Dear Speech Pathologist,
I am referring Mr. Peter Wallace, a 60-year-old gentleman who underwent a total laryngectomy two months ago, for comprehensive speech and communication rehabilitation.
Mr. Wallace had surgery for laryngeal carcinoma and has since experienced complete loss of verbal speech. He currently relies on written notes to communicate basic needs. Although his postoperative recovery has been smooth and surgical healing is satisfactory, he expresses frustration and mild anxiety about his inability to communicate verbally, particularly in social situations.
He is highly motivated to participate in speech rehabilitation and eager to explore alternative communication options. ENT examination indicates that he is a suitable candidate for alaryngeal speech methods, including electrolarynx or esophageal speech training. His general health is stable, and he has strong family support, which should facilitate regular practice and help him adapt to new communication techniques.
Given his motivation and readiness for therapy, I would appreciate your expertise in providing structured speech rehabilitation. Training in the use of an electrolarynx or other suitable alaryngeal communication methods, along with counselling and education for both the patient and their family, would be beneficial.
Please keep me informed of his progress and any further interventions required to optimize his speech outcomes and psychosocial adjustment following laryngectomy.
Thank you for your ongoing support and assistance.
Yours sincerely,
Dr. Helen Matthews
ENT Surgeon
