Integrated rehabilitation after total laryngectomy: a pilot trial study
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Acquisition and acceptance of the alaryngeal voice, psychological state, and Quality of Life (QoL) of laryngectomized patients.
Thirty-two patients who underwent total laryngectomy were included in the study; 17 of them were treated by a psychologist and a speech therapist (experimental group); 15 performed only speech therapy (control group).
The experimental group showed a significant improvement in all parameters of the INFVo scale, in the score of the Environment subscale and in the total score of the I-SECEL (Self-Evaluation of Communication Experiences after Laryngeal Cancer); in the Depression, Obsession-Compulsion and Paranoia areas of the SCL-90-R (Symptom Check List-90-Revised); and in the Social area (REL) of the WHOQOL-B (World Health Organization Quality of Life Scale–Brief).
An integrated rehabilitative approach to laryngectomized patients improves emotional state and psychosocial aspects and promotes acceptance and use of the new voice and recovery of a better quality of life.
KeywordsTotal laryngectomy Esophageal speech Tracheoesophageal speech Rehabilitation Psycho-oncology
Compliance with ethical standards
All patients signed an informed consent. The study has been approved by the Medical Ethics Committee of the Catholic University of the Sacred Heart.
Conflict of interest
The authors declare that they have no conflicts of interest.
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