Pereira da Silva Ana, Feliciano Telma, Vaz Freitas Susana, Esteves Sara, Almeida E Sousa Cecília
Otorhinolaryngology Department, Centro Hospitalar do Porto, Porto, Portugal.
Otorhinolaryngology Department, Centro Hospitalar do Porto, Porto, Portugal.
J Voice. 2015 May;29(3):382-8. doi: 10.1016/j.jvoice.2014.09.002. Epub 2015 Jan 22.
Laryngeal carcinoma accounts for about 80 000 deaths annually worldwide. Despite its aggressiveness, total laryngectomy (TL) is a treatment option with curative intent. This article aims to evaluate its impact on these patients quality of life (QoL).
Thirty-four patients who underwent TL with bilateral neck dissection between 2003 and 2012 responded to the European Organization for Research and Treatment of Cancer QoL Core Questionnaire, the Self-Evaluation of Communication Experiences after Laryngeal Cancer Questionnaire, and the Hospital Anxiety and Depression Scale.
Data revealed that QoL is lower in these patients compared with general population. Regarding alaryngeal speech modalities, esophageal speech is associated with a significantly higher physical functional capacity.
TL results in a permanent disability with decreased functional capacity and psychological distress. Close monitoring of these patients and investing in speech rehabilitation are essential to preserve their QoL.
喉癌每年在全球导致约8万例死亡。尽管具有侵袭性，但全喉切除术（TL）仍是一种具有治愈意图的治疗选择。本文旨在评估其对这些患者生活质量（QoL）的影响。
34例在2003年至2012年间接受TL及双侧颈清扫术的患者对欧洲癌症研究与治疗组织生活质量核心问卷、喉癌后沟通体验自我评估问卷以及医院焦虑抑郁量表进行了回应。
数据显示，与普通人群相比，这些患者的生活质量较低。关于无喉语音模式，食管语音与显著更高的身体功能能力相关。
全喉切除术导致永久性残疾，功能能力下降和心理困扰。对这些患者进行密切监测并投入言语康复治疗对于维持他们的生活质量至关重要。
