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The Long-Term Follow-Up Care of Laryngectomized Patients

George F. Reed, M.D.
JAMA. 1961;175(11):980-985. doi:10.1001/jama.1961.03040110044010.
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The postoperative care of laryngectomized patients frequently becomes the responsibility of physicians not specifically trained in the management of this type of patient. The author here discusses the many problems peculiar to these patients —the psychological outlook of the patient, family and physician; the care of the tracheostoma; the management of excess cough, crusting, and mucus production; the problems of "colds" and loss of taste and smell; the management of subsequent anesthesia; the questions regarding artificial voice production; and the important factors to be observed to detect recurrence early. These problems are dealt with not only as regards "how to," but also "why" and "when to" do the things necessary to provide adequate, sympathetic, and intelligent care of these patients.

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