Dhillon R S, Palmer B V, Pittam M R, Shaw H J
Clin Otolaryngol Allied Sci. 1982 Oct;7(5):319-24. doi: 10.1111/j.1365-2273.1982.tb01913.x.
Forty-nine patients who were free of tumour 5 months to 14 years (mean 30 months) after total laryngectomy or a commando procedure were given questionnaires designed to obtain the patient's assessment of their resulting disability. Sixteen areas of disability were studied grouped under five main headings: speech, eating, cosmetic, employment and social. Following laryngectomy more than half of the patients achieved successful communication by oesophageal speech. Success in this was usually associated with minimal problems in other areas. The disabilities after commando procedures were more varied and complex. More patients reported severe disability in more than one area. Difficulties with chewing and swallowing were prominent. The results are illustrated with patients' comments. Ways in which rehabilitation might be improved are considered.
49例在全喉切除术或根治性颈清扫术后5个月至14年（平均30个月）无肿瘤的患者接受了问卷调查，旨在获取患者对其所产生残疾情况的评估。对16个残疾领域进行了研究，分为五个主要类别：言语、饮食、外观、就业和社交。全喉切除术后，超过一半的患者通过食管发音实现了成功交流。这方面的成功通常与其他领域的最小问题相关。根治性颈清扫术后的残疾情况更多样化和复杂。更多患者报告在不止一个领域存在严重残疾。咀嚼和吞咽困难很突出。结果通过患者的评论进行了说明。还考虑了可能改善康复的方法。
