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Current Opinion in Otolaryngology & Head & Neck Surgery:
doi: 10.1097/MOO.0b013e328360c3c1
SPEECH THERAPY AND REHABILITATION: Edited by H. Fiona Robinson

International practice of laryngectomy rehabilitation interventions: a perspective from South Africa

Fagan, Johan J.a; Lentin, Roslynb; Quail, Gavina

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Abstract

Purpose of review

This review reflects on the experience of speech rehabilitation of laryngectomees at the Groote Schuur Hospital in Cape Town and expands on ways of dealing with the challenges that practising in a developing world setting presents.

Recent findings

Postlaryngectomy speech rehabilitation is unavailable in most African countries because of a profound shortage of speech and language therapists, otolaryngologists, and trained head and neck surgeons, as well as fiscal limitations. This article presents our recent tracheoesophageal speech results; discusses the employment of early postlaryngectomy feeding, selection criteria for patients for tracheoesophageal speech, the choice of voice prosthesis, follow-up care of patients coming from afar; and presents the results of a comparative study of the efficacy of different methods of airway humidification.

Summary

Our data and experience illustrate that excellent postlaryngectomy speech results can be achieved in a developing world setting by a dedicated team comprising speech and language therapists and otolaryngologists, that early postlaryngectomy feeding is well tolerated, and that a simple cotton cloth stoma cover is as effective as more expensive heat moisture exchange devices.

© 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

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