Varghese B T, Mathew A, Sebastian S, Iype E M, Sebastian P, Rajan B
Division of Surgical Oncology (Head and Neck Service), Regional Cancer Centre, Trivandrum, India.
Division of Clinical Epidemiology, Regional Cancer Centre, Trivandrum, India.
Indian J Otolaryngol Head Neck Surg. 2013 Jul;65(Suppl 1):150-4. doi: 10.1007/s12070-013-0647-5. Epub 2013 Mar 23.
Post laryngectomy voice rehabilitation is very challenging in centres with limited resources because of cost concerns and morbidity. A study of laryngectomised voice rehabilitated patients on follow up was performed to look into overall quality of life (QOL), morbidity and voice quality. Those patients who had visited head and neck surgical outpatient department during the period of January 2008 to October 2009 were evaluated for their QOL, morbidity and voice quality, objectively and subjectively. Voice rating and QOL rating showed a distinct discrepancy which could be explained by the morbidity recorded for surgical voice restoration in the present study. Voice rehabilitation strategy after laryngectomy in a low resource setting has to take in account financial social educational background of the patient besides technical issues.
由于成本问题和发病率，在资源有限的中心进行喉切除术后的语音康复极具挑战性。对接受语音康复的喉切除患者进行了一项随访研究，以调查其总体生活质量（QOL）、发病率和语音质量。对那些在2008年1月至2009年10月期间到头颈外科门诊就诊的患者，从客观和主观两方面对其生活质量、发病率和语音质量进行了评估。语音评分和生活质量评分显示出明显差异，这可以用本研究中记录的手术语音恢复发病率来解释。在资源匮乏的环境中，喉切除术后的语音康复策略除了技术问题外，还必须考虑患者的经济、社会和教育背景。
