[Speech rehabilitation following a total laryngectomy].
In patients with advanced laryngeal or hypopharyngeal cancer, or in cases when the disease recurs after treatment with (chemo)radiation, a total laryngectomy (TLE) is performed. For them to be able to function properly, speech rehabilitation is of the utmost importancefor these patients. For voice rehabilitation, voice prostheses or an electrolarynx can be used. Esophogus-speech can also be applied. In recent decades, voice prostheses in particular have undergone significant development. They can be considered the standard technique for rehabilitation. For dentists, it is important to realise that the anatomy of these patients has changed. In addition, many have a prior history of radiotherapy and thus an increased risk of xerostomia and osteoradionecrosis. In cases where maxillofacial surgery is indicated, the chance of osteoradionecrosis is higher. If extraction is considered, consultation with a head and neck oncology centre is necessary.
Uit de afdeling Hoofd-Halschirurgie van het Antoni van Leeuwenhoek Ziekenhuis in Amsterdam.
A J
AJ
Timmermans
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M
Krap
F J M
FJ
Hilgers
M W M
MW
van den Brekel
D006801:Humans; D007012:Hypopharyngeal Neoplasms / Q000601:surgery*; D007822:Laryngeal Neoplasms / Q000601:surgery*; D007825:Laryngectomy / Q000009:adverse effects* / Q000534:rehabilitation; D007831:Larynx, Artificial; D013065:Speech Intelligibility; D013068:Speech Production Measurement; D013072:Speech, Esophageal