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Dedication This book is dedicated to the laryngectomees who have passed through Singleton Hospital as part of their rehabilitation.
Page iii
Working with Laryngectomees
Eryl Evans
WINSLOW Telford Road Bicester Oxon OX6 0TS UK
Page iv
First published in 1990 by Winslow Press Limited, Telford Road, Bicester, Oxon OX6 OTS, United Kingdom Reprinted 1991, 1993, 1996
Copyright @ E Evans, 1990
All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic or mechanical, photocopying, recording, or otherwise, without the prior permission of the copyright owner.
Phototypeset by Gecko Limited, Bicester, Oxon
02-854/Printed in Great Britain by Hobbs the Printers Limited, Southampton
British Library Cataloguing in Publication Data Evans, Eryl Working with laryngectomees. 1. Laryngectomy patients. Rehabilitations I. Title 617.533059
ISBN 0-86388-083-5
Page v
Contents
Foreword
vii
Acknowledgements
viii
Chapter 1 Introduction
1
Chapter 2 Anatomy and Physiology
5
Chapter 3 Pre-Operative Visit
13
Chapter 4 First Post-Operative Visit
23
Chapter 5 Oesophageal Voice
29
Chapter 6 Difficulties in Acquisition
41
Chapter 7 Communication Aids
51
Chapter 8 Surgical Voice Restoration I
61
Chapter 9 Surgical Voice Restoration II
71
Chapter 10 General Information & Further Management
79
Appendix Useful Addresses
87
Bibliography
93
Page vi
Eryl Evans MCST, LCST
Eryl Evans qualified as a speech therapist from the Cardiff School of Speech Therapy in 1978. After working as a general therapist in North Wales she moved in 1980 to a specialist post at Singleton Hospital, Swansea, which gave her the opportunity to work intensively with voice disorders and laryngectomees.
In 1986 she attended the Mayo Clinic Laryngectomee Rehabilitation Seminar in Honolulu, and in the same year contributed a chapter to the book edited by Fawcus, Voice Disorders and their Management. She completed the College of Speech Therapists' Advanced Specialist Course in Voice Disorders in 1988.
She is at present Head of Adult Services for West Glamorgan Health Authority, and a visiting lecturer at the Cardiff School of Speech Therapy.
Page vii
Foreword
In her introduction to this text, Eryl Evans clearly defines her aim in compiling this bookto provide clinicians with practical management and therapeutic suggestions for assisting laryngectomees at different stages of rehabilitation. In fact, this book covers much more than this modest aim. Eryl has provided the most up-to-date information, including a comprehensive section on Surgical Voice Restoration (notably the BlomSinger procedure) which will greatly assist clinicians new to this technique who may be lacking in knowledge and in confidence. Although the book is filled with accurate detail and helpful suggestions, the atmosphere pervading the text is one of sympathy and sensitivity towards the patient.
Since Gaye Murrills attended the Mayo Clinic Laryngectomee Rehabilitation Seminar in 1977, and Yvonne Edels followed in 1979, therapists in this country have attempted to promote laryngectomee rehabilitation in the United Kingdom by introducing modern practices learnt there. Eryl has joined this group by using her training at the Mayo Clinic to introduce Surgical Voice Restoration at her own hospital in Swansea and to produce this helpful and practical management book.
The chapter on pre-operative visiting gives accurate and sensible advice for the clinician to follow and the issues which may arise at this time are covered sensitively and sympathetically. Wherever possible, advice is followed with references to the literature and this helps the clinician who wishes to read further into the subject. Following in a logical progression, from pre-operative visit to post-operative therapy and even a discussion of the role of the clinician in terminal care, Eryl shows a sensible and practical approach in her suggestions, and her experience in laryngectomy is evident from the text. The much-needed section on evaluation and assessment for Surgical Voice Restoration and the clarity of the illustrations in the text should make this area of laryngectomee rehabilitation now accessible for any clinician who is undertaking this work.
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