Practice of laryngectomy rehabilitation interventions

Abstract

General rightsIt is not permitted to download or to forward/distribute the text or part of it without the consent of the author(s) and/or copyright holder(s), other than for strictly personal, individual use, unless the work is under an open content license (like Creative Commons). Disclaimer/Complaints regulationsIf you believe that digital publication of certain material infringes any of your rights or (privacy) interests, please let the Library know, stating your reasons. In case of a legitimate complaint, the Library will make the material inaccessible and/or remove it from the website. Please Ask the Library: http://uba.uva.nl/en/contact, or a letter to: Library of the University of Amsterdam, Secretariat, Singel 425, 1012 WP Amsterdam, The Netherlands. You will be contacted as soon as possible. 2 AbstractPurpose of Review Total laryngectomy rehabilitation (TLR) in Europe is not uniform, with quite some differences in approach and infrastructure between the various countries. In e.g. the Netherlands, Switzerland, Scandinavia, and more recently also in the UK, Head and Neck Cancer treatment and rehabilitation shows a high level of centralisation in dedicated HNC centres. In other European countries, the level of centralisation is lower, with more patients treated in lowvolume hospitals. This paper focuses on the situation in the Netherlands, and where applicable, will discuss regional variations in Europe.Recent Findings Prosthetic surgical voice restoration (PSVR) presently is method of choice in Europe, and use of oesophageal and electrolarynx voice has moved to the background. In most European countries (except UK and Ireland), PSVR is physician driven, with an indispensable role for Speech Language Pathologists, and increasingly for oncology nurses. Indwelling voice prostheses are mostly preferred, also because these devices can be implanted at the time of tracheaoesophageal puncture. Pulmonary rehabilitation is achieved with heat and moisture exchangers, which, based on extensive clinical and basic physiology research, are considered an obligatory therapy measure. Besides PSVR, also issues such as smoking cessation, dysphagia/swallowing rehabilitation, and olfaction/taste rehabilitation are discussed. Especially the latter has shown great progress over the last decade, and is another example of increasing implementation of evidence-based practice in TLR.Summary TLR has shown considerable progress over the last decades, and through the intensified collaboration between all clinicians involved, significantly has improved vocal, pulmonary, and olfactory rehabilitation after TL. KeywordsTotal laryngectomy; voice rehabilitation; pulmonary rehabilitation; olfactory rehabilitation; swallowing rehabilitation; multidisciplinary approach Bullet list  Prosthetic Surgical Voice Restoration is the method of choice for re-establishing postlaryngectomy oral communication, ensuring early regain of optimal voice and speech quality  As with any surgical method, adverse events have to be taken into account, but clinica...

T3‐T4 laryngeal cancer in The Netherlands Cancer Institute; 10‐year results of the consistent application of an organ‐preserving/‐sacrificing protocol

“…[28][29][30] Moreover, one has to keep in mind that, in the last 2 decades, major progress has been made with respect to vocal, pulmonary, and olfactory rehabilitation, making the functional deficits of total laryngectomy less debilitating than ever before. 31 Toxicity after (C)RT can be considerable, resulting in swallowing problems, difficulties with speech, and a dysfunctional larynx. Fortunately, the reduction of the radiation dose to the surrounding tissues achievable with IMRT has decreased RT side effects.…”

Women's perspective on life after total laryngectomy: a qualitative study

“…, van der Molen et al . ). Indeed, all eight participants of this study remembered the preoperative meeting with a laryngectomized patient visitor vividly.…”

“…With the removal of the larynx, the natural voice is lost, and patients have to rehabilitate speech, often with help of a voice prosthesis (van der Molen et al . ). In addition, patients also have a changed appearance due to the creation of a permanent tracheostoma.…”

Perioperative Nursing of Patients with Reoperation of Recurrent Parathyroid Carcinoma Invading the Upper Digestive or Respiratory Tract

“…During nasal feeding, there will be discomfort such as abdominal distension, nausea, and low gustation, but the nurse can provide timely treatment. Patients with total laryngectomy will experience aphasia [12]. Patients with colonic esophageal reconstruction should be prepared to clean the intestine before surgery.…”