Our Summary

This research paper is a comprehensive review of various methods that have been used to restore a person’s ability to speak after they’ve had a laryngectomy, a surgery where the entire voice box is removed. These methods include the use of external devices, two types of bypass surgeries (one involving the throat and windpipe and another involving the throat and food pipe), and voice prostheses.

The paper also discusses the pros and cons of each method, the results they can achieve, potential complications, and the design and lifespan of the prostheses used. It further looks at how to prevent and treat damage to the valve of the prosthesis caused by microorganisms or fungi.

In simpler terms, this is a study reviewing all the different ways doctors can help someone to speak again after their voice box has been removed, and what issues they might face with each method.

FAQs

  1. What are the different methods of voice restoration after laryngectomy?
  2. What are the advantages and disadvantages of each voice restoration technique?
  3. How are complications, such as damage to the valve apparatus of the prosthesis by colonies of microorganisms and fungal flora, prevented and treated?

Doctor’s Tip

A helpful tip a doctor might tell a patient about laryngectomy is to discuss the various voice restoration methods available, such as external devices, tracheopharyngeal bypass surgery, esophageal speech, and voice prostheses. It is important to understand the advantages and disadvantages of each technique, as well as the potential complications and maintenance required for voice prostheses. It is also important to follow proper hygiene practices to prevent damage to the valve apparatus of the prosthesis by microorganisms or fungal flora. Discussing these options with your healthcare provider can help you make an informed decision about the best method for restoring your voice after laryngectomy.

Suitable For

Patients who have undergone laryngectomy, either due to laryngeal cancer or other conditions that require removal of the larynx, are typically recommended various methods of voice restoration. These methods include the use of external devices, tracheopharyngeal bypass surgery, esophageal speech, tracheoesophageal bypass surgery without the use of a prosthetic device, and voice prostheses.

Each of these techniques has its own advantages and disadvantages, and the choice of method depends on the individual patient’s preferences and specific needs. Voice prostheses, for example, are a popular option that involves the placement of a one-way valve in the tracheoesophageal puncture to allow air to pass from the lungs to the esophagus for speech production.

Overall, the goal of rehabilitation after laryngectomy is to help patients regain their ability to communicate effectively and maintain a good quality of life. By exploring and understanding the various voice restoration methods available, healthcare providers can work with patients to find the most suitable option for their unique circumstances.

Timeline

Before laryngectomy, a patient may experience symptoms such as difficulty breathing, swallowing, or speaking due to conditions such as cancer of the larynx. They may undergo tests and evaluations to determine the need for surgery, such as imaging scans and laryngoscopy.

After laryngectomy, the patient will undergo a period of recovery in the hospital, where they will receive care and support from a multidisciplinary team. They may experience temporary changes in their voice and swallowing function, which will require rehabilitation and speech therapy. They may also be fitted with a voice prosthesis or undergo surgery to create a tracheoesophageal puncture for speech.

Over time, the patient will adapt to their new way of speaking and swallowing, with the help of ongoing therapy and support. They may need to make lifestyle changes to accommodate their new needs, such as avoiding certain foods or activities that can affect their ability to speak or swallow. With proper care and support, patients can lead fulfilling lives after laryngectomy, with restored voice function and improved quality of life.

What to Ask Your Doctor

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

  1. What are the different options for voice restoration after laryngectomy, and which one would be most suitable for me?
  2. What are the advantages and disadvantages of each voice restoration technique?
  3. What are the potential complications associated with voice prostheses or other voice restoration methods?
  4. How long do voice prostheses typically last, and how often will I need to replace them?
  5. What are the techniques used to prevent and treat damage to the valve apparatus of the prosthesis by microorganisms or fungal flora?
  6. What is the success rate of voice restoration methods after laryngectomy, and what can I expect in terms of functional results?
  7. Are there any lifestyle changes or precautions I should take after undergoing voice restoration surgery?
  8. How often will I need to follow up with my doctor for monitoring and maintenance of the voice prosthesis?
  9. Are there any support groups or resources available for patients who have undergone laryngectomy and voice restoration surgery?
  10. What are the long-term effects and implications of living without a natural voice box after laryngectomy?

Reference

Authors: Kozhanov AL, Kozhanov LG. Journal: Vestn Otorinolaringol. 2023;88(1):64-70. doi: 10.17116/otorino20228801164. PMID: 36867146