Rehabilitation After Total Laryngectomy: An Integrated Protocol Remotely Delivered During COVID-19

Authors

  • Ylenia Longobardi Unità Operativa Complessa di Otorinolaringoiatria, Dipartimento Scienze dell’Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Roma, Italia
  • Vezio Savoia Unità Operativa Semplice di Psicologia Clinica- Governo Clinico, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Roma, Italia
  • Rosa Libero Unità Operativa Complessa di Otorinolaringoiatria, Dipartimento Scienze dell’Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Roma, Italia
  • Maria Elisabetta Marenda Unità Operativa Complessa di Otorinolaringoiatria, Dipartimento Scienze dell’Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Roma, Italia
  • Ilaria Proietti Unità Operativa Complessa di Otorinolaringoiatria, Dipartimento Scienze dell’Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Roma, Italia
  • Pasqualina Maria Picciotti Unità Operativa Complessa di Otorinolaringoiatria, Dipartimento Scienze dell’Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Roma, Italia; Sezione di Otorinolaringoiatria, Dipartimento Testa-Collo e Organi di Senso, Università Cattolica del Sacro Cuore, Rome, Italy
  • Giorgia Mari Unità Operativa Complessa di Otorinolaringoiatria, Dipartimento Scienze dell’Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Roma, Italia
  • Claudio Parrilla Unità Operativa Complessa di Otorinolaringoiatria, Dipartimento Scienze dell’Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Roma, Italia
  • Lucia D'Alatri Unità Operativa Complessa di Otorinolaringoiatria, Dipartimento Scienze dell’Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Roma, Italia; Sezione di Otorinolaringoiatria, Dipartimento Testa-Collo e Organi di Senso, Università Cattolica del Sacro Cuore, Rome, Italy

DOI:

https://doi.org/10.5195/ijt.2023.6548

Keywords:

COVID-19, Psycho-Oncology, Telerehabilitation, Total Laryngectomy, Tracheoesophageal Speech

Abstract

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.

  

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Published

2023-05-11

How to Cite

Longobardi, Y., Savoia, V., Libero, R., Marenda, M. E., Proietti, I., Picciotti, P. M., … D'Alatri, L. (2023). Rehabilitation After Total Laryngectomy: An Integrated Protocol Remotely Delivered During COVID-19. International Journal of Telerehabilitation, 15(1). https://doi.org/10.5195/ijt.2023.6548

Issue

Vol. 15 No. 1 (2023)

Section

Clinical Practice - COVID 19

License

Copyright (c) 2023 Ylenia Longobardi, Vezio Savoia, Rosa Libero, Maria Elisabetta Marenda, Ilaria Proietti, Pasqualina Maria Picciotti, Giorgia Mari, Claudio Parrilla, Lucia D'Alatri

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This work is licensed under a Creative Commons Attribution 4.0 International License.