J 2018

Key problems of the quality of life of patients after total laryngectomy

SLOUKA, David; Radek KUČERA; Petr HOŠEK; Břetislav GÁL; Ondřej TRČKA et. al.

Základní údaje

Originální název

Key problems of the quality of life of patients after total laryngectomy

Autoři

SLOUKA, David (203 Česká republika, garant); Radek KUČERA (203 Česká republika); Petr HOŠEK (203 Česká republika); Břetislav GÁL (203 Česká republika, domácí); Ondřej TRČKA (203 Česká republika); Tomáš KOSTLIVÝ (203 Česká republika) a David HAVEL (203 Česká republika)

Vydání

Kontakt, České Budějovice, Zdravotně sociální fakulta Jihočeské univerzity, 2018, 1212-4117

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30206 Otorhinolaryngology

Stát vydavatele

Česká republika

Utajení

není předmětem státního či obchodního tajemství

Kód RIV

RIV/00216224:14110/18:00106613

Organizační jednotka

Lékařská fakulta

EID Scopus

2-s2.0-85053720294

Klíčová slova česky

Laryngektomie; jícnová řeč

Klíčová slova anglicky

Laryngectomy; esophageal speech

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 2. 5. 2019 14:55, Soňa Böhmová

Anotace

V originále

Introduction: Laryngeal cancer is the most frequent cancer in the head and neck area. Approximately one third of patients are treated by total laryngectomy (TL). The rate of the patients adaptation to new conditions is crucial to the quality of his or her future life. Some patients survive tens of years after this operation. The preparation for TL is a complicated process that affects a patients cooperation in postsurgical time. The patient is informed of the essence of the disease, treatment possibilities, the process of preoperative preparation, as well as the operation itself. Great emphasis is put on awareness of the postoperative development, the patient's good cooperation, as well as good prognosis of the disease. Losing ones voice and the cosmetic defects caused by the tracheostoma are a great problem for the patient. The aim of this study was to show the main problems that patients after total laryngectomy deal with in common life. Material: In the group, there were 102 patients who had been operated on between 2003 and 2013, 62 of which met the classification criteria. Methods: This prospective study was statistically evaluated. The frequencies of responses were processed in tables. Results: During the early postoperative period, the greatest problem of patients after total laryngectomy is their adaptation to new principles of breathing, which is subsequently followed by the adaptation to a new and different way of communication. The best option for the patient is to communicate using esophageal voice. Only 55% of operated patients use one of the verbal forms of alternative voice communication in their future lives.