treatment. Results: In our study, patients who underwent radical surgical intervention reported better quality of life compared to patients who underwent other combined treatment modalities. It was found that statistically significant differences exist on all the supersales of both scales. Statistical significance was defined at the probability level of the zero hypothesis from p ≤ 0.05 to p  lt  0.001. Conclusion: Successful vocal rehabilitation is an important factor in the quality of life of patients after total laryngectomy and represents an exit from social isolation.
AB  - Uvod: Jedan od najčešćih malignih tumora glave i vrata jeste karcinom larinksa. Totalna laringektomija dovodi do trajnog gubitka larinksa čime se narušavaju normalni anatomski odnosi u vratu, što izaziva poremećaj komunikacije i socijalne interakcije pacijenta. Cilj: Cilj ovog istraživanja je da se utvrdi koliki uticaj ima radioterapija na kvalitet života laringektomiranih pacijenata nakon vokalne rehabilitacije. Metod rada: U istraživanju je učestvovalo 50 pacijenata nakon totalne laringektomije. Starost ispitanika kretala se od 51 do 83 godine. Jednofaktorskom analizom varijanse (ANOVA) izvršeno je testiranje razlika između prosečnih postignuća na VHI i HNQOL skali pre i posle vokalne rehabilitacije. Ovim skalama možemo doći do informacije o stepenu govorne invalidnosti koju doživljava sam pacijent, zatim zadovoljstvom pacijenta primenjenim lečenjem ili tretmanom i uticaju koji ima vokalna rehabilitacija na kvaliteta njegovog života pre i nakon tretmana. Rezultati: U našoj studiji pacijenti koji su podvrgnuti radikalnoj hirurškoj intervenciji prijavili su bolji kvalitet života u poređenju sa pacijentima koji su bili podvrgnuti drugim kombinovanim modalitetima lečenja. Ustanovljeno je da statistički značajne razlike postoje na svim supskalama obe skale. Statistička značajnost definisana je na nivou verovatnoće nulte hipoteze od p ≤ 0,05 do p  lt  0,001. Zaključak: Uspešna vokalna rehabilitacija je važan faktor kvalitetnog života pacijenata nakon totalne laringektomije i predstavlja izlaz iz društvene izolacije.
PB  - Srpsko lekarsko društvo - Podružnica Zaječar, Zaječar
T2  - Timočki medicinski glasnik
T1  - The influence of radiotherapy on the quality of life of laringectomated patients before and after vocal rehabilitation
T1  - Uticaj radioterapije na kvalitet života laringektomiranih pacijenata pre i posle vokalne rehabilitacije
EP  - 48
IS  - 2
SP  - 41
VL  - 43
DO  - 10.5937/tmg1802041B
ER  - 

@article{
author = "Bunijevac, Mila and Petrović-Lazić, Mirjana and Jovanović-Simić, Nadica and Maksimović, Siniša",
year = "2018",
abstract = "Introduction: One of the most common malignant tumors of the head and neck is laryngeal cancer. Total laryngectomy leads to sustained loss of larynx, which disrupts normal anatomical relationships in the neck, causing a disorder of communication and social interaction of the patient. Objective: The aim of this research is to determine the impact of radiotherapy on the quality of life of laryngectomized patients after vocal rehabilitation. Method: The study involved 50 patients after total laryngectomy. The age of the subjects ranged from 51 to 83 years. One-factor variance analysis (ANOVA) tested the differences between the average achievements on VHI and HNQOL scales before and after vocal rehabilitation. This scale can provide information about the degree of speech disability experienced by the patient himself, then the patient's satisfaction with treatment or treatment and the impact that he has vocal rehabilitation on the quality of his life before and after treatment. Results: In our study, patients who underwent radical surgical intervention reported better quality of life compared to patients who underwent other combined treatment modalities. It was found that statistically significant differences exist on all the supersales of both scales. Statistical significance was defined at the probability level of the zero hypothesis from p ≤ 0.05 to p  lt  0.001. Conclusion: Successful vocal rehabilitation is an important factor in the quality of life of patients after total laryngectomy and represents an exit from social isolation., Uvod: Jedan od najčešćih malignih tumora glave i vrata jeste karcinom larinksa. Totalna laringektomija dovodi do trajnog gubitka larinksa čime se narušavaju normalni anatomski odnosi u vratu, što izaziva poremećaj komunikacije i socijalne interakcije pacijenta. Cilj: Cilj ovog istraživanja je da se utvrdi koliki uticaj ima radioterapija na kvalitet života laringektomiranih pacijenata nakon vokalne rehabilitacije. Metod rada: U istraživanju je učestvovalo 50 pacijenata nakon totalne laringektomije. Starost ispitanika kretala se od 51 do 83 godine. Jednofaktorskom analizom varijanse (ANOVA) izvršeno je testiranje razlika između prosečnih postignuća na VHI i HNQOL skali pre i posle vokalne rehabilitacije. Ovim skalama možemo doći do informacije o stepenu govorne invalidnosti koju doživljava sam pacijent, zatim zadovoljstvom pacijenta primenjenim lečenjem ili tretmanom i uticaju koji ima vokalna rehabilitacija na kvaliteta njegovog života pre i nakon tretmana. Rezultati: U našoj studiji pacijenti koji su podvrgnuti radikalnoj hirurškoj intervenciji prijavili su bolji kvalitet života u poređenju sa pacijentima koji su bili podvrgnuti drugim kombinovanim modalitetima lečenja. Ustanovljeno je da statistički značajne razlike postoje na svim supskalama obe skale. Statistička značajnost definisana je na nivou verovatnoće nulte hipoteze od p ≤ 0,05 do p  lt  0,001. Zaključak: Uspešna vokalna rehabilitacija je važan faktor kvalitetnog života pacijenata nakon totalne laringektomije i predstavlja izlaz iz društvene izolacije.",
publisher = "Srpsko lekarsko društvo - Podružnica Zaječar, Zaječar",
journal = "Timočki medicinski glasnik",
title = "The influence of radiotherapy on the quality of life of laringectomated patients before and after vocal rehabilitation, Uticaj radioterapije na kvalitet života laringektomiranih pacijenata pre i posle vokalne rehabilitacije",
pages = "48-41",
number = "2",
volume = "43",
doi = "10.5937/tmg1802041B"
}

Bunijevac, M., Petrović-Lazić, M., Jovanović-Simić, N.,& Maksimović, S.. (2018). The influence of radiotherapy on the quality of life of laringectomated patients before and after vocal rehabilitation. in Timočki medicinski glasnik
Srpsko lekarsko društvo - Podružnica Zaječar, Zaječar., 43(2), 41-48.
https://doi.org/10.5937/tmg1802041B

Bunijevac M, Petrović-Lazić M, Jovanović-Simić N, Maksimović S. The influence of radiotherapy on the quality of life of laringectomated patients before and after vocal rehabilitation. in Timočki medicinski glasnik. 2018;43(2):41-48.
doi:10.5937/tmg1802041B .

Bunijevac, Mila, Petrović-Lazić, Mirjana, Jovanović-Simić, Nadica, Maksimović, Siniša, "The influence of radiotherapy on the quality of life of laringectomated patients before and after vocal rehabilitation" in Timočki medicinski glasnik, 43, no. 2 (2018):41-48,
https://doi.org/10.5937/tmg1802041B . .

TY  - JOUR
AU  - Bunijevac, Mila
AU  - Petrović-Lazić, Mirjana
AU  - Jovanović-Simić, Nadica
AU  - Kulić, Milan
AU  - Maksimović, Siniša
PY  - 2017
UR  - http://rfasper.fasper.bg.ac.rs/handle/123456789/2707
T2  - Svet rada
T1  - Uticaj vokalne rehabilitacije na kvalitet života vokalnih profesionalaca
EP  - 57
IS  - 1
SP  - 51
VL  - 14
UR  - https://hdl.handle.net/21.15107/rcub_rfasper_2707
ER  - 

@article{
author = "Bunijevac, Mila and Petrović-Lazić, Mirjana and Jovanović-Simić, Nadica and Kulić, Milan and Maksimović, Siniša",
year = "2017",
journal = "Svet rada",
title = "Uticaj vokalne rehabilitacije na kvalitet života vokalnih profesionalaca",
pages = "57-51",
number = "1",
volume = "14",
url = "https://hdl.handle.net/21.15107/rcub_rfasper_2707"
}

Bunijevac, M., Petrović-Lazić, M., Jovanović-Simić, N., Kulić, M.,& Maksimović, S.. (2017). Uticaj vokalne rehabilitacije na kvalitet života vokalnih profesionalaca. in Svet rada, 14(1), 51-57.
https://hdl.handle.net/21.15107/rcub_rfasper_2707

Bunijevac M, Petrović-Lazić M, Jovanović-Simić N, Kulić M, Maksimović S. Uticaj vokalne rehabilitacije na kvalitet života vokalnih profesionalaca. in Svet rada. 2017;14(1):51-57.
https://hdl.handle.net/21.15107/rcub_rfasper_2707 .

Bunijevac, Mila, Petrović-Lazić, Mirjana, Jovanović-Simić, Nadica, Kulić, Milan, Maksimović, Siniša, "Uticaj vokalne rehabilitacije na kvalitet života vokalnih profesionalaca" in Svet rada, 14, no. 1 (2017):51-57,
https://hdl.handle.net/21.15107/rcub_rfasper_2707 .

TY  - BOOK
AU  - Bunijevac, Mila
AU  - Petrović-Lazić, Mirjana
AU  - Maksimović, Siniša
PY  - 2017
UR  - http://rfasper.fasper.bg.ac.rs/handle/123456789/2662
PB  - LAP Lambert Academic Publishing
T1  - Quality of life of patients after total laryngectomy
SP  - 56
UR  - https://hdl.handle.net/21.15107/rcub_rfasper_2662
ER  - 

@book{
author = "Bunijevac, Mila and Petrović-Lazić, Mirjana and Maksimović, Siniša",
year = "2017",
publisher = "LAP Lambert Academic Publishing",
title = "Quality of life of patients after total laryngectomy",
pages = "56",
url = "https://hdl.handle.net/21.15107/rcub_rfasper_2662"
}

Bunijevac, M., Petrović-Lazić, M.,& Maksimović, S.. (2017). Quality of life of patients after total laryngectomy. 
LAP Lambert Academic Publishing., 56.
https://hdl.handle.net/21.15107/rcub_rfasper_2662

Bunijevac M, Petrović-Lazić M, Maksimović S. Quality of life of patients after total laryngectomy. 2017;:56.
https://hdl.handle.net/21.15107/rcub_rfasper_2662 .

Bunijevac, Mila, Petrović-Lazić, Mirjana, Maksimović, Siniša, "Quality of life of patients after total laryngectomy" (2017):56,
https://hdl.handle.net/21.15107/rcub_rfasper_2662 .

TY  - CONF
AU  - Bunijevac, Mila
AU  - Petrović-Lazić, Mirjana
AU  - Jovanović-Simić, Nadica
AU  - Maksimović, Siniša
PY  - 2016
UR  - http://rfasper.fasper.bg.ac.rs/handle/123456789/4195
AB  - Objective. The aim of this study was to assess the quality of life of patients after
total laryngectomy and to determine the influence of a vocal rehabilitation on the
improvement of the quality of life of these patients.
Methods. The study included 45 patients, 25 patients were in the experimental
group and 20 patients were in the control group. The experimental group consisted of
male respondents after total laryngectomy who mastered esophageal speech, aged 54 to
72 years. A subjective assessment of voice was conducted, using the SF-36 questionnaire
which is valid and culturally adapted version of the Serbian language, consisting of 36
questions, which measures functioning in the following areas: functional ability, physical
ability, emotional capacity, vitality, mental health, social functioning, pain and general
health.
Results. SF-36 has shown that patients after vocal rehabilitation have higher
scores on all subtests. Using the t test for large independent samples, a statistically
significant difference has been found between the experimental group at the beginning
of the measurement and control group on all subtests. Statistical significance is at the
0.01 level. The mean value (M) is lower in the experimental group at the beginning of
measurement than the control group. In contrast to this result, there is no statistically
significant difference between the experimental group at the end of the measurement
and control group.
Conclusion. Vocal rehabilitation was significant in patients after total laryngectomy;
in addition to mastering some of the methods of speech, these patients were able to
overcome the feeling of shame because of their physical appearance after the operation
and to strengthen their self-confidence.
PB  - University of Belgrade, Faculty of Special Education and Rehabilitation, Serbia / Univerzitet u Beogradu – Fakultet za specijalnu edukaciju i rehabilitaciju
C3  - Thematic Collection of International Importance- Early Intervention in Special Education and Rehabilitation“, Beograd, Srbija, 2016.
T1  - Quality of life of patients after total laryngectomy – sf-36
EP  - 598
SP  - 587
UR  - https://hdl.handle.net/21.15107/rcub_rfasper_4195
ER  - 

@conference{
author = "Bunijevac, Mila and Petrović-Lazić, Mirjana and Jovanović-Simić, Nadica and Maksimović, Siniša",
year = "2016",
abstract = "Objective. The aim of this study was to assess the quality of life of patients after
total laryngectomy and to determine the influence of a vocal rehabilitation on the
improvement of the quality of life of these patients.
Methods. The study included 45 patients, 25 patients were in the experimental
group and 20 patients were in the control group. The experimental group consisted of
male respondents after total laryngectomy who mastered esophageal speech, aged 54 to
72 years. A subjective assessment of voice was conducted, using the SF-36 questionnaire
which is valid and culturally adapted version of the Serbian language, consisting of 36
questions, which measures functioning in the following areas: functional ability, physical
ability, emotional capacity, vitality, mental health, social functioning, pain and general
health.
Results. SF-36 has shown that patients after vocal rehabilitation have higher
scores on all subtests. Using the t test for large independent samples, a statistically
significant difference has been found between the experimental group at the beginning
of the measurement and control group on all subtests. Statistical significance is at the
0.01 level. The mean value (M) is lower in the experimental group at the beginning of
measurement than the control group. In contrast to this result, there is no statistically
significant difference between the experimental group at the end of the measurement
and control group.
Conclusion. Vocal rehabilitation was significant in patients after total laryngectomy;
in addition to mastering some of the methods of speech, these patients were able to
overcome the feeling of shame because of their physical appearance after the operation
and to strengthen their self-confidence.",
publisher = "University of Belgrade, Faculty of Special Education and Rehabilitation, Serbia / Univerzitet u Beogradu – Fakultet za specijalnu edukaciju i rehabilitaciju",
journal = "Thematic Collection of International Importance- Early Intervention in Special Education and Rehabilitation“, Beograd, Srbija, 2016.",
title = "Quality of life of patients after total laryngectomy – sf-36",
pages = "598-587",
url = "https://hdl.handle.net/21.15107/rcub_rfasper_4195"
}

Bunijevac, M., Petrović-Lazić, M., Jovanović-Simić, N.,& Maksimović, S.. (2016). Quality of life of patients after total laryngectomy – sf-36. in Thematic Collection of International Importance- Early Intervention in Special Education and Rehabilitation“, Beograd, Srbija, 2016.
University of Belgrade, Faculty of Special Education and Rehabilitation, Serbia / Univerzitet u Beogradu – Fakultet za specijalnu edukaciju i rehabilitaciju., 587-598.
https://hdl.handle.net/21.15107/rcub_rfasper_4195

Bunijevac M, Petrović-Lazić M, Jovanović-Simić N, Maksimović S. Quality of life of patients after total laryngectomy – sf-36. in Thematic Collection of International Importance- Early Intervention in Special Education and Rehabilitation“, Beograd, Srbija, 2016.. 2016;:587-598.
https://hdl.handle.net/21.15107/rcub_rfasper_4195 .

Bunijevac, Mila, Petrović-Lazić, Mirjana, Jovanović-Simić, Nadica, Maksimović, Siniša, "Quality of life of patients after total laryngectomy – sf-36" in Thematic Collection of International Importance- Early Intervention in Special Education and Rehabilitation“, Beograd, Srbija, 2016. (2016):587-598,
https://hdl.handle.net/21.15107/rcub_rfasper_4195 .

TY  - CONF
AU  - Bunijevac, Mila
AU  - Petrović-Lazić, Mirjana
AU  - Maksimović, Siniša
PY  - 2016
UR  - http://rfasper.fasper.bg.ac.rs/handle/123456789/2541
C3  - IV international scIentIfIc conference “specIal educatIon and rehabIlItatIon – early InterVentIon”
T1  - Uticaj vokalne rehabilitacije na kvalitet života laringektomiranih pacijenata
EP  - 91
SP  - 90
UR  - https://hdl.handle.net/21.15107/rcub_rfasper_2541
ER  - 

@conference{
author = "Bunijevac, Mila and Petrović-Lazić, Mirjana and Maksimović, Siniša",
year = "2016",
journal = "IV international scIentIfIc conference “specIal educatIon and rehabIlItatIon – early InterVentIon”",
title = "Uticaj vokalne rehabilitacije na kvalitet života laringektomiranih pacijenata",
pages = "91-90",
url = "https://hdl.handle.net/21.15107/rcub_rfasper_2541"
}

Bunijevac, M., Petrović-Lazić, M.,& Maksimović, S.. (2016). Uticaj vokalne rehabilitacije na kvalitet života laringektomiranih pacijenata. in IV international scIentIfIc conference “specIal educatIon and rehabIlItatIon – early InterVentIon”, 90-91.
https://hdl.handle.net/21.15107/rcub_rfasper_2541

Bunijevac M, Petrović-Lazić M, Maksimović S. Uticaj vokalne rehabilitacije na kvalitet života laringektomiranih pacijenata. in IV international scIentIfIc conference “specIal educatIon and rehabIlItatIon – early InterVentIon”. 2016;:90-91.
https://hdl.handle.net/21.15107/rcub_rfasper_2541 .

Bunijevac, Mila, Petrović-Lazić, Mirjana, Maksimović, Siniša, "Uticaj vokalne rehabilitacije na kvalitet života laringektomiranih pacijenata" in IV international scIentIfIc conference “specIal educatIon and rehabIlItatIon – early InterVentIon” (2016):90-91,
https://hdl.handle.net/21.15107/rcub_rfasper_2541 .

TY  - JOUR
AU  - Bunijevac, Mila
AU  - Petrović-Lazić, Mirjana
AU  - Jovanović-Simić, Nadica
PY  - 2016
UR  - http://rfasper.fasper.bg.ac.rs/handle/123456789/978
AB  - Objective: To determine the significance of the vocal therapy on life quality improvement in patients with vocal fold nodules. Methods: The study included 20 patients diagnosed with nodules on the vocal cords by otolaryngologists. The age of the respondents ranged from 23 to 56. We performed a subjective assessment of voice with the Voice Handicap Index (VHI) instrument, which encompassed three areas: functional, emotional and physical. This instrument was able to demonstrate the efficacy of local therapy and evaluate the weight of voice problems experienced by the patient. Results: Before the vocal therapy, heavy voice disorder had prevailed in patients, and after the vocal therapy the improvement of voice occurred in all respondents. The statistical significance was below the threshold of 0.05 on the basis of which it can be concluded that there is no statistically significant change between the two measurements. Conclusion: The results of the study showed that the vocal therapy has shown success in patients with vocal fold nodules, which led to their life quality improvement.
AB  - Cilj: Utvrditi koliki značaj ima vokalna terapija na poboljšanje kvaliteta života pacijenata sa čvorićima na glasnicama. Metod rada: U studiju je bilo uključeno 20 ispitanika sa dijagnostikovanim čvorićima na glasnicama od strane otorinolaringologa. Starost ispitanika kretala se od 23 do 56 godina. Sprovedena je subjektivna procena glasa instrumentom Voice Handicap Index (VHI), koji obuhvata tri područja: funkcionalno, emocionalno i fizičko. Ovaj instrument je u mogućnosti da pokaže efikasnost vokalne terapije i oceni težinu glasovnog problema koji doživljava sam pacijent. Rezultati: Pre vokalne terapije kod ispitanika je preovladavao težak glasovni poremećaj, a posle vokalne terapije došlo je do poboljšanja glasa kod svih ispitanika. Statistička značajnost je bila ispod granične vrednosti od 0,05 na osnovu čega se može zaključiti da je došlo da statistički značajne promene između dva merenja. Zaključak: Rezultati ovog istraživanja su pokazali da je vokalna terapija pokazala uspeh kod ispitanika sa čvorićima na glasnicama, čime je došlo do poboljšanja kvaliteta njihovog života.
PB  - Srpsko lekarsko društvo - Podružnica Zaječar, Zaječar
T2  - Timočki medicinski glasnik
T1  - The significance of the vocal therapy on life quality in patients with vocal fold nodules
T1  - Značaj vokalne terapije na kvalitet života pacijenata sa čvorićima na glasnicama
EP  - 184
IS  - 3
SP  - 179
VL  - 41
DO  - 10.5937/tmg1603179B
ER  - 

@article{
author = "Bunijevac, Mila and Petrović-Lazić, Mirjana and Jovanović-Simić, Nadica",
year = "2016",
abstract = "Objective: To determine the significance of the vocal therapy on life quality improvement in patients with vocal fold nodules. Methods: The study included 20 patients diagnosed with nodules on the vocal cords by otolaryngologists. The age of the respondents ranged from 23 to 56. We performed a subjective assessment of voice with the Voice Handicap Index (VHI) instrument, which encompassed three areas: functional, emotional and physical. This instrument was able to demonstrate the efficacy of local therapy and evaluate the weight of voice problems experienced by the patient. Results: Before the vocal therapy, heavy voice disorder had prevailed in patients, and after the vocal therapy the improvement of voice occurred in all respondents. The statistical significance was below the threshold of 0.05 on the basis of which it can be concluded that there is no statistically significant change between the two measurements. Conclusion: The results of the study showed that the vocal therapy has shown success in patients with vocal fold nodules, which led to their life quality improvement., Cilj: Utvrditi koliki značaj ima vokalna terapija na poboljšanje kvaliteta života pacijenata sa čvorićima na glasnicama. Metod rada: U studiju je bilo uključeno 20 ispitanika sa dijagnostikovanim čvorićima na glasnicama od strane otorinolaringologa. Starost ispitanika kretala se od 23 do 56 godina. Sprovedena je subjektivna procena glasa instrumentom Voice Handicap Index (VHI), koji obuhvata tri područja: funkcionalno, emocionalno i fizičko. Ovaj instrument je u mogućnosti da pokaže efikasnost vokalne terapije i oceni težinu glasovnog problema koji doživljava sam pacijent. Rezultati: Pre vokalne terapije kod ispitanika je preovladavao težak glasovni poremećaj, a posle vokalne terapije došlo je do poboljšanja glasa kod svih ispitanika. Statistička značajnost je bila ispod granične vrednosti od 0,05 na osnovu čega se može zaključiti da je došlo da statistički značajne promene između dva merenja. Zaključak: Rezultati ovog istraživanja su pokazali da je vokalna terapija pokazala uspeh kod ispitanika sa čvorićima na glasnicama, čime je došlo do poboljšanja kvaliteta njihovog života.",
publisher = "Srpsko lekarsko društvo - Podružnica Zaječar, Zaječar",
journal = "Timočki medicinski glasnik",
title = "The significance of the vocal therapy on life quality in patients with vocal fold nodules, Značaj vokalne terapije na kvalitet života pacijenata sa čvorićima na glasnicama",
pages = "184-179",
number = "3",
volume = "41",
doi = "10.5937/tmg1603179B"
}

Bunijevac, M., Petrović-Lazić, M.,& Jovanović-Simić, N.. (2016). The significance of the vocal therapy on life quality in patients with vocal fold nodules. in Timočki medicinski glasnik
Srpsko lekarsko društvo - Podružnica Zaječar, Zaječar., 41(3), 179-184.
https://doi.org/10.5937/tmg1603179B

Bunijevac M, Petrović-Lazić M, Jovanović-Simić N. The significance of the vocal therapy on life quality in patients with vocal fold nodules. in Timočki medicinski glasnik. 2016;41(3):179-184.
doi:10.5937/tmg1603179B .

Bunijevac, Mila, Petrović-Lazić, Mirjana, Jovanović-Simić, Nadica, "The significance of the vocal therapy on life quality in patients with vocal fold nodules" in Timočki medicinski glasnik, 41, no. 3 (2016):179-184,
https://doi.org/10.5937/tmg1603179B . .

TY  - JOUR
AU  - Bunijevac, Mila
AU  - Petrović-Lazić, Mirjana
AU  - Jovanović-Simić, Nadica
AU  - Vuković, Mile
PY  - 2016
UR  - http://rfasper.fasper.bg.ac.rs/handle/123456789/1000
AB  - Background/Aim. The major role of larynx in speech, respiration and swallowing makes carcinomas of this region and their treatment very influential for patients' life quality. The aim of this study was to assess the importance of voice therapy in patients after open surgery on vocal cords. Methods. This study included 21 male patients and the control group of 19 subjects. The vowel (A) was recorded and analyzed for each examinee. All the patients were recorded twice: firstly, when they contacted the clinic and secondly, after a three-month vocal therapy, which was held twice per week on an outpatient basis. The voice analysis was carried out in the Ear, Nose and Throat (ENT) Clinic, Clinical Hospital Center 'Zvezdara' in Belgrade. Results. The values of the acoustic parameters in the patients submitted to open surgery on the vocal cords before vocal rehabilitation and the control group subjects were significantly different in all specified parameters. These results suggest that the voice of the patients was damaged before vocal rehabilitation. The results of the acoustic parameters of the vowel (A) before and after vocal rehabilitation of the patients with open surgery on vocal cords were statistically significantly different. Among the parameters - Jitter (%), Shimmer (%) - the observed difference was highly statistically significant (p  lt  0.01). The voice turbulence index and the noise/harmonic ratio were also notably improved, and the observed difference was statistically significant (p  lt  0.05). The analysis of the tremor intensity index showed no significant improvement and the observed difference was not statistically significant (p > 0.05 ). Conclusion. There was a significant improvement of the acoustic parameters of the vowel (A) in the study subjects three months following vocal therapy. Only one out of five representative parameters showed no significant improvement.
AB  - Uvod/Cilj. Glavna uloga larinksa - govor, disanje i žvakanje - čine da karcinomi tog regiona i njihovo lečenje veoma utiču na kvalitet života tih bolesnika. Cilj ove studije bio je da se proceni značaj vokalne terapije kod bolesnika posle otvorene operacije na glasnicama. Metode. Ovo ispitivanje obuhvatilo je 21 bolesnika muškog pola i kontrolnu grupu koju je činilo 19 ispitanika. Kod svih bolesnika, sniman je i analiziran intenzitet vokala (A). Svi bolesnici snimani su dva puta, prvi put kad su se javili u ambulantu i drugi put posle tromesečne vokalne terapije. Vokalna terapija sprovodila se ambulantno, dva puta sedmično. Analiza glasa izvršena je u ORL klinici Kliničko-bolničkog centra ,,Zvezdara' u Beogradu. Rezultati. Vrednosti akustičkih parametara kod bolesnika nakon otvorene operacije glasnica pre vokalne terapije i ispitanika kontrolne grupe značajno su se razlikovali u svim navedenim parametrima. Ovi rezultati ukazuju na to da je glas ispitanika pre vokalne terapije bio oštećen. Rezultati akustičkih parametara samoglasnika (A) pre i posle vokalne terapije kod bolesnika posle otvorene operacije na glasnicama statistički su se značajno razlikovali. Među parametrima Jitter (%) i Shimmer (%) razlika je bila visoko statistički značajna (p  lt  0,01). Indeks turbulencije glasa i odnos šum/harmonik takođe su se značajno poboljšali, a razlika je bila statistički značajna (p  lt  0,05). Analizom tremora kroz indeks intenziteta, nije došlo do značajnog poboljšanja, a posmatrana razlika nije bila statistički značajna (p > 0,05). Zaključak. Nakon tromesečne vokalne terapije došlo je do značajnog napretka akustičkih parametara intenziteta vokala (A) analiziranih ispitanika. Od pet analiziranih reprezentativnih parametara samo jedan nije imao značajan napredak.
PB  - Vojnomedicinska akademija - Institut za naučne informacije, Beograd
T2  - Vojnosanitetski pregled
T1  - Voice analysis before and after vocal rehabilitation in patients following open surgery on vocal cords
T1  - Analiza glasa pre i posle vokalne rehabilitacije kod bolesnika posle otvorene operacije glasnica
EP  - 168
IS  - 2
SP  - 165
VL  - 73
DO  - 10.2298/VSP141218144B
ER  - 

@article{
author = "Bunijevac, Mila and Petrović-Lazić, Mirjana and Jovanović-Simić, Nadica and Vuković, Mile",
year = "2016",
abstract = "Background/Aim. The major role of larynx in speech, respiration and swallowing makes carcinomas of this region and their treatment very influential for patients' life quality. The aim of this study was to assess the importance of voice therapy in patients after open surgery on vocal cords. Methods. This study included 21 male patients and the control group of 19 subjects. The vowel (A) was recorded and analyzed for each examinee. All the patients were recorded twice: firstly, when they contacted the clinic and secondly, after a three-month vocal therapy, which was held twice per week on an outpatient basis. The voice analysis was carried out in the Ear, Nose and Throat (ENT) Clinic, Clinical Hospital Center 'Zvezdara' in Belgrade. Results. The values of the acoustic parameters in the patients submitted to open surgery on the vocal cords before vocal rehabilitation and the control group subjects were significantly different in all specified parameters. These results suggest that the voice of the patients was damaged before vocal rehabilitation. The results of the acoustic parameters of the vowel (A) before and after vocal rehabilitation of the patients with open surgery on vocal cords were statistically significantly different. Among the parameters - Jitter (%), Shimmer (%) - the observed difference was highly statistically significant (p  lt  0.01). The voice turbulence index and the noise/harmonic ratio were also notably improved, and the observed difference was statistically significant (p  lt  0.05). The analysis of the tremor intensity index showed no significant improvement and the observed difference was not statistically significant (p > 0.05 ). Conclusion. There was a significant improvement of the acoustic parameters of the vowel (A) in the study subjects three months following vocal therapy. Only one out of five representative parameters showed no significant improvement., Uvod/Cilj. Glavna uloga larinksa - govor, disanje i žvakanje - čine da karcinomi tog regiona i njihovo lečenje veoma utiču na kvalitet života tih bolesnika. Cilj ove studije bio je da se proceni značaj vokalne terapije kod bolesnika posle otvorene operacije na glasnicama. Metode. Ovo ispitivanje obuhvatilo je 21 bolesnika muškog pola i kontrolnu grupu koju je činilo 19 ispitanika. Kod svih bolesnika, sniman je i analiziran intenzitet vokala (A). Svi bolesnici snimani su dva puta, prvi put kad su se javili u ambulantu i drugi put posle tromesečne vokalne terapije. Vokalna terapija sprovodila se ambulantno, dva puta sedmično. Analiza glasa izvršena je u ORL klinici Kliničko-bolničkog centra ,,Zvezdara' u Beogradu. Rezultati. Vrednosti akustičkih parametara kod bolesnika nakon otvorene operacije glasnica pre vokalne terapije i ispitanika kontrolne grupe značajno su se razlikovali u svim navedenim parametrima. Ovi rezultati ukazuju na to da je glas ispitanika pre vokalne terapije bio oštećen. Rezultati akustičkih parametara samoglasnika (A) pre i posle vokalne terapije kod bolesnika posle otvorene operacije na glasnicama statistički su se značajno razlikovali. Među parametrima Jitter (%) i Shimmer (%) razlika je bila visoko statistički značajna (p  lt  0,01). Indeks turbulencije glasa i odnos šum/harmonik takođe su se značajno poboljšali, a razlika je bila statistički značajna (p  lt  0,05). Analizom tremora kroz indeks intenziteta, nije došlo do značajnog poboljšanja, a posmatrana razlika nije bila statistički značajna (p > 0,05). Zaključak. Nakon tromesečne vokalne terapije došlo je do značajnog napretka akustičkih parametara intenziteta vokala (A) analiziranih ispitanika. Od pet analiziranih reprezentativnih parametara samo jedan nije imao značajan napredak.",
publisher = "Vojnomedicinska akademija - Institut za naučne informacije, Beograd",
journal = "Vojnosanitetski pregled",
title = "Voice analysis before and after vocal rehabilitation in patients following open surgery on vocal cords, Analiza glasa pre i posle vokalne rehabilitacije kod bolesnika posle otvorene operacije glasnica",
pages = "168-165",
number = "2",
volume = "73",
doi = "10.2298/VSP141218144B"
}

Bunijevac, M., Petrović-Lazić, M., Jovanović-Simić, N.,& Vuković, M.. (2016). Voice analysis before and after vocal rehabilitation in patients following open surgery on vocal cords. in Vojnosanitetski pregled
Vojnomedicinska akademija - Institut za naučne informacije, Beograd., 73(2), 165-168.
https://doi.org/10.2298/VSP141218144B

Bunijevac M, Petrović-Lazić M, Jovanović-Simić N, Vuković M. Voice analysis before and after vocal rehabilitation in patients following open surgery on vocal cords. in Vojnosanitetski pregled. 2016;73(2):165-168.
doi:10.2298/VSP141218144B .

Bunijevac, Mila, Petrović-Lazić, Mirjana, Jovanović-Simić, Nadica, Vuković, Mile, "Voice analysis before and after vocal rehabilitation in patients following open surgery on vocal cords" in Vojnosanitetski pregled, 73, no. 2 (2016):165-168,
https://doi.org/10.2298/VSP141218144B . .

TY  - JOUR
AU  - Bunijevac, Mila
AU  - Petrović-Lazić, Mirjana
PY  - 2016
UR  - http://rfasper.fasper.bg.ac.rs/handle/123456789/1009
AB  - Laryngeal carcinoma is the most common malignant tumor of the head and neck, which leads to changes in the normal anatomical relationships in the neck, causing a communication disorder and changes in the patient's psychosocial status. The aim of this paper was to examine the quality of life of laryngectomized patients before and after vocal rehabilitation, and the importance of early intervention. The sample consisted of 50 patients who underwent total laryngectomy, aged 51 to 83. The survey was conducted at the Clinical Hospital 'Sveti Vračevi' in Bijeljina and Military Medical Academy in Belgrade, from April 2014 to November 2015. A subjective assessment of voice was conducted by means of Voice Handicap Index (VHI). Patients filled in a questionnaire for the first time when they registered with the speech therapy clinic before vocal rehabilitation, and for the second time after the end of the vocal rehabilitation. Statistical analysis was performed using the arithmetic mean of the corresponding standard deviation, minimum and maximum, frequency, percentages and t-test. The difference between groups was determined by single-factor analysis of variance (ANOVA). With regard to data obtained before vocal rehabilitation, all participants belonged to the group with severe speech disorder. After vocal rehabilitation, there was an improvement in all subsets of the scale and the total score. Vocal rehabilitation had a positive impact on physical, emotional and functional status of patients who underwent total laryngectomy, which resulted in the improvement of their life quality.
AB  - Karcinom larinksa je jedan od najčešćih malignih tumora glave i vrata, koji dovodi do promene normalnih anatomskih odnosa u vratu, što izaziva poremećaj komunikacije i promenu psihosocijalnog statusa pacijenta. Cilj rada je utvrditi kvalitet života laringektomiranih pacijenata pre i nakon vokalne rehabilitacije. Uzorak je činilo 50 pacijenata podvrgnutih totalnoj laringektomiji, starosti od 51 do 83 godine. Istraživanje je sprovedeno u JZU Bolnica 'Sveti Vračevi' u Bijeljini i Vojnomedicinskoj akademiji u Beogradu od aprila 2014. godine do novembra 2015. godine. Sprovedena je subjektivna procena glasa instrumentom Indeks glasovnog oštećenja (Voice Handicap Index - VHI). Pacijenti su upitnik popunjavali prvi put kada su se javili u logopedsku ambulantu, pre vokalne rehabilitacije i drugi put po završetku vokalne rehabilitacije. U statističkoj obradi korišćena je aritmetička sredina sa pripadajućom standardnom devijacijom, kao i minimum i maksimum, zatim frekvencija, procenti i t-test. Razlika između grupa testirana je pomoću jednofaktorske analize varijanse (ANOVA). Na osnovu podataka dobijenih pre vokalne rehabilitacije svi ispitanici su pripadali kategoriji teške govorne hendikepiranosti. Posle vokalne rehabilitacije došlo je do poboljšanja na svim suptestovima skale kao i na ukupnom skoru. Vokalna rehabilitacija je pozitivno uticala na fizičko, emocionalno i funkcionalno stanje pacijenata koji su podvrgnuti totalnoj laringektomiji, što se pozitivno odrazilo i na poboljšanje njihovog kvaliteta života.
PB  - Univerzitet u Beogradu - Fakultet za specijalnu edukaciju i rehabilitaciju, Beograd
T2  - Specijalna edukacija i rehabilitacija
T1  - Early vocal rehabilitation and its impact on the quality of life of laryngectomized patients
T1  - Značaj rane vokalne rehabilitacije i kvalitet života laringektomiranih pacijenata
EP  - 393
IS  - 4
SP  - 379
VL  - 15
DO  - 10.5937/specedreh15-11697
ER  - 

@article{
author = "Bunijevac, Mila and Petrović-Lazić, Mirjana",
year = "2016",
abstract = "Laryngeal carcinoma is the most common malignant tumor of the head and neck, which leads to changes in the normal anatomical relationships in the neck, causing a communication disorder and changes in the patient's psychosocial status. The aim of this paper was to examine the quality of life of laryngectomized patients before and after vocal rehabilitation, and the importance of early intervention. The sample consisted of 50 patients who underwent total laryngectomy, aged 51 to 83. The survey was conducted at the Clinical Hospital 'Sveti Vračevi' in Bijeljina and Military Medical Academy in Belgrade, from April 2014 to November 2015. A subjective assessment of voice was conducted by means of Voice Handicap Index (VHI). Patients filled in a questionnaire for the first time when they registered with the speech therapy clinic before vocal rehabilitation, and for the second time after the end of the vocal rehabilitation. Statistical analysis was performed using the arithmetic mean of the corresponding standard deviation, minimum and maximum, frequency, percentages and t-test. The difference between groups was determined by single-factor analysis of variance (ANOVA). With regard to data obtained before vocal rehabilitation, all participants belonged to the group with severe speech disorder. After vocal rehabilitation, there was an improvement in all subsets of the scale and the total score. Vocal rehabilitation had a positive impact on physical, emotional and functional status of patients who underwent total laryngectomy, which resulted in the improvement of their life quality., Karcinom larinksa je jedan od najčešćih malignih tumora glave i vrata, koji dovodi do promene normalnih anatomskih odnosa u vratu, što izaziva poremećaj komunikacije i promenu psihosocijalnog statusa pacijenta. Cilj rada je utvrditi kvalitet života laringektomiranih pacijenata pre i nakon vokalne rehabilitacije. Uzorak je činilo 50 pacijenata podvrgnutih totalnoj laringektomiji, starosti od 51 do 83 godine. Istraživanje je sprovedeno u JZU Bolnica 'Sveti Vračevi' u Bijeljini i Vojnomedicinskoj akademiji u Beogradu od aprila 2014. godine do novembra 2015. godine. Sprovedena je subjektivna procena glasa instrumentom Indeks glasovnog oštećenja (Voice Handicap Index - VHI). Pacijenti su upitnik popunjavali prvi put kada su se javili u logopedsku ambulantu, pre vokalne rehabilitacije i drugi put po završetku vokalne rehabilitacije. U statističkoj obradi korišćena je aritmetička sredina sa pripadajućom standardnom devijacijom, kao i minimum i maksimum, zatim frekvencija, procenti i t-test. Razlika između grupa testirana je pomoću jednofaktorske analize varijanse (ANOVA). Na osnovu podataka dobijenih pre vokalne rehabilitacije svi ispitanici su pripadali kategoriji teške govorne hendikepiranosti. Posle vokalne rehabilitacije došlo je do poboljšanja na svim suptestovima skale kao i na ukupnom skoru. Vokalna rehabilitacija je pozitivno uticala na fizičko, emocionalno i funkcionalno stanje pacijenata koji su podvrgnuti totalnoj laringektomiji, što se pozitivno odrazilo i na poboljšanje njihovog kvaliteta života.",
publisher = "Univerzitet u Beogradu - Fakultet za specijalnu edukaciju i rehabilitaciju, Beograd",
journal = "Specijalna edukacija i rehabilitacija",
title = "Early vocal rehabilitation and its impact on the quality of life of laryngectomized patients, Značaj rane vokalne rehabilitacije i kvalitet života laringektomiranih pacijenata",
pages = "393-379",
number = "4",
volume = "15",
doi = "10.5937/specedreh15-11697"
}

Bunijevac, M.,& Petrović-Lazić, M.. (2016). Early vocal rehabilitation and its impact on the quality of life of laryngectomized patients. in Specijalna edukacija i rehabilitacija
Univerzitet u Beogradu - Fakultet za specijalnu edukaciju i rehabilitaciju, Beograd., 15(4), 379-393.
https://doi.org/10.5937/specedreh15-11697

Bunijevac M, Petrović-Lazić M. Early vocal rehabilitation and its impact on the quality of life of laryngectomized patients. in Specijalna edukacija i rehabilitacija. 2016;15(4):379-393.
doi:10.5937/specedreh15-11697 .

Bunijevac, Mila, Petrović-Lazić, Mirjana, "Early vocal rehabilitation and its impact on the quality of life of laryngectomized patients" in Specijalna edukacija i rehabilitacija, 15, no. 4 (2016):379-393,
https://doi.org/10.5937/specedreh15-11697 . .

TY  - JOUR
AU  - Petrović-Lazić, Mirjana
AU  - Bunijevac, Mila
AU  - Maksimović, Siniša
PY  - 2011
UR  - http://rfasper.fasper.bg.ac.rs/handle/123456789/1917
T2  - Defektologija
T1  - Akusticka analiza glasa kod parcijalnih laringektomija
EP  - 20
IS  - 1
SP  - 17
VL  - 17
UR  - https://hdl.handle.net/21.15107/rcub_rfasper_1917
ER  - 

@article{
author = "Petrović-Lazić, Mirjana and Bunijevac, Mila and Maksimović, Siniša",
year = "2011",
journal = "Defektologija",
title = "Akusticka analiza glasa kod parcijalnih laringektomija",
pages = "20-17",
number = "1",
volume = "17",
url = "https://hdl.handle.net/21.15107/rcub_rfasper_1917"
}

Petrović-Lazić, M., Bunijevac, M.,& Maksimović, S.. (2011). Akusticka analiza glasa kod parcijalnih laringektomija. in Defektologija, 17(1), 17-20.
https://hdl.handle.net/21.15107/rcub_rfasper_1917

Petrović-Lazić M, Bunijevac M, Maksimović S. Akusticka analiza glasa kod parcijalnih laringektomija. in Defektologija. 2011;17(1):17-20.
https://hdl.handle.net/21.15107/rcub_rfasper_1917 .

Petrović-Lazić, Mirjana, Bunijevac, Mila, Maksimović, Siniša, "Akusticka analiza glasa kod parcijalnih laringektomija" in Defektologija, 17, no. 1 (2011):17-20,
https://hdl.handle.net/21.15107/rcub_rfasper_1917 .