Oozeer N B, Owen S, Perez B Z, Jones G, Welch A R, Paleri V
Department of Otolaryngology-Head and Neck Surgery, The Newcastle Upon Tyne Hospitals NHS Trust, Freeman Hospital, Newcastle Upon Tyne NE7 7DN, UK.
J Laryngol Otol. 2010 Apr;124(4):412-6. doi: 10.1017/S0022215109992192. Epub 2009 Dec 11.
Total laryngectomy affects patients' post-operative speech and swallowing functions. We aimed to assess these outcomes.
Patients' normalcy of diet, ability to eat in public and speech comprehensibility were assessed using the Performance Status Scale for Head and Neck Cancer, in a cross-sectional survey of disease-free laryngectomees.
Seventy-nine laryngectomees (72 men and seven women), with a mean age of 64 years (range 37 to 96), were included. Mean scores were 81.6 (standard deviation 29.2) for normalcy of diet, 77.8 (standard deviation 30.2) for eating in public and 65.2 (standard deviation 23.5) for speech. Normalcy of diet achieved higher scores within six months of laryngectomy and remained stable. There was a statistically significant difference between scores for the speech and public eating domains, comparing patients less and more than six months post-laryngectomy. This trend was maintained beyond 12 months.
In post-laryngectomy patients, Performance Status Scale for Head and Neck Cancer scores improved over time, especially those for the speech and public eating domains, reflecting increasing confidence in social interactions and familiarity with surgical voice restoration.
全喉切除术会影响患者术后的言语和吞咽功能。我们旨在评估这些结果。
在一项针对无病喉切除患者的横断面调查中，使用头颈癌患者表现状态量表评估患者的饮食正常情况、在公共场合进食的能力以及言语可理解性。
纳入了79名头颈癌患者（72名男性和7名女性），平均年龄64岁（范围37至96岁）。饮食正常情况的平均得分为81.6（标准差29.2），在公共场合进食的平均得分为77.8（标准差30.2），言语平均得分为65.2（标准差23.5）。饮食正常情况在喉切除术后6个月内得分较高且保持稳定。比较喉切除术后少于6个月和多于6个月的患者，言语和公共进食领域的得分存在统计学显著差异。这种趋势在12个月后仍持续。
在喉切除术后患者中，头颈癌患者表现状态量表得分随时间改善，尤其是言语和公共进食领域的得分，这反映出患者在社交互动中的信心增强以及对手术语音恢复的熟悉程度提高。
