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Current trends in post-laryngectomy speech rehabilitation
International Advances in Surgical Oncology
|January 1, 1980
Summary
Surgical speech rehabilitation (SSR) offers alternatives for laryngectomees. This review analyzes current methods and algorithms, acknowledging that ideal solutions for laryngeal aphonia are still developing.
Area of Science:
- Otolaryngology
- Speech-Language Pathology
- Biomedical Engineering
Background:
- Laryngeal cancer treatment often necessitates laryngectomy, resulting in laryngeal aphonia.
- Conventional speech rehabilitation methods have limitations, driving interest in surgical speech rehabilitation (SSR).
- Advancements in prosthetics and surgical techniques aim to restore voice post-laryngectomy.
Purpose of the Study:
- To review the historical evolution and current state of surgical speech rehabilitation (SSR) methods.
- To analyze various SSR techniques, including the phonatory neoglottis method.
- To provide guidance algorithms for patients undergoing or having undergone laryngectomy.
Main Methods:
- Historical review of pneumatic and electronic speech devices.
- Analysis of surgical techniques for voice restoration.
- Development of clinical algorithms for patient management.
Main Results:
- Several SSR methods exist, including the Staffieri phonatory neoglottis.
- Algorithms are proposed for different patient scenarios: pre-laryngectomy, post-laryngectomy, and total pharyngolaryngectomy.
- No current SSR method is universally ideal for restoring voice.
Conclusions:
- Surgical speech rehabilitation (SSR) presents promising alternatives for laryngectomees.
- Continued research and development are needed to refine SSR techniques and achieve ideal voice restoration.
- Patient-specific algorithms can aid in selecting appropriate SSR strategies.