Our Summary

This research paper looks into how throat cancer patients’ quality of life is affected by changes in communication following a laryngectomy, an operation which removes the voice box. The researchers conducted a review of 12 studies published between 2007 and 2018. They found that all patients experienced negative changes in their communication skills and quality of life after the procedure, no matter the type of communication method used.

The researchers identified two main themes: changes in communication competency immediately and based on the communication option used, and the patient’s ability to adapt to these changes. The appearance of the communication method and voice-related factors seemed to influence the patients’ perception of their quality of life more than how well others could understand them.

Interestingly, patients who used a communication method called tracheoesophageal speech consistently reported the highest quality of life in most of the studies. The researchers propose a model that explains how communication changes after a laryngectomy can affect quality of life, and they hope it will be a useful tool for helping patients after this operation. They emphasize that the issue is complex and that more work is needed to support these patients.

FAQs

  1. How does a laryngectomy affect a patient’s communication skills and quality of life?
  2. What is tracheoesophageal speech and how does it impact a patient’s quality of life after a laryngectomy?
  3. What are the main themes identified by the researchers in relation to changes in communication after a laryngectomy?

Doctor’s Tip

A helpful tip a doctor might tell a patient about laryngectomy is to explore different communication options and find the one that works best for them. This could include options such as tracheoesophageal speech, esophageal speech, electronic speech devices, or writing. It is important for patients to work with a speech therapist to improve their communication skills and adapt to the changes following the surgery. Additionally, maintaining good overall health and following a healthy lifestyle can also help in the recovery process.

Suitable For

Patients who are typically recommended for a laryngectomy are those who have been diagnosed with advanced throat cancer that has not responded to other treatments such as radiation or chemotherapy. Laryngectomy may also be recommended for patients with severe vocal cord paralysis, traumatic injury to the larynx, or other conditions that severely affect the voice box and surrounding structures. Additionally, patients who have a high risk of recurrence or have difficulty breathing due to their condition may also be candidates for a laryngectomy.

Timeline

Before a laryngectomy:

  • Patient may experience symptoms of throat cancer such as hoarseness, difficulty swallowing, or a persistent cough
  • Patient undergoes various diagnostic tests to confirm the diagnosis, such as imaging scans or a biopsy
  • Patient consults with a team of healthcare professionals to discuss treatment options, including surgery
  • Patient undergoes pre-operative preparations, which may include counseling, education on post-operative care, and discussions about communication options

After a laryngectomy:

  • Patient undergoes surgery to remove the voice box
  • Patient may experience temporary or permanent changes in their ability to speak, swallow, and breathe
  • Patient undergoes rehabilitation to learn new methods of communication, such as speech therapy or the use of a speech prosthesis
  • Patient may experience emotional and psychological challenges related to the loss of their voice and changes in their appearance
  • Patient may need ongoing support and follow-up care to address any complications or adjustments to their new way of life

What to Ask Your Doctor

  1. What are the different options for communication after a laryngectomy, and what are the pros and cons of each?
  2. How will my ability to communicate be affected by the laryngectomy, and what resources are available to help me improve my communication skills?
  3. What can I expect in terms of changes in my quality of life after the laryngectomy, and what support is available to help me cope with these changes?
  4. Are there any specific factors that can improve my quality of life following a laryngectomy, such as certain communication methods or support programs?
  5. How can I best prepare myself emotionally and psychologically for the changes in communication that will occur after the laryngectomy?
  6. What are the potential complications or risks associated with the different communication options available after a laryngectomy, and how can they be managed?
  7. Are there any specific exercises or therapies that can help improve my communication skills and quality of life post-laryngectomy?
  8. How often should I follow up with my healthcare provider to monitor my communication progress and address any concerns or issues that may arise?
  9. Are there any support groups or organizations that specialize in helping laryngectomy patients cope with changes in communication and quality of life?

Reference

Authors: Sharpe G, Camoes Costa V, Doubé W, Sita J, McCarthy C, Carding P. Journal: Qual Life Res. 2019 Apr;28(4):863-877. doi: 10.1007/s11136-018-2033-y. Epub 2018 Nov 11. PMID: 30417205