Our Summary

This research paper aimed to find out the different ways that various healthcare professionals can help cancer patients recover after they have had their entire larynx (voice box) removed. The researchers looked at many scientific articles and picked out 33 that were most relevant. These articles described various types of help, such as assistance with speaking, smelling, breathing, eating, comparing different artificial voice boxes, and general practices for helping patients recover after this operation. The research found that these methods were effective in helping patients recover, but there wasn’t much evidence of different healthcare professionals working together. However, the studies suggested that this teamwork could improve the practical help and quality of life for these patients.

FAQs

  1. What was the main aim of this research paper about laryngectomy?
  2. What types of assistance for laryngectomy patients were mentioned in the research study?
  3. Did the research suggest any potential improvements for the care of patients after laryngectomy?

Doctor’s Tip

One helpful tip a doctor might tell a patient about laryngectomy is to practice using their artificial voice box regularly to improve speech clarity and communication. It is important to work closely with a speech therapist to learn how to use and maintain the device effectively. Additionally, staying hydrated and practicing breathing exercises can help manage any changes in breathing patterns after the surgery. Regular follow-up appointments with healthcare professionals are also important to monitor overall recovery and address any concerns or complications that may arise.

Suitable For

Patients who are typically recommended for a laryngectomy are those who have been diagnosed with advanced laryngeal cancer that has not responded to other treatments such as radiation therapy or chemotherapy. Other reasons for recommending a laryngectomy may include recurrent cancer in the larynx, severe damage to the larynx from previous treatments, or other medical conditions that make it difficult for the patient to breathe or swallow.

In some cases, patients may also undergo a laryngectomy as a preventative measure if they have a high risk of developing laryngeal cancer due to factors such as smoking, heavy alcohol consumption, or exposure to certain chemicals or irritants in the workplace.

Ultimately, the decision to recommend a laryngectomy is made by a team of healthcare professionals, including oncologists, otolaryngologists (ENT specialists), speech therapists, and other specialists, who will assess the patient’s individual situation and determine the best course of treatment to achieve the best possible outcome for the patient.

Timeline

Before laryngectomy:

  • Patient is diagnosed with laryngeal cancer and undergoes various tests and consultations to determine the best course of treatment.
  • Patient may undergo radiation therapy or chemotherapy to shrink the tumor before surgery.
  • Patient undergoes laryngectomy surgery, where the entire larynx is removed to treat the cancer.

After laryngectomy:

  • Patient wakes up from surgery with a stoma (opening in the neck) for breathing and communication.
  • Patient receives speech therapy to learn how to speak using a tracheoesophageal puncture (TEP) or an artificial voice prosthesis.
  • Patient may undergo swallowing therapy to learn how to eat and drink safely without the larynx.
  • Patient receives counseling and emotional support to cope with the changes in their voice and communication abilities.
  • Patient may undergo rehabilitation to improve breathing, coughing, and overall physical conditioning.
  • Patient may receive follow-up care and monitoring to check for recurrence of cancer and manage any complications from the surgery.

What to Ask Your Doctor

  1. What can I expect in terms of recovery after a laryngectomy surgery?
  2. How will my ability to speak be affected after the surgery, and what options are available to help me communicate?
  3. What support services are available to help me with speech therapy and rehabilitation?
  4. How will my ability to breathe and swallow be impacted, and what steps can I take to improve these functions?
  5. Are there any specific dietary restrictions or guidelines I should follow post-surgery?
  6. What are the potential complications or side effects I should watch out for after the surgery?
  7. How often will I need to come in for follow-up appointments, and what can I expect during these visits?
  8. Are there any support groups or resources available for laryngectomy patients that you would recommend?
  9. Are there any specific exercises or techniques I should practice to improve my overall quality of life post-surgery?
  10. Can you provide me with information on different types of artificial voice boxes and how to choose the best option for me?

Reference

Authors: Rosa VM, Fores JML, da Silva EPF, Guterres EO, Marcelino A, Nogueira PC, Baia WRM, Kulcsar MAV. Journal: Clinics (Sao Paulo). 2018 Sep 6;73(suppl 1):e484s. doi: 10.6061/clinics/2018/e484s. PMID: 30208167