Rehabilitation After Total Laryngectomy: An Integrated Protocol Remotely Delivered During COVID-19
Keywords:COVID-19, Psycho-Oncology, Telerehabilitation, Total Laryngectomy, Tracheoesophageal Speech
The aim of this paper was to evaluate the results of an integrated treatment delivered remotely to laryngectomized patients with voice prosthesis. Eighteen laryngectomized patients were treated remotely in groups co-led by a speech therapist and a psychologist ("Online Group"). The results were compared with those of 17 patients ("In-Person Group") previously studied. The two groups obtained comparable results on all parameters of the INFVo perceptual rating scale, in the DEP, ANX, PHO and HOS areas of the Symptom Check List-90-Revised questionnaire, and in the areas investigated by the WHOQOL-B questionnaire. The "In-Person Group" obtained statistically better results on the Italian Self-Evaluation of Communication Experiences after Laryngeal Cancer questionnaire. Although the in-person treatment favored the acceptance of the new voice and the development of conversational skills, telerehabilitation guaranteed an adequate level of assistance in terms of voice acquisition, prevention of anxiety and depression, and recovery of a good QoL.
Blood, G.W. (1993) Development and assessment of a scale addressing communication needs of patients with laryngectomies. American Journal of Speech and Language Pathology, 2(3), 82-90.https://doi.org/10.1044/1058-0360.0203.82
Bussu, F., Paludetti, G., Almadori, G., De Virgilio, A., Galli, J., Miccichè, F., Tombolini, M., Rizzo, D., Gallo, A., Valentini, V., & De Vincentiism M. (2013) Comparison of total laryngectomy with surgical (cricohyoidopexy) and nonsurgical organ-preservation modalities in advanced laryngeal squamous cell carcinomas: A multicenter retrospective analysis. Head and Neck, 35(4), 554-561. https://doi.org/10.1002/hed.22994
Danker, H., Wollbrück, D., Singer, S., Fuchs, M., Brähler, E., & Meyer, A. (2010) Social withdrawal after laryngectomy. Head and Neck, 267, 593-600. https://doi.org/10.1007/s00405-009-1087-4
DeGirolamo, G., Rucci, P., Scocco, A., Becchi, A., Coppa, F., D’Addario, A., Darù, E., de Leo D., Galassi, L., Mangelli, L., Marson, C., Neri, G., & Soldani, L. (2000) La valutazione della Qualità della Vita: Validazione del WHOQOL-breve. Epidemiologia Psichiatrica, 9, 45-55
Derogatis, L.R. (1994) Symptom check list-90-R: administration, scoring and procedures manual (3rd ed.). National Computer Systems, Minneapolis
Dias, A.E., Limongi, J.C., Barbosa, E.R., & Hsing, W.T. (2016) Voice telerehabilitation in Parkinson's disease. Codas, 28(2),176-181. https://doi.org/10.1590/2317-1782/20162015161
Eslami Jahromi, M., Ahmadian, L., & Bahaadinbeigy, K. (2020) The effect of tele-speech therapy on treatment of stuttering. Disability and Rehabilitation: Assistive Technology, 17(1), 1-6. https://doi.org/10.1080/17483107.2020.1754475
Forastiere, A.A., Goepfert, H., Maor, M., Pajak, T.F., Weber, R., Morrison, W., Glisson, B., Trotti, A., Ridge, J.A., Chao, C., Peters, G., Lee, D.J., Leaf, A., Ensley, J., & Cooper, J. (2003). Concurrent chemotherapy and radiotherapy for organ preservation in advanced laryngeal cancer. New England Journal of Medicine, 349, 2091–2098. https://doi.org/10.1056/NEJMoa031317
Hennessy, M., Bann, D.V., Patel, V.A., Saadi, R., Krempl, G.A., Deschler, D.G., Goyal, N., & Choi, K.Y. (2020). Commentary on the management of total laryngectomy patients during the COVID-19 pandemic. Head and Neck, 42(6), 1137– 1143. https://doi.org/10.1002/hed.26183
Hoffman, H.T., Porter, K., Karnell, L.H., Cooper, J.S., Weber, R.S., Langer, C.J., Ang, K.K., Gay, G., Stewart, A., & Robinson, R.A. (2006). Laryngeal cancer in the United States: changes in demographics, patterns of care, and survival. Laryngoscope, 116(S111), 1–13. https://doi.org/10.1097/01.mlg.0000236095.97947.26
Longobardi, Y., Savoia, V., Bussu, F., Morra, L., Mari, G., Nesci, D.A., Parrilla, C., & D'Alatri, L. (2019). Integrated rehabilitation after total laryngectomy: A pilot trial study. Supportive Care in Cancer, 27(9), 3537- 3544. https://doi.org/10.1007/s00520-019-4647-1
Longobardi, Y., Parrilla, C., Di Cintio, G., De Corso, E., Marenda, M.E., Mari, G., Paludetti, G., D'Alatri, L., & Passali, G.C. (2020). Olfactory perception rehabilitation after total laryngectomy (OPRAT): Proposal of a new protocol based on training of sensory perception skills. European Archives of Otorhinolaryngology, 277(7), 2095-2105. https://doi.org/10.1007/s00405-020-05918-8
Longobardi, Y., Galli, J., D'Alatri, L., Savoia, V., Mari, G., Rigante, M., Passali, G.C., Bussu, F., & Parrilla, C. (2021). Patients with voice prosthesis rehabilitation during the COVID-19 Pandemic: Analyzing the effectiveness of remote triage and management. Otolaryngology Head and Neck Surgery, 164(2), 277-284. https://doi.org/10.1177/0194599820948043
Mari, G., Marchese M.R., Longobardi, Y., Proietti, I., Marenda, M.E., Di Cesare, T., & D'Alatri, L. (2022). Voice telerehabilitation in iatrogenic unilateral vocal fold paralysis: From necessity to opportunity in the COVID-19 time. Journal of Voice [Advance online publication]. https://doi.org/10.1016/j.jvoice.2022.04.005
Moerman, M., Martens, J.P., Crevier-Buchman, L., de Haan, E., Grand, S., Tessier, C., Woisard, V., & Dejonckere, P. (2006). The INFVo perceptual rating scale for substitution voicing: development and reliability. European Archives of Otorhinolaryngology 263(5), 435-439. https://doi.org/10.1007/s00405-005-1033-z
Noonan, B.J., & Hegarty, J. (2010). The impact of total laryngectomy: The patient's perspective. Oncology Nursing Forum, 37(3), 293-301. https://doi.org/10.1188./10.ONF.293-301
Øra, H.P., Kirmess, M., Brady, M.C., Partee, I., Hognestad, R.B., Johannessen, B.B., Thommessen, B., & Becker, F. (2020). The effect of augmented speech-language therapy delivered by telerehabilitation on poststroke aphasia-a pilot randomized controlled trial. Clinical Rehabilitation, 34(3), 369-381. https://doi.org/10.1177/0269215519896616
Parrilla, C., Longobardi, Y., Paludetti, G., Marenda, M.E., D'Alatri, L., Bussu, F., Scarano, E., & Galli, J. (2020). A one-year time frame for voice prosthesis management. What should the physician expect? Is it an overrated job? Acta Otorhinolaryngologica Italica, 40(4), 270-276. https://doi.org/10.14639/0392-100X-N0587
Parrilla, C., Longobardi, Y., Galli, J., Rigante, M., Paludetti, G., Bussu, F., & Scarano, E. (2021). Periprosthetic leakage in tracheoesophageal Prosthesis: Proposal of a standardized therapeutic algorithm. Otolaryngology Head and Neck Surgery, 165(3), 446-454. https://doi.org/10.1177/0194599820983343
Perry, A., Casey, E., & Cotton, S. (2015). Quality of life after total laryngectomy: Functioning, psychological well- being and self-efficacy. International Journal of Language and Communication Disorders, 50(4), 467-475. https://doi.org/10.1111/1460-6984.12148
Sarno, L., Preti, E., Prunas, A. & Madeddu, F. (2011). SCL-90-R Symptom Checklist-90-R Adattamento italiano. Giunti Organizzazioni Speciali, Firenze
Schindler, A., Mozzanica, F., Brignoli, F., Maruzzi, P., Evitts, P., & Ottaviani, F. (2013a). Reliability and validity of the Italian self-evaluation of communication experiences after laryngeal cancer questionnaire. Head and Neck, 35(11), 1606-1615. https://doi.org/10.1002/hed.23198
Schindler, A., Ginocchio, D., Atac, M., Maruzzi, P., Madaschi, S., Ottaviani, F., & Mozzanica, F. (2013b). Reliability of the Italian INFVo scale and correlations with objective measures and VHI scores. Acta Otorhinolaryngologica Italica, 33(2), 121-127.
Schindler, O. (1985) Breviario di patologia della comunicazione (Vol. 2). Ed. Omega, Torino
Singer, S., Krauss, O., Keszte, J., Siegl, G., Papsdorf, K., Severi, E., Hauss, J., Briest, S., Dietz, A., Brähler, E., & Kortmann, R.D. (2011) Predictors of emotional distress in patients with head and neck cancer. Head and Neck, 34(2), 180-187. https://doi.org/10.1002/hed.21702
The WHOQOL Group. (1994). The development of the World Health Organization Quality of Life assessment instrument (the WHOQOL). In: Orley J, Kuyken W (Eds). Quality of life assessment: International perspective (pp. 41-57). Springer Verlag, Heidelberg.
How to Cite
Copyright (c) 2023 Ylenia Longobardi, Vezio Savoia, Rosa Libero, Maria Elisabetta Marenda, Ilaria Proietti, Pasqualina Maria Picciotti, Giorgia Mari, Claudio Parrilla, Lucia D'Alatri
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
- The Author retains copyright in the Work, where the term “Work” shall include all digital objects that may result in subsequent electronic publication or distribution.
- Upon acceptance of the Work, the author shall grant to the Publisher the right of first publication of the Work.
- The Author shall grant to the Publisher and its agents the nonexclusive perpetual right and license to publish, archive, and make accessible the Work in whole or in part in all forms of media now or hereafter known under a Creative Commons Attribution 4.0 International License or its equivalent, which, for the avoidance of doubt, allows others to copy, distribute, and transmit the Work under the following conditions:
- Attribution—other users must attribute the Work in the manner specified by the author as indicated on the journal Web site;
- The Author is able to enter into separate, additional contractual arrangements for the nonexclusive distribution of the journal's published version of the Work (e.g., post it to an institutional repository or publish it in a book), as long as there is provided in the document an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post online a prepublication manuscript (but not the Publisher’s final formatted PDF version of the Work) in institutional repositories or on their Websites prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work. Any such posting made before acceptance and publication of the Work shall be updated upon publication to include a reference to the Publisher-assigned DOI (Digital Object Identifier) and a link to the online abstract for the final published Work in the Journal.
- Upon Publisher’s request, the Author agrees to furnish promptly to Publisher, at the Author’s own expense, written evidence of the permissions, licenses, and consents for use of third-party material included within the Work, except as determined by Publisher to be covered by the principles of Fair Use.
- The Author represents and warrants that:
- the Work is the Author’s original work;
- the Author has not transferred, and will not transfer, exclusive rights in the Work to any third party;
- the Work is not pending review or under consideration by another publisher;
- the Work has not previously been published;
- the Work contains no misrepresentation or infringement of the Work or property of other authors or third parties; and
- the Work contains no libel, invasion of privacy, or other unlawful matter.
- The Author agrees to indemnify and hold Publisher harmless from Author’s breach of the representations and warranties contained in Paragraph 6 above, as well as any claim or proceeding relating to Publisher’s use and publication of any content contained in the Work, including third-party content.
Revised 7/16/2018. Revision Description: Removed outdated link.