Rehabilitation of patients after laryngectomy – an area of collaboration between the otolaryngologist, physiotherapist, and oncologist-speech therapist

<b>Introduction:</b> The rehabilitation of patients following the treatment for head and neck cancers (HNCs), particularly laryngeal cancer, represents a critical component of comprehensive care. Advanced surgical techniques and radiochemotherapy enable the radical treatment of the primary disease; however, restoration of full functional capacity in patients remains a significant challenge, especially in relation to speech, swallowing, and stomatognathic system functions. A multidisciplinary approach to treatment and rehabilitation is increasingly recognized as the gold standard. Nevertheless, there is a paucity of literature addressing the collaboration between otorhinolaryngologists, physiotherapists, and speech therapists specializing in oncology.<b>Aim:</b> The objective of this study is to review the standards of collaboration between healthcare specialists and the benefits derived from interdisciplinary therapy for patients following laryngeal cancer treatment, drawing on the experiences of the team of the Department of Laryngology, Medical University of Silesia in Katowice.<b>Case study:</b> Patient A had undergone total laryngectomy with primary implantation of a voice prosthesis. The rehabilitation process involved hospital physiotherapy, starting with the diagnosis and treatment of cervical spine and muscle dysfunction, as well as speech therapy focused on learning to use the voice prosthesis. Later stages included myofascial and anti-edema techniques, and the patient mastered using the Provox<sup></sup> system. Patient B had undergone laryngectomy and radiotherapy and was directed to learn esophageal speech or use an electrolarynx. Physiotherapy techniques aimed at improving tissue flexibility in the neck region allowed more efficient use of the electrolarynx. In both cases, pain in the head and neck area was reduced.<b>Results:</b> A review of the literature and case reports demonstrates significant benefits of interdisciplinary collaboration in the rehabilitation of patients after HNC treatment. This collaboration positively impacts patient function and improves their quality of life.<b>Conclusions:</b> Forming interdisciplinary teams is essential for further advancing the treatment process for patients after oncological treatment of HNCs, particularly laryngeal cancer. Such an approach facilitates comprehensive rehabilitation, contributing to better therapeutic outcomes and improved patient reintegration into normal life.