Voice quality, swallowing and reflux are affected in both types, with the sense of smell and taste (hyposnia/anosmia and dysgeusia) also being affected in total laryngectomies (a complaint which is given very little attention by medical professionals). Partial or total laryngectomy can lead to swallowing difficulties (known as "dysphagia"). Dysphagia can have a significant effect on some patients' quality of life following surgery. Dysphagia poses challenges in eating and social involvement, often causing patients to experience increased levels of distress. This effect holds true even after the acute phase of recovery. More than half of patients who received total laryngectomy were found to experience restrictions in their food intake, specifically in what they can eat and how they can eat it. The diet limitations imposed by dysphagia can negatively impact a patient's quality of life, as it can be perceived as a form of participation restriction. Accordingly, these perceived restrictions are more commonly experienced by dysphasic laryngectomy patients compared to non-dysphasic laryngectomy patients. Therefore, it is important to consider dysphagia in short and long-term outcomes post-laryngectomy in order for patients to uphold a higher quality of life. Often, speech-language pathologists are involved in the process of prioritizing swallowing outcomes.