Adjusting to Laryngectomy

Salmon, Shirley

doi:10.1055/s-0028-1085221

Cited by 12 publications

(5 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…58,59 Group initiatives (e.g., group therapy, support groups) encouraging to meet new communication partners and allowing for the involvement of family members may additionally lead to better outcomes. 60,61 To our best knowledge, no specific psychosocial intervention has been described to improve VR outcomes in at-risk patient populations. Addressing postoperative voice rehabilitation when discussing TL with patients is an integral part of patient-centered care and informed decision-making.…”

Section: Discussionmentioning

confidence: 99%

“…Participation in SLP therapy and VR activities may be facilitated by multidisciplinary and coordinated programs aiming to mitigate some of the barriers that laryngectomized patients may experience 58,59 . Group initiatives (e.g., group therapy, support groups) encouraging to meet new communication partners and allowing for the involvement of family members may additionally lead to better outcomes 60,61 . To our best knowledge, no specific psychosocial intervention has been described to improve VR outcomes in at‐risk patient populations.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Patterns of alaryngeal voice adoption and predictive factors of vocal rehabilitation failure following total laryngectomy

Landry,

Christopoulos,

Guertin

et al. 2023

Head & Neck

View full text Add to dashboard Cite

ObjectiveWe aimed to determine patterns of alaryngeal voice acquisition and predictive factors of vocal rehabilitation (VR) failure following total laryngectomy (TL) at a large Canadian tertiary care center.MethodsAll consecutive patients having undergone a TL between January 1st, 2011 and December 31st, 2019, at the Centre Hospitalier de l'Université de Montréal were included.ResultsOne hundred and ninety‐seven laryngectomized patients were identified. Successful VR was achieved in 86 (59.0%) patients, while 59 (41.0%) failed to use a method of alaryngeal voice as their principal means of communication at 1 year postoperatively. The use of tracheoesophageal puncture (TEP) was associated with higher VR success rates (70.6%) when compared with the artificial larynx (48.6%), and esophageal voice (18.8%). The only independent predictor of VR failure on multivariate analysis at all time points was a low socioeconomic status.ConclusionFailure to adopt an alaryngeal voice following TL is highly prevalent, despite comprehensive and free speech language pathologist services being offered at our center. A low resort to TEP at our institution and a poor acceptability and accessibility of alternative VR methods may contribute to this trend. The challenges of VR may be further exacerbated by the barriers linked to a lower socioeconomic status, which in turn may contribute to reduced candidacy for TEP.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Patterns of alaryngeal voice adoption and predictive factors of vocal rehabilitation failure following total laryngectomy

Landry,

Christopoulos,

Guertin

et al. 2023

Head & Neck

View full text Add to dashboard Cite

show abstract

“…For example, rehabilitation efforts might include differential methods for promoting social support, such as involvement of family members and friends in intervention practices, group therapy among laryngectomized individuals, and psychological or sociological counseling. 41 Thus, Contextual Factors (Environmental Factors such as family support and friends) and subsequent Personal Factors (coping styles, psychosocial adjustment) are legitimate targets within the context of the ICF.…”

Section: Implications For Assessment and Treatment And Directions Formentioning

confidence: 99%

Application of the ICF in Communication after Total Laryngectomy

Eadie

2007

Semin Speech Lang

View full text Add to dashboard Cite

The World Health Organization's International Classification of Functioning, Disability and Health (ICF) provides a conceptual framework for assessing and treating individuals with communication disorders. This article provides an explanation and application of the ICF to communication after total laryngectomy. To evaluate outcomes associated with total laryngectomy, common assessment tools used in speech-language pathology are described in relation to communication at the levels of Body Functions and Structures, and Activities and Participation. Assessments for Contextual Factors also are discussed. Post-laryngectomy outcomes, including those related to quality of life, also are described relative to the ICF framework. In particular, the role of Environmental and Personal Factors is summarized, and implications are presented for approaches to assessment and treatment of this clinical population. A concluding case example illustrates how all of these concepts can be applied by speech-language pathologists who provide post-laryngectomy rehabilitation.

show abstract

“…The permanent loss of normal voice is widely considered to be the most debilitating aspect of total laryngectomy (Gates, Ryan, Cooper, Lawlis, Cantu, Hayashi, Lauder, Welch, & Hearne, 1982;Mathieson, Stam, & Scott, 1990;Salmon, 1986;Shapiro & Kornfeld, 1987).…”

Section: Review Of the Literaturementioning

confidence: 99%

“…Many authors enumerate the common emotional responses to laryngectomy surgery and the changes that laryngectomees are forced to make in their lives: depression, anger, frustration, anxiety, nervousness, denial, self-pity, grief, inadequacy, isolation, apathy, irritability, embarrassment, shame, uncertainty about the future, and loss of self esteem (Blood, 1993;Blood et al, 1992;Gates et al, 1982a;Johnson et al, 1979;Maas, 1991;Pruyn et al, 1986;Salmon, 1986;Weber & Reimer, 1993). In addition to these negative emotions, many laryngectomees have reported changes for the worse in their social relationships: avoiding friends, reducing social activities, increased family arguments, increased irritable behavior, marital distress, and in some cases, alcoholism or suicide (Barton, 1965;Blood, 1993;Maas, 1991).…”

Section: Review Of the Literaturementioning

confidence: 99%

Effects of Lifestyle Change and Satisfaction with Voice on Psychosocial Adjustment of Laryngectomees

Nicks¹

2000

View full text Add to dashboard Cite

This research sought to examine the level of psychosocial adjustment in a sample of laryngectomees by describing demographic characteristics, alcohol consumption, and tobacco use pre-cancer diagnosis and currently, satisfaction with voice, and by examining the relationship between each subject's level of psychosocial adjustment and lifestyle change, i.e. cessation of tobacco and/or alcohol consumption, and satisfaction with voice. Twenty-one subjects completed (a) Demographic Questionnaire, (b) Lifestyle Questionnaire, (c) Satisfaction with Voice Scale, and (d) Psychosocial Adjustment to Illness Scale-Self Report (PAIS-SR). Descriptive and inferential statistics were completed. The average age of the subject group (16 males, 5 females) was 72.5 years, by far the oldest group of laryngectomees studied up to this point. Average time post-onset of laryngectomy was 14 years. Ten subjects (48%) used esophageal speech, 8 (38%) used artificial larynx; and 5 (24%) used tracheoesophageal devices. Eighty-six percent of the subjects reported laryngectomy support group membership. Eighty-one percent of subjects described current health status as "good" or "very good." Ninety-five percent of subjects

show abstract

Adjusting to Laryngectomy

Cited by 12 publications

References 16 publications

Patterns of alaryngeal voice adoption and predictive factors of vocal rehabilitation failure following total laryngectomy

Patterns of alaryngeal voice adoption and predictive factors of vocal rehabilitation failure following total laryngectomy

Application of the ICF in Communication after Total Laryngectomy

Effects of Lifestyle Change and Satisfaction with Voice on Psychosocial Adjustment of Laryngectomees

Contact Info

Product

Resources

About