Practice of laryngectomy rehabilitation interventions

Chaukar, Devendra A; Vaidya, Abhishek; D’Cruz, Anil

doi:10.1097/moo.0b013e328360d884

Cited by 3 publications

(2 citation statements)

References 28 publications

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“…Even though tracheoesophageal speech was the preferred rehabilitation mode for 28 SLPs, it is noteworthy that only 14 SLPs reported handling voice prostheses independently or with ENT specialist’s assistance. It has been reported in other studies that there are only few centers in India that possess the necessary expertise to implement post-laryngectomy voice rehabilitation effectively [ 20 ]. It would be beneficial for future studies to investigate why there are fewer SLPs involved in laryngectomy rehabilitation.…”

Section: Discussionmentioning

confidence: 99%

Speech-Language Pathologist’s Pattern of Practice in the Rehabilitation of Head and Neck Cancer patients across Hospitals in India

Varghese,

Aithal,

Sharan

et al. 2024

Asian Pac J Cancer Prev

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Objective: India has a significant burden of Head and Neck cancer (HNC) patients. Patients afflicted with HNC often encounter difficulties in speech, voice, and swallowing, either due to the disease itself or the treatment they receive. The rehabilitation of HNC patients is crucial, and Speech and Language Pathologists (SLPs) have a significant role in it. The current study aimed to understand the practices followed by SLPs in India while rehabilitating HNC patients. Methods: A questionnaire was developed and validated by five Speech-language pathologists, before circulation as an E-survey. The target participants were SLPs working in hospitals across India. The final online version of the questionnaire remained open for eight weeks. Result: A total of 75 Hospital-based SLPs working in India participated in the survey. The responses depict notable trends and differences in the assessment and management approaches. HNC patients who had undergone surgery were more likely to be referred for rehabilitation than those who received non-surgical treatments. Only 36% of the SLPs reported getting pre-operative referrals for HNC patients. The time point for initial assessment and intervention, as well as the protocols used, varied across different hospitals. About 50% of participants had instrumental swallow evaluation facilities in their hospitals, and the majority of hospitals only used instrumental swallow evaluation for 1-3 assessments per week. Conclusion: Variability exists in several aspects of SLP practice for HNC patients offered across Hospitals in India. All HNC patients do not get access to speech-language pathology services. Developing standardized protocols towards early evaluation, intervention and enhancing compliance could improve SLP-led rehabilitation of HNC patients in India.

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Section: Discussionmentioning

confidence: 99%

Speech-Language Pathologist’s Pattern of Practice in the Rehabilitation of Head and Neck Cancer patients across Hospitals in India

Varghese,

Aithal,

Sharan

et al. 2024

Asian Pac J Cancer Prev

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“…In India, a study evaluated the impact of laryngectomy according to the country's socioeconomic conditions and observed the lack of specialized staff and centers for this type of rehabilitation 29 . On the other hand, in the Netherlands, rehabilitation is carried out in multiprofessional centers involving medical professionals, nurses, speech therapists and psychologists for the purpose of vocal, olfactory, pulmonary and swallowing and palate rehabilitation 32 .…”

Section: Discussionmentioning

confidence: 99%

Interdisciplinary interventions in the perioperative rehabilitation of total laryngectomy: an integrative review

Rosa

Fores

Silva

et al. 2018

Clinics

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The aim of this study was to use the scientific literature to identify interdisciplinary interventions for rehabilitation during the perioperative period for cancer patients who underwent total laryngectomy. We systematically researched controlled descriptors: laryngectomy, patient care team/education, patient care team/manpower, patient care team/methods, patient care team/utilization and rehabilitation. We performed a qualitative narrative synthesis and identified 549 articles. Of these, 113 were duplicates, 398 were excluded during the analysis of the title and abstract, 1 was excluded for unfeasibility of access, and 4 were excluded after reading the article in full, resulting in 33 included articles. The articles addressed different types of interdisciplinary actions, such as vocal, olfactory, pulmonary and alimentary rehabilitation; comparisons of prosthetic devices; and descriptions of practices for total laryngectomized patient rehabilitation. Although the interventions found in the literature were effective in the rehabilitation of the total laryngectomized patient, their interdisciplinarity was not evidenced but was highlighted in these studies as a factor for improvement in terms of practical assistance and quality of life.

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Voice prosthesis experience of Indian laryngectomees: Preliminary findings from a tertiary hospital in South India

Varghese

Aithal

Kıran

et al. 2022

Clinical Epidemiology and Global Health

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Practice of laryngectomy rehabilitation interventions

Cited by 3 publications

References 28 publications

Speech-Language Pathologist’s Pattern of Practice in the Rehabilitation of Head and Neck Cancer patients across Hospitals in India

Speech-Language Pathologist’s Pattern of Practice in the Rehabilitation of Head and Neck Cancer patients across Hospitals in India

Interdisciplinary interventions in the perioperative rehabilitation of total laryngectomy: an integrative review

Voice prosthesis experience of Indian laryngectomees: Preliminary findings from a tertiary hospital in South India

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