Issue N# 1 - 2009
PHONIATRICS
Psychosocial quality of life in patients after total laryngectomy
Authors : Babin E, Beynier D, Le Gall D, Hitier M. (Caen)
Ref. : Rev Laryngol Otol Rhinol. 2009;130,1:29-34.
Article published in english 
Downloadable PDF document english
Summary :
Objectives: To examine Psychosocial Quality-of Life (PSQL) changes occurring over time among patients treated for laryngeal carcinoma by total laryngectomy. Methods: A retrospective, observational transversal study was performed on PSQL changes over time in laryngeal carcinoma patients having undergone total laryngectomy. Patients were interviewed using a questionnaire developed by two sociologists and a head and neck surgeon. Changes over time were assessed according to information with regards to smoking, alcohol consumption, psychological well-being, social life, family support, occupation and medical and demographic data regarding age, gender, verbal communication and patient appearance. Population: 150 patients completed the questionnaire. All were aged over 50 years at the time of surgery (total laryngectomy). Eighty-five percent of patients were smokers and 81% drinkers. On average, the questionnaires were completed by patients 6 years after surgery. Results: Before and after total laryngectomy, no statistical differences were noted for marital status (p= 1.000), frequency of dining at home with friends (p= 0.175), frequency of weekend outings (p= 0.092) or frequency of holidays (p= 0.565). A significant decrease was noted for smoking and drinking (p < 0.001), frequency of going to a café (p< 0.001), frequency of dinner outings at friends’ homes (p= 0.032) and frequency of going out to a restaurant (p< 0.001). A significant increase was observed in: owning a pet (p= 0.02) and time spent watching television (p< 0.001). Conclusion: The two latter results are indicative of feelings of solitude among total laryngectomees. Tracheostoma and voice deprivation are limiting factors in social relationships, hence pushing individuals into withdrawal.
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