Babin E
CHU, Service ORL et de Chirurgie Cervico-Faciale, Avenue de la Côte de Nacre, F-14033 Caen, France.
Rev Laryngol Otol Rhinol (Bord). 2001;122(5):303-9.
This work relates the observation conducted in our outpatient clinic with fourteen patients who underwent a total laryngectomy due to a laryngeal and hypo pharyngeal cancer. The aims of our study were to analyse identity transformations and sociability modifications for these patients. It confirmed the social inequalities when a cancer occurs. Total laryngectomy upset or staggers the patients by impairing their appearance. Relations with other people are limited to the dearest because the tracheostomy and the deprivation of the original voice are regarded as disability that excludes them from the society. The physicians should be aware of the profound psychologic trouble and social changes attached to laryngeal cancer surgery to allow optimal care for the patients.
这项工作将我们在门诊对14例因喉癌和下咽癌接受全喉切除术的患者进行的观察联系起来。我们研究的目的是分析这些患者的身份转变和社交能力变化。研究证实了癌症发生时的社会不平等现象。全喉切除术损害了患者的外貌，使其感到不安或震惊。与他人的关系仅限于最亲近的人，因为气管造口术和失去原本的声音被视为残疾，使他们被社会排斥。医生应该意识到喉癌手术所带来的深刻心理问题和社会变化，以便为患者提供最佳护理。
