Our Summary

This research paper discusses the main treatment for advanced laryngeal or hypopharyngeal cancer, which is a complete removal of the larynx, or voice box. However, this procedure has significant impacts, including the loss of a normal voice. Therefore, the paper explores ways to regain voice function without a working larynx. The article provides an overview of the current methods and updates on progress in voice restoration following a complete laryngectomy. Key terms include electrolarynx, esophageal speech, total laryngectomy, tracheoesophageal puncture, and voice restoration.

FAQs

  1. What is the main treatment strategy for advanced laryngeal/hypopharyngeal carcinoma?
  2. What are some of the methods used for voice rehabilitation after total laryngectomy?
  3. What are the consequences of a total laryngectomy besides the loss of normal voice?

Doctor’s Tip

A doctor might advise a patient who has undergone a laryngectomy to work with a speech therapist to learn techniques for voice rehabilitation, such as using an electrolarynx, esophageal speech, or a tracheoesophageal puncture. It is important to practice these techniques regularly to improve communication and maintain quality of life. Additionally, it is crucial for patients to follow their healthcare provider’s instructions for proper care of their stoma and to attend regular follow-up appointments to monitor their progress and address any concerns.

Suitable For

Patients who are typically recommended for laryngectomy are those with advanced laryngeal or hypopharyngeal carcinoma that has not responded to other treatments such as radiation therapy or chemotherapy. These patients may experience difficulties with breathing, swallowing, or speaking and may require a total laryngectomy to remove the affected tissue and prevent the spread of cancer. Voice rehabilitation after laryngectomy is an important aspect of recovery for these patients, and methods such as electrolarynx, esophageal speech, or tracheoesophageal puncture may be used to help them regain their ability to communicate effectively.

Timeline

Before laryngectomy:

  1. Diagnosis of advanced laryngeal/hypopharyngeal carcinoma
  2. Consultation with healthcare professionals to discuss treatment options
  3. Decision to undergo total laryngectomy
  4. Pre-operative preparation and counseling
  5. Surgery to remove the larynx and/or pharynx

After laryngectomy:

  1. Recovery period in the hospital
  2. Learning to communicate without a voice box
  3. Rehabilitation and speech therapy to learn new methods of speaking, such as using an electrolarynx or esophageal speech
  4. Potential complications and adjustments to daily life, such as changes in eating and breathing
  5. Follow-up appointments with healthcare professionals for monitoring and support
  6. Adjusting to life with a permanent change in voice and communication methods.

What to Ask Your Doctor

  1. What are the potential complications and side effects of a laryngectomy surgery?
  2. What options are available for voice restoration after a laryngectomy?
  3. How long does it typically take to regain speaking ability after a laryngectomy?
  4. What kind of support or therapy will be needed for speech rehabilitation post-surgery?
  5. Are there any dietary or lifestyle changes that need to be made after a laryngectomy?
  6. How often will follow-up appointments be needed to monitor progress and address any concerns?
  7. Are there any specific exercises or techniques that can help improve speech clarity and strength after a laryngectomy?
  8. What resources are available for emotional and psychological support during the recovery process?
  9. How can I best take care of my stoma and prevent infections or complications?
  10. Are there any specific precautions or considerations to keep in mind for future medical treatments or procedures with a stoma?

Reference

Authors: Wang XT, Shan CG. Journal: Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2019 Jul;33(7):677-681. doi: 10.13201/j.issn.1001-1781.2019.07.026. PMID: 31327214