Quality of life and depression in patients undergoing total and partial laryngectomy
PURPOSE: The surgical treatment of head and neck cancer, primarily laryngeal cancer, causes sequelae and can change the patient's quality of life. The purpose of this study was to investigate the impact of laryngectomy on the quality of life regarding the functional, physical, psychological, and social aspects. METHODS: Fourteen patients underwent total laryngectomy and 16 underwent vertical partial laryngectomy. The Quality of Life Core Questionnaire (QLQ-C30) and Head and Neck (H&N35) questionnaire from the European Organization for Research and Treatment of Cancer (EORTC) were used for quality of life evaluation, while the Beck Depression Inventory questionnaire was used for the depression screen. RESULTS: In the total laryngectomy group, reported adverse effects were worsened, social and emotional function (21.3%), olfaction and taste changes (85.6%), cough (71.3%), speech difficulty (100%), and dysphagia (64.3%). Most of the patients (85.5%) judged their quality of life to be reasonable. In the partial laryngectomy group, reported adverse effects were worsened, emotional function (71.4%), speech difficulty (100%), and dysphagia (31.3%). However, most of the patients judged their quality of life to be above the general average. CONCLUSION: Despite being different surgeries, both groups experienced similar difficulties but at different levels. The quality of life was judged worse in the patients who underwent total laryngectomy.
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Faculdade de Medicina / USP
2005
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oai:scielo:S1807-593220050002000102005-04-26Quality of life and depression in patients undergoing total and partial laryngectomyBraz,Daniella Scalet AmorinRibas,Marta MariaDedivitis,Rogério AparecidoNishimoto,Inês N.Barros,Ana Paula Brandão Quality of life Laryngeal neoplasm Laryngectomy Depression Voice PURPOSE: The surgical treatment of head and neck cancer, primarily laryngeal cancer, causes sequelae and can change the patient's quality of life. The purpose of this study was to investigate the impact of laryngectomy on the quality of life regarding the functional, physical, psychological, and social aspects. METHODS: Fourteen patients underwent total laryngectomy and 16 underwent vertical partial laryngectomy. The Quality of Life Core Questionnaire (QLQ-C30) and Head and Neck (H&N35) questionnaire from the European Organization for Research and Treatment of Cancer (EORTC) were used for quality of life evaluation, while the Beck Depression Inventory questionnaire was used for the depression screen. RESULTS: In the total laryngectomy group, reported adverse effects were worsened, social and emotional function (21.3%), olfaction and taste changes (85.6%), cough (71.3%), speech difficulty (100%), and dysphagia (64.3%). Most of the patients (85.5%) judged their quality of life to be reasonable. In the partial laryngectomy group, reported adverse effects were worsened, emotional function (71.4%), speech difficulty (100%), and dysphagia (31.3%). However, most of the patients judged their quality of life to be above the general average. CONCLUSION: Despite being different surgeries, both groups experienced similar difficulties but at different levels. The quality of life was judged worse in the patients who underwent total laryngectomy.info:eu-repo/semantics/openAccessFaculdade de Medicina / USPClinics v.60 n.2 20052005-04-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322005000200010en10.1590/S1807-59322005000200010 |
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Braz,Daniella Scalet Amorin Ribas,Marta Maria Dedivitis,Rogério Aparecido Nishimoto,Inês N. Barros,Ana Paula Brandão |
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Braz,Daniella Scalet Amorin Ribas,Marta Maria Dedivitis,Rogério Aparecido Nishimoto,Inês N. Barros,Ana Paula Brandão Quality of life and depression in patients undergoing total and partial laryngectomy |
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Braz,Daniella Scalet Amorin Ribas,Marta Maria Dedivitis,Rogério Aparecido Nishimoto,Inês N. Barros,Ana Paula Brandão |
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Braz,Daniella Scalet Amorin |
title |
Quality of life and depression in patients undergoing total and partial laryngectomy |
title_short |
Quality of life and depression in patients undergoing total and partial laryngectomy |
title_full |
Quality of life and depression in patients undergoing total and partial laryngectomy |
title_fullStr |
Quality of life and depression in patients undergoing total and partial laryngectomy |
title_full_unstemmed |
Quality of life and depression in patients undergoing total and partial laryngectomy |
title_sort |
quality of life and depression in patients undergoing total and partial laryngectomy |
description |
PURPOSE: The surgical treatment of head and neck cancer, primarily laryngeal cancer, causes sequelae and can change the patient's quality of life. The purpose of this study was to investigate the impact of laryngectomy on the quality of life regarding the functional, physical, psychological, and social aspects. METHODS: Fourteen patients underwent total laryngectomy and 16 underwent vertical partial laryngectomy. The Quality of Life Core Questionnaire (QLQ-C30) and Head and Neck (H&N35) questionnaire from the European Organization for Research and Treatment of Cancer (EORTC) were used for quality of life evaluation, while the Beck Depression Inventory questionnaire was used for the depression screen. RESULTS: In the total laryngectomy group, reported adverse effects were worsened, social and emotional function (21.3%), olfaction and taste changes (85.6%), cough (71.3%), speech difficulty (100%), and dysphagia (64.3%). Most of the patients (85.5%) judged their quality of life to be reasonable. In the partial laryngectomy group, reported adverse effects were worsened, emotional function (71.4%), speech difficulty (100%), and dysphagia (31.3%). However, most of the patients judged their quality of life to be above the general average. CONCLUSION: Despite being different surgeries, both groups experienced similar difficulties but at different levels. The quality of life was judged worse in the patients who underwent total laryngectomy. |
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Faculdade de Medicina / USP |
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2005 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322005000200010 |
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