Skip to Main content Skip to Navigation
Master Thesis

Intérêt et faisabilité d’une réhabilitation précoce en période post-opératoire, des compétences olfactives chez des patients opérés d’une laryngectomie totale

Abstract : Total laryngectomy is a mutilating surgery whose anatomical-physiological modifications lead to an olfactory disorder, thus altering the quality of life and safety of the individual. Currently, speech therapy for these patients is mainly focused on vocal and swallowing rehabilitation despite the existence of olfactory rehabilitation methods that have proven their effectiveness. When this rehabilitation is proposed, it generally occurs only after the oncological treatments, 1 month to 20 years after the surgery. During this study, we developed a structured, progressive, and early olfactory approach, intervening at one week of post-surgical hospitalization with 5 weekly sessions. The objective is to demonstrate that this early care is feasible in postoperative conditions and that it brings a benefit for the patients. Through semi-quantitative and subjective evaluations of the operated participants, we were able to highlight significantly deficient olfactory scores in pre-operation, a drop in skills in post-operation and an improvement in olfactory capacities thanks to the rehabilitation. Patients' feelings and discomfort did not show any correlation with the olfactory scores. However, all participants were satisfied with the rehabilitation. The implementation of this care allowed us to objectify the feasibility of the treatment by the improvement of the olfactory capacities, in an early context. This study needs to be continued in the longer term and the cohort needs to be extended to compare the benefit of early treatment with late rehabilitation data from total laryngectomized patients.
Complete list of metadata

https://dumas.ccsd.cnrs.fr/dumas-03361227
Contributor : Claire Leboeuf Connect in order to contact the contributor
Submitted on : Friday, October 1, 2021 - 11:35:56 AM
Last modification on : Tuesday, October 19, 2021 - 1:00:33 PM

File

Coline GRÉHALLE - 2021.pdf
Files produced by the author(s)

Identifiers

  • HAL Id : dumas-03361227, version 1

Citation

Coline Gréhalle. Intérêt et faisabilité d’une réhabilitation précoce en période post-opératoire, des compétences olfactives chez des patients opérés d’une laryngectomie totale. Médecine humaine et pathologie. 2021. ⟨dumas-03361227⟩

Share

Metrics

Record views

46

Files downloads

17