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Voice rehabilitation after external partial laryngeal surgery
Anthony Sparano1, Cesar Ruiz, Gregory S Weinstein
1Department of Otorhinolaryngology: Head and Neck Surgery, The University of Pennsylvania Medical Center, 3400 Spruce Street, Ravdin 5, Philadelphia, PA 19104, USA.
Otolaryngologic Clinics of North America
|May 28, 2004
Summary
Laryngeal cancer surgery, including partial or total laryngectomy, significantly alters anatomy and physiology, impacting voice. Professional rehabilitation therapy is crucial for managing these profound changes and optimizing functional outcomes.
Area of Science:
- Oncology
- Otolaryngology
- Speech-Language Pathology
Background:
- Laryngeal cancer treatment has evolved over 5 decades.
- Advancements in diagnostics and understanding tumor behavior enable organ-preservation surgery.
- Laryngectomy procedures result in significant anatomical and physiological changes, affecting voice.
Purpose of the Study:
- To review the evolution of laryngeal cancer treatment.
- To highlight the impact of laryngectomy on anatomy, physiology, and voice.
- To emphasize the role of multidisciplinary rehabilitation therapy in managing functional outcomes.
Main Methods:
- Review of historical treatment trends in laryngeal cancer.
- Analysis of anatomical and physiological consequences of laryngectomy.
- Discussion of the multidisciplinary approach in rehabilitation therapy.
Main Results:
- External partial or organ-preservation laryngeal surgery has been developed.
- Profound changes in anatomy, physiology, and voice are inevitable after laryngectomy.
- A broad spectrum of functional changes necessitates comprehensive rehabilitation.
Conclusions:
- Multidisciplinary rehabilitation therapy is essential for patients undergoing laryngectomy.
- Integrated understanding of anticipated and potential functional outcomes is key.
- Professional therapy addresses the complex physical and psychosocial impacts of laryngeal cancer surgery.