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Total laryngectomy (TL) patients show altered disfluencies but maintain syntactic complexity and gesture use. Gestures and pauses are vital compensatory tools in speech rehabilitation after TL.

Keywords:
communicationco‐speech gesturessyntactic complexitytotal laryngectomytracheoesophageal speech

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Area of Science:

  • Linguistics
  • Speech-Language Pathology
  • Communication Sciences

Background:

  • Total laryngectomy (TL) necessitates alternative speech rehabilitation, such as tracheoesophageal speech, due to voice loss.
  • While voice and intelligibility post-TL are studied, spoken language complexity and co-speech gestures remain less understood.
  • Investigating these aspects is crucial for comprehensive communication rehabilitation after TL.

Purpose of the Study:

  • To systematically compare syntactic complexity and co-speech gesture use in TL patients versus matched controls.
  • To determine if TL patients exhibit differences in syntactic structures and gesture patterns during communicative tasks.
  • To explore the functional role of gestures in the spoken language of individuals post-TL.

Main Methods:

  • A study involving 42 participants: 21 TL patients using tracheoesophageal speech and 21 matched controls.
  • Participants engaged in video retelling and picture description tasks, with audio-video recordings analyzed.
  • Analysis focused on syntactic complexity (C-units, clauses, word order) and co-speech gestures (type, function), controlling for word count.

Main Results:

  • TL patients produced significantly fewer fillers and mazes but more short pauses compared to controls.
  • No significant differences were observed in most measures of verbal syntactic complexity between groups.
  • Gesture frequency, type, and function were comparable between TL patients and healthy controls.

Conclusions:

  • Total laryngectomy impacts spoken language disfluencies, suggesting more careful speech planning in TL patients.
  • Syntactic complexity appears relatively unaffected, and co-speech gesture use remains intact post-TL.
  • Gestures and pauses serve as valuable compensatory resources, highlighting their importance in TL rehabilitation and counseling.