Ann Ital Chir. 2023;94:7-10.
Total laryngectomy represents the surgical procedure necessary for the treatment of some advanced neoplasms of the hypopharyngeal-laryngeal district and involves strong functional, physical and emotional repercussions. This research investigated the way in which the rehabilitation methods, used to improve the communicative needs of laryngectomized patients, influence their perceived quality of life.
The questionnaires "V-RQoL" and "SECEL" were administered to 45 patients divided into four groups on the basis of the type of vicarious voice: group TE (27 patients), group E (7 patients), group EL (2 patients), group NV (9 patients).
Patients using electrical or tracheo-esophageal prostheses reported a better quality of life than patients with an erythromophonic voice. Regarding postoperative satisfaction, the group with esophageal voice was the most satisfied.
The results lead us to emphasize the importance of preoperative counseling to make the patient as aware as possible of his future condition.
Cancer, Laryngectomy, Vicarious Voice, Voice Rehabilitation, Quality of Life.
全喉切除术是治疗下咽-喉区某些晚期肿瘤所需的手术程序，会对患者的功能、身体和情绪产生强烈影响。本研究旨在调查用于改善喉切除患者交流需求的康复方法如何影响他们感知到的生活质量。
根据代声方式，将 45 名患者分为四组，分别使用“V-RQoL”和“SECEL”问卷进行调查。这四组分别是：TE 组（27 名患者）、E 组（7 名患者）、EL 组（2 名患者）和 NV 组（9 名患者）。
使用电子或气管食管假体的患者报告的生活质量优于使用红斑性嗓音的患者。关于术后满意度，食管音组的满意度最高。
这些结果使我们强调术前咨询的重要性，以使患者尽可能了解自己的未来状况。
癌症，喉切除术，代声，嗓音康复，生活质量。
