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Post-Laryngectomy Voice Prosthesis Changes by Speech-Language Pathologists: Preliminary Results
Stéphane Hans1, Grégoire Vialatte de Pemille1, Robin Baudouin1
1Department of Otorhinolaryngology and Head and Neck Surgery, Foch Hospital, School of Medicine, UFR Simone Veil, Université Versailles Saint-Quentin-en-Yvelines (Paris Saclay University), F-92150 Paris, France.
Journal of Clinical Medicine
|July 27, 2022
Summary
Speech-language pathologists can safely and successfully change voice prostheses in patients after total laryngectomy. This procedure, including patient consultation, takes about 20 minutes and leads to high patient satisfaction.
Area of Science:
- Otolaryngology
- Speech-Language Pathology
Background:
- Voice prosthesis (VP) changes are crucial for patients post-total laryngectomy (TL).
- Traditionally performed by surgeons, the role of speech-language pathologists (SLPs) in VP management is being explored.
Purpose of the Study:
- To assess the feasibility and success of voice prosthesis (VP) changes performed by a speech-language pathologist (SLP).
Main Methods:
- Prospective recruitment of patients who underwent total laryngectomy (TL) and tracheoesophageal puncture.
- Data collection on VP type, size, reason for change, and leakage management.
- Patient-reported outcomes using a 10-point Likert scale questionnaire.
Main Results:
- Fifty-two VP changes were successfully performed by a senior SLP within a mean consultation time of 20 minutes.
- Primary reasons for VP changes included transprosthetic (79%) and periprosthetic (21%) leakages.
- High patient satisfaction reported regarding the speed and quality of SLP-provided care.
Conclusions:
- Delegating voice prosthesis (VP) changes from surgeons to speech-language pathologists (SLPs) is feasible and safe.
- This delegation can be particularly beneficial in underserved rural areas with otolaryngologist shortages.
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