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Speech rehabilitation after total laryngectomy
Minako Koike1, Noriko Kobayashi, Hajime Hirose
1Speech Therapy Course, School of Allied Health Sciences, Kitasato University, Kanagawa, Japan. minako@ahs.kitasato-u.ac.jp
Acta Oto-Laryngologica. Supplementum
|September 6, 2002
Summary
Speech therapy for laryngectomees significantly improved alaryngeal speech acquisition. Most patients achieved practical esophageal or electrolarynx speech, with shorter training times than previously reported.
Area of Science:
- Otolaryngology
- Speech-Language Pathology
- Rehabilitation Medicine
Background:
- Laryngectomy necessitates alternative speech methods.
- Effective rehabilitation systems are crucial for post-surgery quality of life.
- Previous studies show varying success rates for alaryngeal speech acquisition.
Purpose of the Study:
- To report the outcomes of speech therapy for laryngectomees.
- To discuss improvements for laryngectomee rehabilitation systems in Japan.
- To evaluate the effectiveness of esophageal and electrolarynx speech training.
Main Methods:
- Retrospective analysis of 65 laryngectomee patients' speech therapy outcomes.
- Training included esophageal speech and/or electrolarynx speech.
- Data collected on training duration, session frequency, and speech acquisition success.
Main Results:
- 90.8% of patients acquired either esophageal or electrolarynx speech.
- Training for a single esophageal sound was shorter than in other Japanese studies.
- Only 9.2% failed to acquire any alaryngeal speech, a lower rate than reported elsewhere.
Conclusions:
- The speech therapy program at Kitasato University Hospital is effective.
- Shorter training periods for esophageal speech were observed.
- Improvements in Japan's laryngectomee rehabilitation system are recommended.
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