- Spraakrevalidatie na een totale laryngectomie
- Nederlands Tijdschrift voor Tandheelkunde
- Volume | Issue number
- 119 | 7-8
- Pages (from-to)
- Number of pages
- Document type
- Faculty of Humanities (FGw)
Faculty of Medicine (AMC-UvA)
- Amsterdam Center for Language and Communication (ACLC)
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 importance for these patients. For voice rehabilitation, voice prostheses or an electrolarynx can be used. Esophogusspeech 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.
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