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Related Experiment Videos

Voice problems following limited surgical excision.

G P Moore

    The Laryngoscope
    |April 1, 1975
    PubMed
    Summary
    This summary is machine-generated.

    Vocal rehabilitation after partial laryngectomy is often successful, with many patients regaining satisfactory voices. Speech therapy can further improve voice quality and speech intelligibility for those experiencing impairment.

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    Area of Science:

    • Otolaryngology
    • Speech-Language Pathology

    Background:

    • Limited literature exists on vocal rehabilitation post-partial laryngectomy.
    • Partial laryngectomy is employed for various laryngeal cancers, excluding sub-glottal regions.
    • Many patients achieve satisfactory voice after limited laryngeal surgery, especially supraglottic procedures.

    Purpose of the Study:

    • To explore the extent of partial laryngectomy use in laryngeal cancer treatment.
    • To assess voice outcomes and the need for vocal rehabilitation following partial laryngectomy.
    • To outline key components of speech therapy for patients undergoing partial laryngectomy.

    Main Methods:

    • Informal questionnaire distributed to 10 experienced laryngologists.
    • Review of published literature on laryngeal surgery and vocal outcomes.

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  • Analysis of questionnaire responses regarding patient demographics and treatment approaches.

    • Main Results:

    • Approximately 25% of laryngeal cancer patients undergo partial laryngectomy.
    • Partial laryngectomy is common for epiglottic, supraglottic, or single vocal cord lesions.
    • Most patients achieve satisfactory or good voice quality post-surgery, often without formal retraining.
    • Hemilaryngectomy and cordectomy can lead to voice impairment, necessitating speech therapy.

    Conclusions:

    • Partial laryngectomy is a viable option for specific laryngeal cancers, yielding good voice outcomes.
    • Vocal rehabilitation, including targeted speech therapy, is crucial for patients experiencing voice impairment.
    • Therapeutic strategies should focus on glottic closure, breath efficiency, articulation, hearing compensation, and environmental adjustment.