The role of speech language pathologist in rehabilitation after total laryngectomy

2020 ◽  
Vol 9 (4) ◽  
pp. 1-5
Author(s):  
Natalia Tuz-Hrycyna

This paper presents the role of a clinical speech therapist in a team of specialists involved in the treatment and rehabilitation of people after total laryngectomy. Particular attention was paid to the necessity of cooperation in a group of specialists and the stages of the rehabilitation process of the substitute voice and smell were presented.

2020 ◽  
Vol 71 ◽  
pp. 123-126
Author(s):  
Perumal Santhanam Divya ◽  
R. Sai Sreya

The primary goal of a speech-language pathologist in a laryngectomee is to restore the clients’ functional speech ability, facilitate comfortable swallowing, and, thus, improve the quality of life. The client, a 65-year-old female, came to the department of speech-language pathology for evaluation. She was diagnosed with carcinoma in the glottic and supraglottic region and had undergone. Total laryngectomy with hemithyroidectomy with primary tracheoesophageal puncture and voice prosthesis inserted. The client had lost her voice completely and had swallowing difficulty and presented with the complaint of food getting stuck in the throat and increased duration of swallowing.


Author(s):  
Maiara Tomanchieviez ◽  
Tainá Viégas da Silva Garcia ◽  
Marlei Braude Canterji ◽  
Deisi Cristina Gollo Marques Vidor

The work of the speech therapist with patients undergoing Bariatric Surgery (BS) is still little explored, although essential for the adequate preparation of the subject for surgery, as well as for his short and long term recovery. Given its importance and it’s still limited performance in this scenario, the objective of this study was to verify the perception of patients about the importance and effectiveness of speech therapy both in the pre and postoperative period of BS. Questionnaires were carried out with 44 patients divided into 4 groups, according to the moment of bariatric surgery follow-up. Most of the subjects were unaware of the role of the speech therapist at the beginning of the treatment, but they considered their guidance and their presence in the team relevant during the process. The ignorance of the role of the SpeechLanguage Pathologist in the care of bariatric patients is related to the incipient participation of Speech-Language Pathologists in this scenario. The positive impact of speech therapy guidelines in the preoperative period improves quality of life, provides information and clarifies subjects’ doubts and fears, enhancing results and minimizing postoperative problems. The professional’s guidance in relation to the aspects experienced in the patients’ daily lives implies a consensus on the importance of the participation of the Speech Therapist during the process of monitoring the BS. Patients’ perception of the importance of the guidelines received by the Speech-Language Pathologist was well-known, as well as their necessary participation in the multidisciplinary team. The results demonstrated the effectiveness of speech therapy both in the pre and in the short and long term postoperative period.


2020 ◽  
pp. 49-56
Author(s):  
T. Shirshova

Disorders of the musculoskeletal system in school-age children occupy 1-2 places in the structure of functional abnormalities. Cognitive impairment without organic damage to the central nervous system is detected in 30-56% of healthy school children. Along with the increase in the incidence rate, the demand for rehabilitation systems, which allow patients to return to normal life as soon as possible and maintain the motivation for the rehabilitation process, is also growing. Adaptation of rehabilitation techniques, ease of equipment management, availability of specially trained personnel and availability of technical support for complexes becomes important.


2016 ◽  
Vol 1 (1) ◽  
pp. 175-181
Author(s):  
Nancy Hall

Objective To survey speech-language pathologists (SLPs) regarding their involvement in treating infants whose mothers experience postpartum depression. Method SIG 1 members were invited to participate in an 8-question survey examining their involvement with infant-mother pairs, including mothers diagnosed with postpartum depression (PPD). Results Results indicate that, while some SLPs frequently work with infant-mother pairs, few have knowledge regarding the diagnosis of PPD in the mothers. Conclusions It is likely that many SLPs are working with infant-mother pairs that include mothers who are experiencing PPD. Suggestions regarding the role of the SLP are offered, including providing support for these mothers in terms of obtaining services and helping these mothers use appropriate infant-directed speech to facilitate communication and cognitive development in their infants.


2008 ◽  
Vol 139 (2_suppl) ◽  
pp. P128-P128 ◽  
Author(s):  
Tamer Abdel-Halim Ghanem ◽  
Justin McLarty ◽  
Farhad Ardeshirpour ◽  
Christopher F Baranano ◽  
Eben L Rosenthal ◽  
...  

Objectives 1. Assess speech outcomes for patients undergoing primary tracheoesophageal puncture (TEP) following total laryngectomy (TL) with patch free flap reconstruction. 2. Evaluate risk of fistulization following primary TEP vs. no TEP in patch free flap TL reconstruction. Methods Patients undergoing reconstruction with patch free-flaps following TL were studied retrospectively. Demographic data, surgical procedures, speech outcomes, and postoperative complications were collected. Patients were divided in 2 groups depending on whether TEP was performed at the time of ablation (primary TEP). Voice outcomes were assessed by a speech therapist. Results 77 patients underwent TL, mean age of 63 years. Glottis (60%), followed by hypopharynx (18%), and supraglottis (17%) were the most common tumor sites. Most patients had T3 and T4 disease (71%) on initial presentation, and there were 57% undergoing salvage total laryngectomy. The radial forearm fascioucutaneous free flap was used in 90% of the cases. Primary TEP was performed in 44 patients (57%), and only 1 of 33 patients underwent a TEP procedure secondarily. Voice outcomes for the TEP group were good. The overall fistula rate was 39%, half of which healed spontaneously. The fistula rate in the primary TEP group was 41%, and in the group not receiving primary TEP it was 36.7% (p=0.87). Conclusions Primary TEP performed at the time of free-flap patch reconstruction after TL enhances speech outcomes for patients, and does not lead to an increased risk in fistula formation.


2019 ◽  
Vol 20 (4) ◽  
pp. 181-196
Author(s):  
Magdalena Osowicka-Kondratowicz ◽  
Joanna Białkowska ◽  
Paweł Białkowski

The interdisciplinary team involved in the rehabilitation process of the post-CVA patient requires close co-operation among all involved health care professionals in order to ensure a continuous exchange of information and to relate the same information to the patient. The lack of awareness of each team member’s work-related tasks could jeopardize the effectiveness of the rehabilitation process instead of enhancing it. Therapeutic goals cannot be achieved during the rehabilitation process if there is inadequate team cooperation when treating a patient. For example, unfamiliarity with the treatment approach that is utilized by the speech therapist may cause developing pathological movement patterns in CVA patients. Interdisciplinary teamwork is a complex process which needs to be based on exchanging knowledge and skills to impact patient care. The purpose of this article is to describe the speech therapy approach to the rehabilitation of a post CVA patient. This type of approach needs to be included in the planning of a complex care for a population of patients with neurological disorders, especially for those suffering from CVA. These patients comprise the majority of neurological disorders.


Sign in / Sign up

Export Citation Format

Share Document