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Continental Preferences in Reconstruction of Pharyngolaryngectomy Defects: A Multi-National Survey.
Head Neck
January 2025
University of New South Wales, Sydney, New South Wales, Australia.
Objectives: Reconstruction of total pharyngolaryngectomy defects may restore pharyngeal function and enable tracheoesophageal speech after resection of locoregionally advanced malignancy. Little remains known about variations in the practices and preferences of surgeons across differing global regions.
Methods: A survey was sent to reconstructive head and neck surgeons across three continents with responses analyzed to evaluate trends.
Tracheoesophageal Puncture Outcomes at a Safety Net Hospital.
Otolaryngol Head Neck Surg
February 2025
Department of Otolaryngology-Head and Neck Surgery, University of Mississippi Medical Center, Jackson, Mississippi, USA.
Tracheoesophageal puncture (TEP) is the gold standard for voice rehabilitation after total laryngectomy (TL). Retrospective analysis was performed of TEP outcomes in patients between 2013 and 2020 at a single tertiary hospital. TEP was performed primarily in 79%, secondarily in 6%, and not placed in 15% of 226 patients.
View Article and Find Full Text PDFTracheoesophageal puncture and quality of life after total laryngectomy: A systematic review and meta-analysis.
Laryngoscope Investig Otolaryngol
December 2024
Anne Burnett Marion School of Medicine, Texas Christian University Fort Worth Texas USA.
Objective: Total laryngectomy (TL) is a standard induction treatment for laryngeal cancer. Patients have shown decreased quality of life (QOL) following laryngectomy potentially due to its impact on communication. This study is a systematic review of the effects of TEP on QOL in TL patients.
View Article and Find Full Text PDFArticle Synopsis
- In Germany, around 950-1200 laryngectomies are performed each year due to serious throat cancers, which lead to major changes in voice and communication abilities, impacting mental health and social interactions.
- A multidisciplinary rehabilitation team is essential to help patients regain their communication skills through various methods like pseudowhispering, esophageal speech, and tracheoesophageal speech prostheses.
- Tracheoesophageal speech prostheses are considered the best option for clear voice production, but they require regular healthcare visits for maintenance, and educating patients on these methods is crucial for their social reintegration.
Patient Perspectives in Postlaryngectomy Communication Rehabilitation and Outcomes.
Otolaryngol Head Neck Surg
February 2025
Department of Otolaryngology-Head and Neck Surgery, University of Kansas Medical Center, Kansas City, Kansas, USA.
Objective: To evaluate patient-reported outcomes in postlaryngectomy communication rehabilitation.
Study Design: Cross-sectional survey study.
Setting: (a) Patients who underwent laryngectomy at a single institution and (b) members of the International Association of Laryngectomees (IAL).
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