Seeking to Better Understand Factors That Influence Postlaryngectomy Speech Rehabilitation In this article, we seek to re-examine traditional treatment outcomes related to communicative success after total laryngectomy. Specifically, the three most common alaryngeal speech methods are presented in relation to typical speech intelligibility outcomes. Factors that interact with intelligibility highlight how formal measures of intelligibility are necessary, but insufficient, for ... Article
Article  |   March 2012
Seeking to Better Understand Factors That Influence Postlaryngectomy Speech Rehabilitation
Author Affiliations & Notes
  • Philip C. Doyle
    Department of Otolaryngology Head and Neck Surgery, Schulich School of Medicine and Dentistry and Rehabilitation Sciences, University of Western OntarioLondon, Ontario, Canada
  • © 2012 American Speech-Language-Hearing Association
Article Information
Speech, Voice & Prosodic Disorders / Voice Disorders / Articles
Article   |   March 2012
Seeking to Better Understand Factors That Influence Postlaryngectomy Speech Rehabilitation
SIG 3 Perspectives on Voice and Voice Disorders, March 2012, Vol. 22, 45-51. doi:10.1044/vvd22.1.45
SIG 3 Perspectives on Voice and Voice Disorders, March 2012, Vol. 22, 45-51. doi:10.1044/vvd22.1.45

In this article, we seek to re-examine traditional treatment outcomes related to communicative success after total laryngectomy. Specifically, the three most common alaryngeal speech methods are presented in relation to typical speech intelligibility outcomes. Factors that interact with intelligibility highlight how formal measures of intelligibility are necessary, but insufficient, for determining communicative success. A multidimensional context in which the communicative dyad is presented as an additional factor must be considered. In this paper, we outline several clinical examples that highlight the importance of this factor and its implications for rehabilitation.

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