Group Therapy for the Survivor of Head and Neck Cancer: It's All About Quality of Life

Graham, Minnie S.

doi:10.1044/nnsld14.2.8

Cited by 2 publications

(2 citation statements)

References 27 publications

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“…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%

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

Landry,

Christopoulos,

Guertin

et al. 2023

Head & Neck

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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.

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