Deshmane V H, Parikh H K, Pinni S, Parikh D M, Rao R S
Department of Surgery, Tata Memorial Hospital, Bombay, Maharashtra, India.
Indian J Cancer. 1995 Sep;32(3):121-30.
Cosmetic disfigurement and loss of voice following a total laryngectomy can cause major psychosocial problems. Fifty patients who had undergone a total laryngectomy and completed more than six months following surgery, were randomly selected during a routine follow-up, and asked to answer a questionnaire, to asses their degree of disability and extent of rehabilitation. The questionnaire have five main components viz. general information, functional evaluation, vocal rehabilitation, social assessment and economic sequelae. Results revealed that these patients suffered from a significant decrease in social acceptance (70%), social activity (82%), sexual activity (62%), ability to communicate vocally (58%), and severe financial repercussions (78%). A large number of patients (40%) were dissatisfied with the present level of rehabilitation offered. Inspite of these problems the majority (80%) were willing to accept a total laryngectomy as treatment of their cancer. This emphasizes the need for greater interaction between the treating surgeon, speech therapist, occupational therapist, and psychotherapist to rehabilitate these patients adequately.
全喉切除术后的容貌毁损和声音丧失会导致严重的心理社会问题。在一次常规随访中，随机选取了50例接受了全喉切除术且术后已超过6个月的患者，要求他们回答一份问卷，以评估其残疾程度和康复程度。该问卷有五个主要部分，即一般信息、功能评估、嗓音康复、社会评估和经济后果。结果显示，这些患者在社会接受度（70%）、社交活动（82%）、性活动（62%）、发声交流能力（58%）方面显著下降，并且遭受了严重的经济影响（78%）。大量患者（40%）对目前提供的康复水平不满意。尽管存在这些问题，大多数患者（80%）仍愿意接受全喉切除术作为其癌症的治疗方法。这强调了主刀医生、言语治疗师、职业治疗师和心理治疗师之间需要加强互动，以便对这些患者进行充分的康复治疗。
