{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T22:03:55Z","timestamp":1791669835921,"version":"4.3.4"},"reference-count":19,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,7,9]],"date-time":"2023-07-09T00:00:00Z","timestamp":1688860800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Speech rehabilitation following a total laryngectomy significantly impacts the quality of life. Indwelling prosthetic voice restoration provides optimal outcomes; however, the long\u2010term maintenance of these devices carries considerable financial costs, which are not universally covered by insurance. This investigation aimed to analyze associations between socioeconomic factors and outcomes in postlaryngectomy speech rehabilitation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective cohort analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Academic tertiary\u2010care center from May 2014 to September 2021.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In patients undergoing total laryngectomy, the incidence of tracheoesophageal puncture with indwelling vocal prostheses (TEP\u2010VP) placement within the first postoperative year was compared among\u00a0household income, demographic factors, and disease characteristics. Functional and maintenance outcomes served as secondary endpoints.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Seventy\u2010seven patients were included. Forty\u2010five (58%) underwent indwelling TEP\u2010VP (41 primaries). Eighty\u2010nine percent\u00a0of patients with annual incomes greater than $50k\u00a0underwent TEP\u2010VP compared to only 35% with incomes less than $50k\/year. TEP\u2010VP was performed in 85% of patients with commercial insurance, 70% with Medicare, 42% with Medicaid, and 0% with no insurance. On multivariate analysis, annual household incomes greater than $50k were predicted for TEP\u2010VP placement (odds ratio: 12.7 [2.45\u201065.8], <jats:italic>p<\/jats:italic>\u2009=\u2009.002). The utilization of postoperative speech therapy and functional communication outcomes were similar among\u00a0socioeconomic groups. Twelve patients were unable to afford supplies within the first year, with differences noted among\u00a0insurance (<jats:italic>p<\/jats:italic>\u2009=\u2009.015) and income status (<jats:italic>p<\/jats:italic>\u2009=\u2009.003).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Disparities in vocal and speech rehabilitation following laryngectomy may disproportionally affect underserved patients.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ohn.412","type":"journal-article","created":{"date-parts":[[2023,7,9]],"date-time":"2023-07-09T12:32:52Z","timestamp":1688905972000},"page":"1499-1505","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Socioeconomic Influence on Speech Rehabilitation After Total Laryngectomy"],"prefix":"10.1002","volume":"169","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9681-6052","authenticated-orcid":false,"given":"Luke","family":"Stanisce","sequence":"first","affiliation":[{"name":"Division of Otolaryngology\u2013Head and Neck Surgery Cooper University Health Care Camden New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mick","family":"McGlone","sequence":"additional","affiliation":[{"name":"Cooper Medical School at Rowan University Camden New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yekaterina","family":"Koshkareva","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2013Head and Neck Surgery Cooper University Health Care Camden New Jersey USA"},{"name":"Cooper Medical School at Rowan University Camden New Jersey USA"},{"name":"MD Anderson Cancer Center at Cooper, Head and Neck Cancer Center Camden New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"Swendseid","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2013Head and Neck Surgery Cooper University Health Care Camden New Jersey USA"},{"name":"Cooper Medical School at Rowan University Camden New Jersey USA"},{"name":"MD Anderson Cancer Center at Cooper, Head and Neck Cancer Center Camden New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian","family":"Lawrence","sequence":"additional","affiliation":[{"name":"MD Anderson Cancer Center at Cooper, Head and Neck Cancer Center Camden New Jersey USA"},{"name":"Division of Speech and Language Pathology Cooper University Health Care Camden New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory J.","family":"Kubicek","sequence":"additional","affiliation":[{"name":"Cooper Medical School at Rowan University Camden New Jersey USA"},{"name":"MD Anderson Cancer Center at Cooper, Head and Neck Cancer Center Camden New Jersey USA"},{"name":"Department of Radiation Oncology Cooper University Health Care Camden New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John P.","family":"Gaughan","sequence":"additional","affiliation":[{"name":"Cooper Research Institute, Cooper University Health Care Camden New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donald H.","family":"Solomon","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2013Head and Neck Surgery Cooper University Health Care Camden New Jersey USA"},{"name":"Cooper Medical School at Rowan University Camden New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadir","family":"Ahmad","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2013Head and Neck Surgery Cooper University Health Care Camden New Jersey USA"},{"name":"Cooper Medical School at Rowan University 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