Communication changes with laryngectomy and impact on quality of life: a review

  • Gabriella Sharpe
  • Vera Camoes Costa
  • Wendy Doubé
  • Jodi Sita
  • Chris McCarthy
  • Paul Carding



Patients with throat cancer at later stages often undergo total laryngectomy, a procedure that removes the larynx (voice box) and directly impacts the patient’s ability to produce natural voice and communication. This narrative review aimed to explore how changes to communication following laryngectomy may impact quality of life (QoL) for patients.


Literature searches were conducted using CINAHL, MEDLINE and PsychInfo databases for studies published between 2007 and 2018. The search terms (and derivatives) of laryngectomy AND communication AND quality of life were used. A synthesis and appraisal of the studies was conducted.


Twelve studies met the inclusion criteria and were included in this review. The two main themes identified relating to changes in communication and impact on QoL were changes in communication competency (immediate changes and communication option used) and adaptation to change (e.g. self-related factors and relationships with others). Regardless of the type of communication option used, participants in all studies reported negative changes in their communication competency and QoL post-laryngectomy. Voice-related factors and aesthetics of the communication option used were noted to influence self-ratings of QoL for the participants, rather than how well others understood them. Participants using tracheoesophageal speech (TES) consistently showed the highest self-reported QoL across the majority of studies. A model incorporating the findings from this review has been proposed which outlines how changes in communication post-laryngectomy may lead to an impact on QoL. Here, the factors of changes in communication competency, self-perception and social engagement impact each other and are also influenced by adaptation to change.


This review has highlighted the complex nature of changes faced by patients following laryngectomy in relation to communication and QoL. The model linking communication changes to QoL may become a useful tool for researchers and clinicians in supporting the management of patients post-laryngectomy.


Quality of life Communication Laryngectomy Voice Review 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflicts of interest.

Research involving human participants and/or animals

This article does not contain any studies with human participants performed by any of the authors.


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Copyright information

© Springer Nature Switzerland AG 2018

Authors and Affiliations

  • Gabriella Sharpe
    • 1
  • Vera Camoes Costa
    • 2
  • Wendy Doubé
    • 3
  • Jodi Sita
    • 4
  • Chris McCarthy
    • 5
  • Paul Carding
    • 1
  1. 1.School of Allied Health, Faculty of Health SciencesAustralian Catholic UniversityMelbourneAustralia
  2. 2.Faculty of Arts, Health and DesignSwinburne University of TechnologyMelbourneAustralia
  3. 3.School of Arts, Social Sciences and Humanities, Faculty of Health, Arts and DesignSwinburne University of TechnologyMelbourneAustralia
  4. 4.School of Science, Faculty of Health SciencesAustralian Catholic UniversityMelbourneAustralia
  5. 5.School of Software and Electrical Engineering, Faculty of Science, Engineering and TechnologySwinburne University of TechnologyMelbourneAustralia

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