Our Summary

This research paper is a comprehensive review of previous studies on counseling given to patients before a laryngectomy surgery (removal of the voice box). The authors looked at research papers from 1975 to 2015. Out of 56 papers they found, only 21 were relevant and included in the review.

They found that the quality of these studies was generally poor, with a lot of bias and design flaws. This made it challenging to draw concrete conclusions. Furthermore, what exactly pre-surgery counseling involves was not clearly defined across these studies, making it hard to compare them.

The review also found that many patients and their caregivers reported that the counseling they received before surgery was inadequate. The authors concluded that more rigorous and consistent research is needed in this area to improve pre-surgery counseling for patients undergoing laryngectomy.

FAQs

  1. What is the time period of the research papers reviewed in this study on pre-surgery counseling for laryngectomy patients?
  2. What were the key findings about the quality of previous studies and the pre-surgery counseling methods?
  3. What did the authors conclude about the need for future research in pre-surgery counseling for laryngectomy patients?

Doctor’s Tip

A doctor might tell a patient undergoing a laryngectomy to make sure they ask any questions they have about the surgery, recovery process, and potential lifestyle changes. It is important for patients to fully understand what to expect and feel comfortable discussing any concerns with their healthcare team. Communication is key in ensuring a successful outcome and a smooth recovery.

Suitable For

Patients who are typically recommended laryngectomy are those with advanced laryngeal cancer that has not responded to other treatments such as radiation or chemotherapy. Other conditions that may warrant a laryngectomy include severe laryngeal trauma, recurrent aspiration pneumonia, or severe breathing difficulties due to laryngeal dysfunction. Additionally, patients who have recurrent laryngeal papillomatosis, a rare condition characterized by the growth of benign tumors in the larynx, may also undergo a laryngectomy if other treatments are ineffective.

Timeline

Before laryngectomy:

  • Patient is diagnosed with a condition that requires removal of the voice box
  • Patient undergoes various medical tests and consultations to determine the need for surgery
  • Patient meets with a healthcare team, including a speech therapist, otolaryngologist, and oncologist, to discuss the surgery and its potential impact on communication and quality of life
  • Patient may receive counseling to help cope with the emotional and psychological aspects of losing their voice

After laryngectomy:

  • Patient undergoes the surgical procedure to remove the voice box
  • Patient may spend time in the hospital recovering from surgery
  • Patient receives post-operative care, including speech therapy to learn new methods of communication (e.g. esophageal speech, tracheoesophageal puncture)
  • Patient may experience physical and emotional challenges, such as difficulty swallowing, changes in appearance, and feelings of grief or loss
  • Patient may attend follow-up appointments with their healthcare team to monitor their progress and address any concerns or complications
  • Patient may be referred to support groups or counseling services to help adjust to life after laryngectomy.

What to Ask Your Doctor

Some questions a patient should ask their doctor about laryngectomy include:

  1. What is the purpose of a laryngectomy surgery?
  2. What are the potential risks and complications associated with the surgery?
  3. What is the recovery process like after a laryngectomy?
  4. How will my ability to speak be affected after the surgery?
  5. Will I need any additional therapy or support post-surgery?
  6. How will my ability to eat and swallow be affected after the surgery?
  7. What changes should I expect in my day-to-day life after a laryngectomy?
  8. Are there any alternative treatment options to consider?
  9. How can I best prepare for the surgery both physically and mentally?
  10. Are there any support groups or resources available for individuals who have undergone a laryngectomy?

Reference

Authors: Fitzgerald E, Perry A. Journal: J Laryngol Otol. 2016 Jan;130(1):15-20. doi: 10.1017/S0022215115002984. Epub 2015 Nov 16. PMID: 26567459