Quality of Life after Surgical Treatment of Cancer of the Larynx
- 1 October 1995
- journal article
- research article
- Published by SAGE Publications in Annals of Otology, Rhinology & Laryngology
- Vol. 104 (10), 763-769
- https://doi.org/10.1177/000348949510401003
Abstract
The purpose of the study was to assess the quality of life of patients after surgical treatment for cancer of the larynx. Three groups of patients were identified according to surgical treatment: total laryngectomy, 111 patients; near-total laryngectomy, 38 patients; and partial laryngectomy, 23 patients. The impact of successful surgical treatment on their life roles was analyzed in terms of work, activities, familial and spousal relationships, sexuality, and psychologic features such as stress and anxiety. Two questionnaires were used: the Psychosocial Adjustment to Illness Scale (PAIS) and the Mayo Clinic Postlaryngectomy Questionnaire. With the PAIS questionnaire, no difference was found in role adjustment between the total laryngectomy and near-total laryngectomy groups, with one exception. In the work domain, the total laryngectomy patients who were working had better adjustment than the near-total laryngectomy patients. The overall adjustment of both groups was less favorable than that of a comparison group of patients with nonlaryngeal cancer. The patients who had the classic conservation operations adjusted in all domains more favorably than the patients with permanent tracheostomas. The partial operation patients adjusted better than the nonlaryngeal cancer patients. We conclude that the stoma has a negative impact on adjustment postoperatively and that it may have a more serious impact on life adjustment than voice alteration. Further investigation and standardization of measurement tools are needed.Keywords
This publication has 13 references indexed in Scilit:
- Functional status and coping in patients with oral and pharyngeal cancer before and after surgeryHead & Neck, 1994
- International quality of life assessment (IQOLA) projectQuality of Life Research, 1992
- Quality of life of patients treated surgically for head and neck cancerThe Journal of Laryngology & Otology, 1992
- A model for quality of life after laryngectomySocial Science & Medicine (1982), 1991
- Induction Chemotherapy plus Radiation Compared with Surgery plus Radiation in Patients with Advanced Laryngeal CancerThe New England Journal of Medicine, 1991
- Evaluation of voice by patients and close relatives following different laryngeal cancer treatmentsJournal of Surgical Oncology, 1990
- Assessing quality of life in cancer patientsBritish Journal of Cancer, 1989
- Psychosocial aspects of head and neck cancer?a review of the literatureClinical Otolaryngology, 1986
- The quality of life of patients following treatment for laryngeal cancerInternational Journal of Radiation Oncology*Biology*Physics, 1983
- Speech and SurvivalThe New England Journal of Medicine, 1981