Integrated rehabilitation after total laryngectomy: a pilot trial study

  • Ylenia Longobardi
  • Vezio Savoia
  • Francesco Bussu
  • Luciana Morra
  • Giorgia Mari
  • Domenico A. Nesci
  • Claudio ParrillaEmail author
  • Lucia D’Alatri
Original Article



Acquisition and acceptance of the alaryngeal voice, psychological state, and Quality of Life (QoL) of laryngectomized patients.


Thirty-two patients who underwent total laryngectomy were included in the study; 17 of them were treated by a psychologist and a speech therapist (experimental group); 15 performed only speech therapy (control group).


The experimental group showed a significant improvement in all parameters of the INFVo scale, in the score of the Environment subscale and in the total score of the I-SECEL (Self-Evaluation of Communication Experiences after Laryngeal Cancer); in the Depression, Obsession-Compulsion and Paranoia areas of the SCL-90-R (Symptom Check List-90-Revised); and in the Social area (REL) of the WHOQOL-B (World Health Organization Quality of Life Scale–Brief).


An integrated rehabilitative approach to laryngectomized patients improves emotional state and psychosocial aspects and promotes acceptance and use of the new voice and recovery of a better quality of life.


Total laryngectomy Esophageal speech Tracheoesophageal speech Rehabilitation Psycho-oncology 


Compliance with ethical standards

All patients signed an informed consent. The study has been approved by the Medical Ethics Committee of the Catholic University of the Sacred Heart.

Conflict of interest

The authors declare that they have no conflicts of interest.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Fondazione Policlinico Universitario A. Gemelli IRCCS – Università Cattolica del Sacro Cuore, Istituto di OtorinolaringoiatriaRomeItaly
  2. 2.Fondazione Policlinico Universitario A. Gemelli IRCCS, Unità di Consultazione PsichiatricaRomeItaly
  3. 3.Otolaryngology DivisionAOU SassariSassariItaly
  4. 4.Università Cattolica del Sacro Cuore, Istituto di OtorinolaringoiatriaRomeItaly

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