Original Research
The role of speech therapy in the head and neck service
South African Journal of Communication Disorders | Journal of the South African Speech and Hearing Association: Vol 22, No 1 | a394 |
DOI: https://doi.org/10.4102/sajcd.v22i1.394
| © 2019 M. I. Dinner
| This work is licensed under CC Attribution 4.0
Submitted: 15 November 2016 | Published: 31 December 1975
Submitted: 15 November 2016 | Published: 31 December 1975
About the author(s)
M. I. Dinner, Head and Neck Clinic, Johannesburg General Hospital, South AfricaFull Text:
PDF (116KB)Abstract
The vital role of the speech therapist, in the multi-disciplinary approach to the rehabilitation of patients subjected to ablative surgery for malignant disease of the head and neck region, is reviewed. The role of the surgical techniques of speech rehabilitation of the laryngectomised patient, who has failed to respond to the therapist's instruction in oesophageal speech rehabilitation, is high-lighted. The deliberate pharyngeal fistula created from the pharynx to the skin surface, is connected by a "speech device" to the tracheostomy stoma. The diversion of expired pulmonary air into the pharynx allows for immediate articulation.
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