Abstract
Hypothesis: The Phantom larynx phenomenon (the false perception on an intact larynx in a laryngectomee)
exists and is an important issue in the post-laryngectomy rehabilitation of such patients.
Objectives: The phantom limb phenomenon has been described after amputation of a limb or other
parts of the body. Amputation or removal of any part is usually associated with a
global feeling that the missing part is still present. We undertook this study to
identify whether a phantom larynx phenomenon actually exists in laryngectomees. We
also aimed to elicit its association with the duration following surgery. Patients and Methods: We did a clinical survey of 66 post-laryngectomy patients (30-80 years of age). Twenty-two
of these patients were assessed within 6 months following surgery, whereas 44 patients
were assessed at least 6 months later. A questionnaire containing 11 questions was
served to these laryngectomees pertaining to false perception of persistent laryngeal
functions and adaptation to the post-laryngectomy status. Results: All patients showed an evidence of a phantom larynx phenomenon. In the majority of
these patients, it persisted even after 6 months following surgery. There was no significant
difference in the two groups (less than or more than 6 months) except for one question
pertaining to occlusion of stoma for speech (77% vs. 29%). False perception of nasal
breathing (59% and 43%) and olfactory sensation (63% in both groups) were the most
common. Conclusion: Phantom larynx phenomenon following laryngectomy exists and may
cause anxiety and poor rehabilitation among patients. Education and rehabilitation
with regards to such a phenomenon is therefore needed in all patients.
Keywords
Laryngectomy - phantom larynx phenomenon - phantom limb - post-laryngectomy rehabilitation
- questionnaire
