Exploring experiences and emotions in tracheostomy and laryngectomy: a systematic review

This systematic review explores the emotional experiences of tracheostomy and laryngectomy patients, focusing on post-surgical emotions and their impact on quality of life and psychological well-being. Following PRISMA guidelines, we conducted an electronic search from May 2019 to June 2025, including relevant articles. We also examined reference lists for comprehensive coverage. Studies were categorized by participants' emotional experiences. After rigorous screening, 51 articles published between 1991 and 2025 were included (18 on tracheostomy patients, 33 on laryngectomy patients). Tracheostomy patients reported anxiety, fear, panic, frustration, anger, shame, and powerlessness. Laryngectomy patients expressed anxiety, fear, depression, and regret. Both groups had compromised quality of life, facing uncertainties, communication challenges, altered identity, body image concerns, and mechanical ventilation complexities. Both surgeries have a profound emotional toll, necessitating long-term psychological monitoring. Addressing emotions like worry, anxiety, depression, anger, and sorrow through appropriate treatments can enhance mental health. A holistic approach to patient care, considering physical and emotional aspects, is vital for better outcomes and post-surgery well-being.