Taş Abdullah, Yağiz Recep, Karasalihoğlu Ahmet R, Koten Muhsin, Adali Mustafa Kemal, Uzun Cem
Department of Otolaryngology, Medicine Faculty of Trakya University, Edirne, Turkey.
Kulak Burun Bogaz Ihtis Derg. 2004;12(3-4):84-90.
To evaluate quality of life of patients undergoing surgical treatment for larynx cancer and to compare quality of life between patients with total laryngectomy and partial laryngectomy.
Thirty-two questions were asked to patients who underwent total laryngectomy (22 subjects) or partial laryngectomy (24 subjects). These questions were based on the European Organization for Research on Treatment of Cancer questionnaires Quality of Life--C30 (EORTC-QoL-C30) and adapted to our nation. Patients with total laryngectomy and partial laryngectomy were compared according to the answers.
We found significant statistical differences between total and partial laryngectomy patients in 12 questions. When functional disorders were evaluated, the most significant was one associated with communication. However, pain, smell disorders and increased secretion were associated with morbidity that resulted from the type of surgery. It was observed that patients with total laryngectomy were particularly affected psychologically and economically.
Patients subjected to total laryngectomy experience serious physical and psycho-social disadvantages that arise from the treatment. In order to establish these negative effects and to minimize them, tools of assessment of quality of life should be developed. This assessment should be appropriate for our nation, providing information and psychological support for individuals and their families.
评估接受喉癌手术治疗患者的生活质量，并比较全喉切除术患者与部分喉切除术患者的生活质量。
对接受全喉切除术的22名受试者和接受部分喉切除术的24名受试者进行了32个问题的询问。这些问题基于欧洲癌症研究与治疗组织的生活质量调查问卷——C30（EORTC-QoL-C30）并根据我国情况进行了调整。根据答案对全喉切除术患者和部分喉切除术患者进行比较。
我们发现全喉切除术患者和部分喉切除术患者在12个问题上存在显著统计学差异。在评估功能障碍时，最显著的是与沟通相关的一项。然而，疼痛、嗅觉障碍和分泌物增多与手术类型导致的发病率相关。据观察，全喉切除术患者在心理和经济方面受到的影响尤为明显。
接受全喉切除术的患者会经历治疗带来的严重身体和心理社会不利影响。为了确定这些负面影响并将其最小化，应开发生活质量评估工具。这种评估应适合我国国情，为个人及其家庭提供信息和心理支持。
