Nursing care for adults and the elderly in the postoperative period following total laryngectomy: scoping review
revisão de escopo
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Abstract
Introduction: Total laryngectomy is the surgical treatment for removal of laryngeal tumors. This procedure can cause permanent changes and significant functional impairments, such as irreversible loss of speech, permanent use of a tracheostomy, and changes in essential functions such as breathing, swallowing, and communication, which will affect patients' quality of life, making nursing care focused on their basic health needs essential.
Objective: to map the evidence on nursing care for adults and the elderly in the postoperative period of total laryngectomy.
Material and method: scoping review, conducted between April and July 2024, according to the guidelines of the Joanna Briggs Institute. The guiding question was: what nursing care is directed at adults and the elderly in the postoperative period of total laryngectomy? The search was conducted in: US National Library of Medicine, Latin American and Caribbean Health Sciences Literature, Scopus, Web of Science, Cumulative Index to Nursing and Allied Health Literature, Scientific Electronic Library Online, Nursing Database, and gray literature. There were no language or time restrictions.
Results: 710 articles were identified and 20 included in the review. Nursing care was directed at psychobiological needs: oxygenation, skin-mucosal integrity, and nutrition; and psychosocial needs: communication, participation, and health education.
Conclusion: Nursing care focuses on psychobiological and psychosocial needs. There were no recommendations for psychospiritual needs.
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References
1. Barsouk A, Aluru JS, Rawla P, Saginala K, Barsouk A. Epidemiology, Risk Factors, and Prevention of Head and Neck Squamous Cell Carcinoma. Med Sci (Basel). 2023 Jun 13;11(2):42. DOI: 10.3390/medsci11020042. PMID: 37367741; PMCID: PMC10304137.
2. Instituto Nacional de Câncer (Brasil). Estimativa 2023: incidência de câncer no Brasil. Rio de Janeiro: INCA; 2022. Disponível em: https://www.inca.gov.br/publicacoes/livros/estimativa-2023-incidencia-de-cancer-no-brasil.
3. Lima VV de A e F, Lopes RA, Pereira MC. Instruments for evaluating the functioning of patients with head and neck cancer: narrative review. EJCH [Internet]. 8Apr.2022 [cited 9Jun.2025];15(4):e10058. Available from: https://acervomais.com.br/index.php/saude/article/view/10058.
4. da Silva FA, Roussenq SC, Gonçalves de Souza Tavares M, Pezzi Franco de Souza C, Barreto Mozzini C, Benetti M, Dias M. Perfil Epidemiológico dos Pacientes com Câncer de Cabeça e Pescoço em um Centro Oncológico no Sul do Brasil. Rev. Bras. Cancerol. [Internet]. 31º de março de 2020 [citado 9º de agosto de 2025];66(1):e-08455. Disponível em: https://rbc.inca.gov.br/index.php/revista/article/view/455.
5. Silva ALM, Borges ALB, Tolini GM, Farias RS, Farias TS, Moura RS, Monteiro JCG. Rehabilitation after total laryngectomy and the importance of multidisciplinary care: a case report. Rev Foco. 2023;16(7):e2409:1–9. doi:10.54751/revistafoco.v16n7-122.
6. Silva RAC, Fontes ARS, Oliveira CER, Domingos ORS, Maia LFS. Processo de cuidar em saúde e enfermagem: revisando a literatura. Revista Remecs [Internet]. 9º de dezembro de 2021 [citado 9 de agosto de 2025];10. Disponível em: https://revistaremecs.com.br/index.php/remecs/article/view/662.
7. Fawcett J. Analysis and evaluation of contemporary nursing knowledge: nursing models and theories. 3rd ed. Philadelphia: FA Davis Company; 2000.
8. Cruz RAO, SILVA VA, COSTA MML, OLIVEIRA JS, FERNANDES MGM. Teoria das necessidades humanas básicas: análise crítica de contexto. Rev Min Enferm. 2025;29:e-54421. Available from: https://periodicos.ufmg.br/index.php/reme/article/view/54421
9. Peters MDJ, Godfrey C, McInerney P, Munn Z, Tricco AC, Khalil H. Chapter 11: Scoping reviews (2020 version). In: Aromataris E, Munn Z, editors. JBI Manual for Evidence Synthesis. Adelaide: Joanna Briggs Institute (JBI); 2020. doi:10.46658/JBIMES-20-12.
10. Tricco AC, Lillie E, Zarin W, O'Brien KK, Colquhoun H, Levac D, et al. PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med. 2018;169(7):467–73. doi: 10.7326/M18-0850. Epub 2018 Sep 4.
11. Aromataris E, Lockwood C, Porritt K, Pilla B, Jordan Z. JBI Manual for Evidence Synthesis: 2024 edition. Adelaide: Joanna Briggs Institute (JBI); 2024. doi:10.46658/JBIMES-24-01.
12. Rebelo LC. A intervenção do enfermeiro especialista em enfermagem de reabilitação na promoção do autocuidado da pessoa com ostomia respiratória [dissertação de mestrado]. Lisboa: Universidade; 2023. Disponível em: http://hdl.handle.net/10400.26/46405.
13. Silva JR, Castro AB, Machado SG, Silva PC. Effective communication in the person undergoing total laryngectomy. Onco.News. 2022;44. doi:10.31877/on.2022.44.04. Epub 2022 Jun.
14. Queirós SMM, Pinto IES, Brito MAC, Santos CSVB. Nursing interventions to promote self-care in tracheostomy: a scoping review. J Clin Nurs. 2021;30(17-18):2579–2590. doi:10.1111/jocn.15823.
15. Lin A, Ye J, Wang Z, Li P. Analysis of post-operative efficacy and pharyngeal fistula healing in patients with laryngeal cancer treated with post-operative enteral nutrition support nursing combined with early oral feeding. Oncol Lett. 2020;19(3):2165–2170. doi:10.3892/ol.2020.11503.
16. H, Feng X, Yu R, Gu D, Zhang X. Factors influencing readiness for hospital discharge among patients undergoing laryngectomy. Int J Nurs Pract. 2020;26(5):e12875. doi:10.1111/ijn.12875.
17. DeVictor S, Ong AA, Kelly AP, Burke MS. Postoperative management after tracheostomy and laryngectomy: improving nursing knowledge with bedside posters. OTO Open. 2020;4(4):1–3. doi:10.1177/2473974X20971185.
18. Pires L, Miguel S, Frade I. Head and neck cancer surgery: the specificity of care for pharyngostoma and esophagostoma. Onco.News. 2020;41:26–31. doi:10.31877/on.2020.41.03.
19. Frade AIA, Miguel SSA, Ferreira ÓMR. Optimizing communication in individuals with laryngeal cancer undergoing total laryngectomy – nursing interventions in the perioperative period: a scoping review. Pensar Enfermagem. 2020 Feb;23(2):43. doi:10.56732/pensarenf.v23i2.162.
20. Yin L, Feng S, Shi Z. Perioperative nursing of patients with reoperation of recurrent parathyroid carcinoma invading the upper digestive or respiratory tract. Biomed Res Int. 2020;2020:6946048. doi:10.1155/2020/6946048.
21. Fernández S, Pardal‑Refoyo JL. Investigación bibliográfica sobre la atención de Enfermería en la laringectomía total = Bibliographic research on nursing care in total laryngectomy. Rev ORL [Internet]. 2019;10(2):121–32. doi:10.14201/orl.19366.
22. Spito A, Cavaliere B. A therapeutic education program for patients that underwent a temporary tracheotomy and total laryngectomy: leading to improved the “Diagnostic, Therapeutic and Assistance Path.” Acta Biomed for Health Professions. 2019;90(S11):38-52. doi:10.23750/abm.v90i11-S.8849.
23. Lenza NFB, Silva SL, Sonobe HM, Buetto LS, Martins LM. Fístula faringocutânea em paciente oncológico: implicações para a enfermagem. Rev Bras Cancerol. 2013;59(1):87–94. doi:10.32635/2176‑9745.RBC.2013v59n1.552.
24. Freitas AAS. Os cuidados cotidianos aos homens adultos hospitalizados com traqueostomia por câncer na laringe [dissertação de mestrado]. Rio de Janeiro: Universidade Federal do Rio de Janeiro, Escola de Enfermagem Anna Nery; 2012. 244 f. Disponível em: https://bvsms.saude.gov.br/bvs/publicacoes/inca/cuidados_cotidianos_homens_adultos_hospitalizados_traqueostomia_cancer_laringe.pdf.
25. Matos RE, Soares E, Castro ME, Fialho AVM, Caetano JA. Verbal communication difficulties in clients with laryngectomy. Rev Enferm UERJ. 2009 Apr-Jun;17(2):176-81.
26. Salomão CHD, Melo AS, Carvalho EC. Uncertainties of patients to be submitted to total laryngectomy. Rev Enferm UFPE on line. 2008 Jan-Feb;2(1):57–63. doi:10.5205/reuol.406-11219-1-LE.0201200808.
27. Schiech LA. Looking at laryngeal cancer. Nursing. 2007 May;37(5):50–5. doi: 10.1097/01.NURSE.0000268776.56579.c3.
28. Santana ME de, Sawada NO. Pharyngocutaneous fistula after total laryngectomy: a systematic review. Rev Latino‑Am Enfermagem. 2008 Jul‑Aug;16(4):772–8. doi:10.1590/S0104-11692008000400019.
29. Silva L de S L da, Pinto MH, Zago MMF. Assistência de enfermagem ao laringectomizado no período pós-operatório. Rev Bras Cancerol. 2002;48(2):213–221. doi:10.32635/2176-9745.RBC.2002v48n2.2227.
30. Sigler BA. Nursing care of patients with laryngeal carcinoma. Seminars in Oncology Nursing. 1989 Aug;5(3):160‑165. doi:10.1016/0749‑2081(89)90088‑0.
31. H, Ehrlich HE. Nursing care following laryngectomy. Am J Nurs. 1949 Mar;49(3):149–52. Available from: https://www.jstor.org/stable/3458132.
32. Diagnósticos de enfermagem da NANDA-I: definições e classificação 2024-2026 [recurso eletrônico] / Organizadoras, T. Heather Herdman, Shigemi Kamitsuru, Camila Takáo Lopes; tradução : Camila Takáo Lopes; revisão técnica : Alba Lucia Bottura Leite de Barros ... [et al.]. 13. ed. – Porto Alegre : Artmed, 2024.
33. Horta WA. Processo de Enfermagem. 1ª ed. São Paulo: EPU;1979.
34. Cordeiro ALPC, Santos JAR, Barroso ACL, Donoso MTV, Mata LRFP, Chianca TCM. Tracheostomy care for adults and the elderly in the home environment: a scoping review. Rev Esc Enferm USP. 2024;58:e20240028.doi: https://doi.org/10.1590/1980-220X-REEUSP-2024-0028en.
35. Blakeman TC, Scott JB, Yoder MA, Capellari E, Strickland SL. AARC Clinical Practice Guidelines: Artificial Airway Suctioning. Respir Care. 2022 Feb;67(2):258-271. doi: 10.4187/respcare.09548. PMID: 35078900.
36. Takeda H, Shinomiya H, Fujiwara H, Furukawa T, Teshima M, Nibu KI. An Exploratory Study on the Efficacy of a New Heat and Moisture Exchanger (Provox® LifeTM) for Laryngectomized Patients. Cureus. 2024 Nov 8;16(11):e73279. doi: 10.7759/cureus.73279. PMID: 39650877; PMCID: PMC11625442.
37. Chan HE, Lim JY, Fazlina AH, Zhao L, Feng Q, Lim PQ, et al. Evaluation of the microbiological efficacy of cleaning agents for inner tracheostomy tubes. Am J Otolaryngol. 2024;45(1):104073. doi:10.1016/j.amjoto.2023.104073.
38. Bittencourt VLL, Graube SL, Benetti ERR, Fontana RT, Rodrigues FCP, Fonseca C. Cuidados, desafios e dificuldades da equipe de enfermagem cirúrgica com pessoa submetida a traqueostomia. Estima. 2024;22:e1617. doi:10.30886/estima.v22.1617_PT.
39. Brasil. Ministério da Saúde. Secretaria de Atenção Especializada em Saúde. Departamento de Atenção Especializada e Temática. Guia de atenção à saúde da pessoa com estomia. Brasília: Ministério da Saúde; 2021.
40. Gürbüz D, Kesimli MC, Bilgili AM, Durmaz HÖ. Olfactory rehabilitation and olfactory bulb volume changes in patients after total laryngectomy: a prospective randomized study. Braz J Otorhinolaryngol. 2022 Jul-Aug;88(4): 607-612.doi: 10.1016/j.bjorl.2021.02.013.
41. Assunção LA, Santos ALS, Oliveira TNC, Santos EG, Alves TMK, Wanzeller RRM, et al. Nursing care for patients with laryngeal cancer: an integrative review. Int J Adv Eng Res Sci. 2021;8(10):51–59. doi: 10.22161/ijaers.810.5.
42. Yang X, Guan X, Ding Y, Wang J, Li X. Summary of the best evidence for perioperative enteral nutrition management in patients with laryngeal cancer. Support Care Cancer. 2025 May 29;33(6):512. doi: 10.1007/s00520-025-09546-y. PMID: 40439968.
43 Anjos LM, 42. Yin L, Feng S, Shi Z. Perioperative nursing of patients with reoperation of recurrent parathyroid carcinoma invading the upper digestive or respiratory tract. Biomed Res Int. 2020:6946048. doi:10.1155/2020/6946048.
44 Ferreira TES, Pernambuco L. Tongue biomechanics during swallowing after total laryngectomy: an integrative review. CoDAS. 2021;33(6). doi:10.1590/2317-1782/20202020102.
45. Woodman SH, Govender R, Baker K, Glaister C, Rowe EA, Dunton J, Patterson JM. Primary mode of communication for people with total laryngectomy in the UK: a cross-sectional survey. J Laryngol Otol 2024; 138:797–802. doi: https://doi.org/10.1017/S0022215124000525.
46. Gunjawate DR, Ravi R. Psychosocial adjustments after advanced laryngeal cancer treatment: a systematic review. Indian J Palliat Care. 2021;27(3):431–438. doi:10.25259/IJPC_135_21.
47. De Castro GR, Santos KC, Silva PLBC. Atuação da enfermagem na adaptação do paciente em uso da laringe eletrônica. Braz J Health Rev. 2024;7(1):2980–96. doi:10.34119/bjhrv7n1-240.
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