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Aquatic activities after total laryngectomy
A M Karamzadeh1, W B Armstrong
1Department of Otolaryngology-Head and Neck Surgery, University of California, Irvine 92868-3201, USA.
Summary
Patients who have undergone laryngectomy can safely return to aquatic activities. They use breathing aids or manual occlusion, reporting enhanced quality of life despite clinical advice against it.
Area of Science:
- Laryngology
- Rehabilitation Medicine
- Aquatic Therapy
Background:
- Total laryngectomy necessitates significant lifestyle adjustments.
- Patients often face limitations in recreational activities, including swimming.
- Clinician recommendations frequently discourage aquatic participation post-laryngectomy.
Observation:
- This study explored the experiences of four post-laryngectomy patients who resumed aquatic activities.
- Interviews focused on techniques, safety, accidents, and perceived quality of life.
- All participants were active swimmers before their diagnosis.
Findings:
- All four subjects regularly swim using commercial breathing aids or manual tracheostomal occlusion.
- One patient surfs using a custom-made breathing aid.
- Only one minor aquatic-related accident was reported among the participants.
- All patients reported an improved quality of life due to aquatic engagement.
Implications:
- Highly motivated laryngectomy patients can successfully return to aquatic activities.
- Adaptive techniques and safety measures enable participation.
- Findings challenge conventional clinical advice and highlight the psychological benefits of aquatic engagement for this population.