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August 1948

SPEECH THERAPY: Experiences with Patients Who Had Undergone Total Laryngectomy

Author Affiliations

From the Speech Clinic of the Manhattan Eye, Ear and Throat Hospital, service of Daniel S. Cunning, M.D., surgeon director.

Arch Otolaryngol. 1948;48(2):150-155. doi:10.1001/archotol.1948.00690040159002

RETRAINING the voice of the totally laryngectomized patient affords great satisfaction to the speech therapeutist. The Speech Clinic of the Manhattan Eye, Ear and Throat Hospital has retrained over 50 such patients in the past four years. They have been taught to substitute for the lost laryngeal voice sounds which are possibly produced in the esophagus, and to use these sounds for articulated speech.

The psychologic trauma from loss of voice may be as great as the physical shock of the laryngectomy. The frustration of not being able to communicate with others may become a serious impediment to voice recovery. Therefore, the policy of the clinic is now to begin speech training immediately after the removal of the patient's feeding tube. The training of 4 patients was begun even prior to the laryngectomy, with the expectation of better and speedier results.

Four years ago, at the inception of this work,

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