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Surgeon Perspectives on Addressing Mental Health Among Total Laryngectomy Patients
Carlos X Castellanos1, Matthew E Lin1, Tyler J Gallagher2
1Department of Head and Neck Surgery, David Geffen School of Medicine at University of California, Los Angeles, California, USA.
Psycho-Oncology
|April 25, 2025
Summary
Head and neck surgeons frequently see mental health issues in total laryngectomy patients but often lack the training and resources to address them. Improving mental healthcare access for these patients is crucial.
Area of Science:
- Otolaryngology
- Head and Neck Surgery
- Mental Health
- Oncology
Background:
- Total laryngectomy patients experience high rates of depression and suicide.
- Head and neck cancer patients face significant mental health challenges.
- Existing research highlights the psychological burden on laryngectomy survivors.
Purpose of the Study:
- To assess head and neck surgeons' perceptions of their roles in managing mental health issues.
- To understand current treatment patterns for mental health sequelae in total laryngectomy patients.
- To identify barriers to adequate mental healthcare for this population.
Main Methods:
- Anonymous survey distributed to American Head and Neck Society members and academic departments.
- Data collected on surgeon perspectives regarding mental health experiences.
- Descriptive statistics used to analyze survey responses.
Main Results:
- 63 respondents reported that 48% of their total laryngectomy patients experience mental health issues.
- 85% of surgeons believe otolaryngologists should screen for mental health conditions.
- 39% of surgeons feel uncomfortable addressing mental health due to lack of expertise or resources.
Conclusions:
- Head and neck surgeons recognize the need for mental health services in laryngectomy patients.
- A significant portion of surgeons feel unprepared to manage these mental health issues.
- Further research is required to bridge the gap in mental healthcare for laryngectomy patients.
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