EXPORT CITATION

Chapter-096 Comprehensive Rehabilitation after Total Laryngectomy

BOOK TITLE: Head & Neck Surgery (2 Volumes)

Author
1. Hilgers Frans JM
2. Tan IB
ISBN
9788184486797
DOI
10.5005/jp/books/10351_96
Edition
1/e
Publishing Year
2009
Pages
19
Author Affiliations
1. The Netherlands Cancer-Antoni van Leeuwenhoek; Institure of Phoneti Sciences/ACLC, University of Amsterdam, Amsterdam, The Netherland, The Netherlands Cancer Institute, Plesmanlaan, Amsterdam and Institute of Phonetic Sciences (ACLC), University of Amsterdam Herengracht, Amsterdam, The Netherlands
2. The Netherlands Cancer Institute, Plesmanlaan, Amsterdam, The Netherlands
Chapter keywords
combining chemotherapy, respiratory complaints, radiotherapy, chemoradiation, olfactory region, understandable speech, pulmonary exhalation, esophageal speech, tone generator, electrolarynx, voice prosthesis, tracheoesophageal fistula, indwelling devices, vocal rehabilitation, preoperative counseling, moisture exchangers, surgical complications, tracheostomy cannula

Abstract

This chapter discusses comprehensive rehabilitation after total laryngectomy, which is more than just removing the voice box. Prosthetic voice rehabilitation will be dealt with first, followed by pulmonary and olfaction rehabilitation. It is essential to understand the basic principles of normal laryngeal voice and speech production to appreciate voice and speech rehabilitation after total laryngectomy. In all clinics, serving laryngectomized patients, preoperative counseling by the speech pathologist and a patient counselor should be integrated in a comprehensive post laryngectomy rehabilitation protocol. Exposed cartilage may lead to perichondritis, infection, granulations and eventually stenosis. In cases where frequent replacements of the prosthesis are needed due to overgrowth, some form of treatment with antifungal agents might be considered. Partial airway obstruction or complete airway obstruction requires immediate intervention for removal of the object. Total laryngectomy results in a wide range of physical and psychosocial sequelae for the patient, including lifestyle changes.

Related Books

© 2019 Jaypee Brothers Medical Publishers (P) LTD.   |   All Rights Reserved