Long-term Results of Olfaction Rehabilitation Using the Nasal Airflow–Inducing ("Polite Yawning") Maneuver After Total Laryngectomy

Abstract
TOTAL LARYNGECTOMY has a wide range of adverse effects, mainly as a result of the permanent disconnection of the upper and lower airways. Not only is the natural voice lost, but other physiological systems, which require a more or less normal nasal airflow, are disrupted and/or hampered as well. This change in anatomy often leads to deterioration in pulmonary function, with an associated range of physical and psychosocial problems, and a loss (or at least a serious decrease) of the sense of smell and taste.1,2