Elaboration on the Early Introduction of Alternative Voice after Total Laryngectomy

Abstract

Loss of voice after total laryngectomy often prevents patients from reintegrating into society. This fact can also cause patients to be hesitant to undergo surgery. Therefore, the early introduction of alternative voice is essential for relieving anxiety and enhancing the rehabilitation of these patients. To achieve this, we introduced the following methods: interprofessional work (IPW) between doctors, nurses, and speech therapists; routine preoperative education for patients and their families; enhanced recovery after surgery (ERAS) with early consultation with a speech therapist; and appropriate device selection according to a patient’s condition.The COVID-19 pandemic had a great impact on our rehabilitation program, and we responded to the changing environment to assure the early introduction of alternative voice.