{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T00:03:08Z","timestamp":1779667388031,"version":"3.53.1"},"reference-count":16,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2026,1]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Patients with locally advanced laryngeal malignancy may be offered total laryngectomy or chemoradiotherapy. Laryngeal dysfunction is a consequence of non-surgical treatment and can result in issues with airway, voice, and swallow.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Semi-structured qualitative interviews explore the experiences of patients who have undergone functional laryngectomy for non-functional larynx in one UK health board.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n 3 patients were identified and interviewed. Thematic Analysis generated four main themes:\n Preparation for treatment, Tipping Points, Post-Operative Quality of Life<\/jats:italic>\n and\n Attitudes to Future Healthcare<\/jats:italic>\n . These themes uncover the functional and psychological experiences of patients undergoing functional laryngectomy.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n This study explores the many facets of the decision to undergo functional laryngectomy; namely recognising a patient\u2019s tipping point and changes in attitudes towards surgical intervention. Ultimately this enhances our understanding of the rationale of patient\u2019s choices, which can aid in the counselling of future patients.<\/jats:p>\n <\/jats:sec>","DOI":"10.1017\/s0022215125103654","type":"journal-article","created":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T07:30:17Z","timestamp":1759303817000},"page":"42-46","source":"Crossref","is-referenced-by-count":0,"title":["\u2018No one told me I had a voice\u2019: patient experiences of functional laryngectomy<\/i>"],"prefix":"10.1017","volume":"140","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5264-5076","authenticated-orcid":false,"given":"Simon","family":"Morris","sequence":"first","affiliation":[{"name":"Wrexham Maelor Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arvind","family":"Arya","sequence":"additional","affiliation":[{"name":"Wrexham Maelor Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2025,10,1]]},"reference":[{"key":"S0022215125103654_ref10","doi-asserted-by":"publisher","DOI":"10.1002\/hed.26132"},{"key":"S0022215125103654_ref4","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-020-05809-y"},{"key":"S0022215125103654_ref6","doi-asserted-by":"publisher","DOI":"10.3389\/fonc.2020.01390"},{"key":"S0022215125103654_ref2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.124.9.964"},{"key":"S0022215125103654_ref15","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215116009968"},{"key":"S0022215125103654_ref12","volume-title":"Qualitative Interviewing: The Art of Hearing Data. The Responsive Interview as an Extended Conversation","author":"Rubin","year":"2011"},{"key":"S0022215125103654_ref11","doi-asserted-by":"publisher","DOI":"10.1080\/13682820902928729"},{"key":"S0022215125103654_ref16","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0000000000000757"},{"key":"S0022215125103654_ref3","doi-asserted-by":"crossref","first-page":"548","DOI":"10.1001\/archoto.2012.862","article-title":"Total Laryngectomy for a Dysfunctional Larynx After (Chemo)Radiotherapy","volume":"138","author":"Theunissen","year":"2012","journal-title":"Arch Otolaryngol Head Neck Surg"},{"key":"S0022215125103654_ref5","doi-asserted-by":"publisher","DOI":"10.1378\/chest.124.1.328"},{"key":"S0022215125103654_ref7","doi-asserted-by":"publisher","DOI":"10.1177\/0194599813503802"},{"key":"S0022215125103654_ref14","doi-asserted-by":"publisher","DOI":"10.1002\/lio2.1128"},{"key":"S0022215125103654_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2016.05.017"},{"key":"S0022215125103654_ref1","unstructured":"1 Cancer Research UK: Head and neck cancer incidence statistics. 2024. Accessed 29\/06\/2024. At: https:\/\/www.cancerresearchuk.org\/health-professional\/cancer-statistics\/statistics-by-cancer-type\/head-and-neck-cancers\/incidence"},{"key":"S0022215125103654_ref13","doi-asserted-by":"publisher","DOI":"10.1111\/1460-6984.12511"},{"key":"S0022215125103654_ref8","doi-asserted-by":"publisher","DOI":"10.1186\/s13014-019-1299-8"}],"container-title":["The Journal of Laryngology & Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215125103654","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,24]],"date-time":"2026-05-24T23:32:19Z","timestamp":1779665539000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215125103654\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,1]]},"references-count":16,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["S0022215125103654"],"URL":"https:\/\/doi.org\/10.1017\/s0022215125103654","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,1]]}}}