Practice of laryngectomy rehabilitation interventions

Chan, Jimmy Yu Wai

doi:10.1097/moo.0b013e328360d84e

Cited by 3 publications

(3 citation statements)

References 33 publications

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“…Studies related to the perioperative rehabilitation of total laryngectomies emphasize vocal, olfactory, pulmonary and alimentary restoration, as well as resources with technology to promote better adaptability to daily functional activities, social integration and autonomy for quality of life. To do this, these approaches rely on speech-language pathology, which depends on the conditions of each country, and can result in the addition of other professionals to the team 3 , 5 , 28 - 34 .…”

Section: Discussionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 99%

“…A review that analyzed the practice of laryngectomized rehabilitation in Hong Kong highlights the conclusion that alaryngeal speech modalities do not satisfy the demand of the population that speak Cantonese because the approach does not allow changes in tones during speech, which are important for proper expression in this language 28 .…”

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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“…Total laryngectomy involves the removal of the entire larynx, which is essential for phonation. Individuals who undergo total laryngectomy (i.e., laryngectomees) experience a host of physical, psychological, and socioemotional changes [ 2 – 4 ]. For example, they lose the ability to generate voicing, and as a result, have to learn an alternative alaryngeal speaking method to regain verbal communication.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Clear Speech on Cantonese Alaryngeal Speakers’ Intelligibility

Hui

Cox

Huang

et al. 2021

Folia Phoniatr Logop

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Background/Aim: The purpose of this study was to provide preliminary data concerning the effect of clear speech (CS) on Cantonese alaryngeal speakers’ intelligibility. Methods: Voice recordings of 11 sentences randomly selected from the Cantonese Sentence Intelligibility Test (CSIT) were obtained from 31 alaryngeal speakers (9 electrolarynx [EL] users, 10 esophageal speakers and 12 tracheoesophageal [TE] speakers) in habitual speech (HS) and CS. Two naïve listeners orthographically transcribed a total of 1,364 sentences. Results: Significant effects of speaking condition on speaking rate and CSIT scores were observed, but no significant effect of alaryngeal communication methods was noted. CS was significantly slower than HS by 0.78 syllables/s. Esophageal speakers demonstrated the slowest speech rate when using CS, while EL users demonstrated the largest decrease in speaking rate when using CS compared to HS. TE speakers had the highest CSIT scores in HS (listener 1 = 81.4%; listener 2 = 81.3%), and esophageal speakers had the highest CSIT scores in CS (listener 1 = 87.5%; listener 2 = 89.7%). EL users experienced the largest increase in intelligibility while using CS compared to HS (9.1%) followed by esophageal speakers (8.9%) and TE speakers (1.4%). Conclusion: Preliminary data indicate that CS may significantly affect Cantonese alaryngeal speakers’ speaking rate and intelligibility. However, intelligibility appeared to vary considerably across speakers. Further research involving larger, heterogeneous groups of speakers and listeners alongside longer and more refined CS training protocols should be conducted to confirm that CS can improve Cantonese alaryngeal speakers’ intelligibility.

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An investigation of the cutoff point of the English version of speech handicap index in the American total laryngectomees

Chan

Rosen

Schneider

2022

Logopedics Phoniatrics Vocology

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Practice of laryngectomy rehabilitation interventions

Abstract: Cantonese-speaking laryngectomees in Hong Kong are facing unique challenges in speech restoration and re-integration into society after surgery. Surgeons should take the leading role in the multidisciplinary management of these patients.

Cited by 3 publications

References 33 publications

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

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

The Effect of Clear Speech on Cantonese Alaryngeal Speakers’ Intelligibility

An investigation of the cutoff point of the English version of speech handicap index in the American total laryngectomees

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