Otolaryngology-Head and Neck Surgery, University Hospital, Av Cote de Nâcre, 14000 Caen, France.
Eur Arch Otorhinolaryngol. 2011 Oct;268(10):1407-19. doi: 10.1007/s00405-011-1661-4. Epub 2011 Jun 26.
Throat cancer has always struck people's imagination. This type of cancer affects some of the patient's most essential physiological functions: speaking, swallowing and breathing. At advanced stages, radical surgery is disabling. The impact of a mutilated larynx corresponds to a very real trauma that is both individual and social. Our aim is to define how a total laryngectomy (TL) is represented by both the surgeon and the patient. The history of TL makes it possible to understand the changes that were needed for the key players in the subject to impose or accept this operation. Without doubt, the implementation of the "cancer plan" in the early 2000s was a major turning point in the management of patients with neoplasia. Increased awareness among the elite, encouraged by the mobilisation of patients and their families, is the explanation for the new role played by TL in 2008. The progress made in medical and surgical techniques, modifications to the patient-carer relationship and the appearance of the concept of Quality of Life are all themes that have changed the approach to this operation and the management of patients undergoing a TL.
喉癌一直以来都牵动着人们的想象。这种癌症会影响患者一些最基本的生理功能：说话、吞咽和呼吸。在晚期，根治性手术会导致残疾。喉部残缺对应着一种非常真实的创伤，既是个体的，也是社会的。我们的目的是定义全喉切除术（TL）在外科医生和患者眼中的代表意义。TL 的历史使我们能够理解该领域的主要参与者为了实施或接受这项手术而做出的改变。毫无疑问，21 世纪初“癌症计划”的实施是肿瘤患者管理的一个重大转折点。在患者及其家属的动员下，精英阶层的意识不断增强，这也解释了 TL 在 2008 年所扮演的新角色。医疗和手术技术的进步、患者-照顾者关系的改变以及生活质量概念的出现，都是改变人们对这项手术和 TL 患者管理的方法的主题。
