Surgeons’ Reported Attitudes and Practices regarding Alaryngeal Speech

Attitudes and practices of 50 prominent laryngologic surgeons were surveyed to determine current trends and implications for postoperative speech rehabilitation. Data are available for 1,003 laryngectomy operations performed over the past 3-year period by the 22 responders (44%). Those surgeons responding indicated a preference toward tracheoesophageal shunt procedures. A negative correlation was noted between the increased number of tracheoesophageal shunt procedures and the age of the surgeon. Additional responses provided information regarding personal preferences for postlaryngectomy speech types, opinions regarding artificial device use, and speech rehabilitation referral practices.

[1]  J. Casper,et al.  Toward the total rehabilitation of the alaryngeal patient , 1979, The Laryngoscope.

[2]  G. Gates,et al.  Current status of laryngectomee rehabilitation: II. Causes of failure. , 1982, American journal of otolaryngology.

[3]  G. Gates,et al.  Current status of laryngectomee rehabilitation , 1982 .

[4]  W. Kraybill,et al.  Voice Rehabilitation Practices among Head and Neck Surgeons , 1987, The Annals of otology, rhinology, and laryngology.

[5]  E Lauder.  The laryngectomee and the artificial larynx. , 1968, The Journal of speech and hearing disorders.

[6]  R. Goode,et al.  Artificial laryngeal devices in post‐laryngectomy rehabilitation , 1975, The Laryngoscope.

[7]  J G Clark,et al.  Alaryngeal speech intelligibility and the older listener. , 1985, The Journal of speech and hearing disorders.

[8]  R. L. McCroskey,et al.  The Relative Intelligibility of Esophageal Speech and Artificial-Larynx Speech , 1963 .

[9]  M. Duguay.  Preoperative ideas of speech after laryngectomy. , 1966, Archives of otolaryngology.

[10]  G. Gates,et al.  Current status of laryngectomee rehabilitation: III. understanding of esophageal speech. , 1982, American journal of otolaryngology.

[11]  A. Yonkers,et al.  “Practical Suggestions On Counseling How I Do It” , 1977, The Laryngoscope.

[12]  E Lauder,et al.  The laryngectomee and the artificial larynx--a second look. , 1970, The Journal of speech and hearing disorders.

[13]  B. McNeil,et al.  Speech and survival: tradeoffs between quality and quantity of life in laryngeal cancer. , 1981, The New England journal of medicine.