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Surgeons' reported attitudes and practices regarding alaryngeal speech.
1Speech-Language and Hearing Department, Children's Hospital of Buffalo, NY 14209.
The Annals of Otology, Rhinology, and Laryngology
|March 1, 1990
Summary
Prominent laryngologic surgeons favor tracheoesophageal shunt procedures for post-laryngectomy speech rehabilitation. Younger surgeons perform more shunt procedures, indicating evolving trends in voice restoration after laryngectomy.
Area of Science:
- Laryngology
- Speech Rehabilitation
- Surgical Trends
Background:
- Laryngectomy necessitates speech rehabilitation.
- Tracheoesophageal shunt procedures are a common voice restoration method.
- Understanding surgeon practices is crucial for optimizing patient outcomes.
Purpose of the Study:
- To survey prominent laryngologic surgeons on current practices.
- To identify trends in postoperative speech rehabilitation.
- To explore surgeon preferences for voice restoration methods.
Main Methods:
- Survey of 50 prominent laryngologic surgeons.
- Analysis of data from 1,003 laryngectomy operations.
- Statistical correlation between surgeon age and procedure type.
Main Results:
- A preference for tracheoesophageal shunt procedures was indicated by responders.
- A negative correlation exists between surgeon age and tracheoesophageal shunt procedure volume.
- Data on preferred speech types, artificial device use, and referral practices were collected.
Conclusions:
- Tracheoesophageal shunt procedures are a preferred method for speech rehabilitation post-laryngectomy.
- Surgeon age may influence the adoption of specific voice restoration techniques.
- Current practices highlight evolving trends in laryngectomy rehabilitation.